Atlantic Specialty Care

In the surveyor’s words

From the most serious findings on record at Atlantic Specialty Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Dec 29, 2021

  Based on observation, record review, and staff, physician, and family interviews, the facility failed to provide comprehensive assessments and implement timely interventions for 4 of 4 residents reviewed (Resident #1, 2, 3, and 4). On [DATE], the bath aide identified a change in Resident #1's abdominal hernia. She reported her observation to Staff G, Licensed Practical Nurse (LPN) who looked at the area and told Staff E the area did not look very good. When Staff F, RN, the nurse assigned to care for Resident #1 that day returned from lunch break, Staff G reported her findings related to the resident's hernia to her. However, Staff F failed to address the area at all. On [DATE], the bath aide alerted the nurse that the hernia appeared black in color and oozed fluid. […]

• Immediate jeopardy, isolatedF689Dec 29, 2021

  Based on observations, clinical record review, facility record review, staff and family interviews, the facility failed to provide adequate to ensure the resident environment remained as free of hazards as possible for 1 of 3 residents reviewed (Resident #5). On 12/11/21, between 9:00 PM and 11:30 PM, Resident #5 eloped (exited the building without staff knowledge or permission). The outside temperature at the time measured 28 degrees with a wind chill of 20 degrees. Staff reported they did not know how he left as he wore a wanderguard bracelet, but it did not cause an alarm to sound. A person from the community heard the resident yelling for help, found the resident approximately 100 yards west of the facility in a field, and contacted the police. […]

• No harm, potential for more than minimal, widespreadF851Jun 6, 2024

  Based on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report (October1 - December 31) review, facility staffing reports review, and staff interviews, the facility failed to submit accurate staff reports for the PBJ Staffing Data Report. The facility reported a census of 65 residents. Findings include: The PBJ Staffing Data Report run date 5/31/24 triggered for Excessively Low Weekend Staffing - submitted weekend staffing data is excessively low. Review of Facility Daily Assignment Sheets for each day of the months of October, November and December 2023 staffing revealed staffing for nurses and Certified Nursing Assistants (CNAs) scheduled similarly for weekdays and weekends. […]

• No harm, potential for more than minimal, widespreadF812Apr 25, 2023

  Based on observation, resident interview, staff interview and policy review the facility failed to properly secure hair of kitchen staff for prevention of food contamination. The facility reported a census of 76. Findings Include: The Minimum Data Set (MDS) for Resident #40 dated 02/23/23 documented admission to the facility on [DATE]. The MDS also documented a Brief Interview of Mental Status (BIMS) assessment score of 09 suggesting moderate impairment During an observation on 04/18/23 from 11:00 AM to 12:30 PM Cook, Staff # S prepared pureed meals and dished food from the steam table to plates for all facility residents. Staff # S observed without covering of facial beard during food preparation. […]

• No harm, potential for more than minimal, patternF804Mar 27, 2025

  Based on observations, documentation review, resident interviews, staff interviews, and policy review the facility failed to prepare, serve and distribute food in accordance with professional standards. The facility failed to take and document temperatures of food in the kitchen prior to distribution. The facility reported a census of 61 residents. Findings include: Continuous observation on 3/25/25 at 11:15 AM found Staff C, cook, began placing items on the steam table with temperatures taken upon removal from the stove or steamer. At 12:17 Staff C began the meal service without taking temperatures at the steam table. […]