Deficiency Index

Atlas Post Acute at Woodbury Country Club

Woodbury, New Jersey · CCN 315521

20 surveys since 2016. The first finding at harm level was recorded in 2021.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
73
Surveys
20
Harm or worse
7
Immediate jeopardy
5
The record, 2016–2025
’16’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
124
Ownership
For profit - Limited Liability company
Chain
ATLAS HEALTHCARE
County
Gloucester
Medicare-certified since
2016

CMS ratings

Overall
2
Health inspection
1
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 85 for-profit facilities of 100–127 beds in New Jersey.

Last survey on record

Nov 26, 2025

348 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.033.53
Registered-nurse hours per resident day0.72—
Annual nurse turnover56.0%41.6%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$561,530 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.4%K24.8%L24.8%
Actual harmG—H—I—
No harm, potential for more than minimalD2047.6%E1228.6%F511.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 42 of the 73 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7554×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

In the surveyor’s words

From the most serious findings on record at Atlas Post Acute at Woodbury Country Club, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF600Jan 9, 2024

    Complaints: NJ00157215, NJ00161186, NJ00161762, NJ00162457, NJ00162827, NJ00167295, NJ00168400, NJ00168545, NJ00168603, NJ00169368 Based on observation, interview, record review, and facility policy review, the facility failed to protect one resident's (Resident (R) 38) right to be free from physical abuse by staff and failed to protect two residents' (R37 and R57) right to be free from neglect out of a total sample of 65 residents. An allegation was reported that R38 was found with adhesive paste inside his ileostomy stoma. It was reported the stoma adhesive paste was in an amount sufficient to obstruct R38's stoma. […]

  • Immediate jeopardy, widespreadF755Jan 9, 2024

    Complaints: NJ00158123, NJ00158489, NJ00158677, NJ00159247, NJ00159800, NJ00167295, NJ00168400, NJ00168603, NJ00169368, NJ00169776 Based on observations, interviews, record reviews, and review of the facility's policies, the facility systemically failed to provide and maintain pharmaceutical services to acquire, receive, dispense, administer, and reconcile medications for 10 residents reviewed for medications (Resident R 60, R14, R33, R64, R31, R32, R63, R13, R11, and R9) out of a total sample of 65 residents. This systemic failure affected and/or had the likelihood to affect all residents of the facility, and any future admissions to the facility. […]

  • Immediate jeopardy, widespreadF835Jan 9, 2024

    Based on interviews, record review, and review of the facility Administrator's Job Description, the facility failed to be administered in a manner that enabled effective use of its resources to attain and maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This failure had the likelihood to affect all 115 residents of the facility. 1. The facility's administration failed to ensure residents remained free from neglect and abuse when R37 and R57 sustained actual harm from being deprived of treatment; and R38's family reported that ostomy paste adhesive was found directly in the center of R38's stoma, obstructing the waste from emptying into his ileostomy bag. […]

  • Immediate jeopardy, patternF578Dec 20, 2024

    Complaint#: NJ00173566 Based on interviews, record reviews, and a review of the facility's policy, it was determined that the facility failed to ensure residents code status was documented in the medical records, the Physician's Order for Life-Sustaining Treatment (POLST) reflected the residents' end of life wishes and the proper documentation was completed so that those end of life wishes were honored in the facility and/or during transport. The facility also failed to follow its policies titled Residents' Rights Regarding Treatment and Advance Directives and the Social Services Director Job Description for 8 of 28 residents (Resident (R)2, R10, R13, R17, R24, R25, R26, and R28) reviewed for code status. […]

  • Immediate jeopardy, isolatedF678Dec 20, 2024

    Complaint#: NJ00173566 Based on interviews, record reviews, and a review of the facility's policy titled Residents' Rights Regarding Treatment and Advance Directives, it was determined that the facility failed to ensure the physician's orders matched the resident's documented end-of-life wishes, which resulted in cardiopulmonary resuscitation (CPR) being done on a resident (Resident (R) 17) reviewed for code status out of a total sample of 22 residents. While in the hospital, R17 chose to be a do-not-resuscitate (DNR). However, the facility was unable to provide evidence that they implemented their policy for R17 for Advance Directives upon R17 admission to the facility. […]

Read 21 findings in full →The most serious and the most recent: 21 of 73 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 26, 2025Complaint1 finding
  • Apr 24, 2025Standard11 findings
  • Dec 20, 2024Complaint4 findings · 2 harm
  • Jan 9, 2024Complaint20 findings · 4 harm
  • Apr 14, 2023Standard4 findings
  • Jan 10, 2023Complaint2 findings
  • Dec 8, 2021Complaint2 findings · 1 harm
  • Mar 31, 2021Standard2 findings
Show the 12 earlier surveys
  • Mar 4, 2020Complaint1 finding
  • Oct 10, 2019Complaint1 finding
  • Sep 19, 2019Complaint1 finding
  • Aug 9, 2019Standard6 findings
  • Jul 11, 2019Complaint3 findings
  • May 15, 2019Complaint1 finding
  • Mar 20, 2019Complaint1 finding
  • Feb 4, 2019Complaint1 finding
  • Jul 6, 2018Standard3 findings
  • May 16, 2017Standard6 findings
  • Nov 2, 2016Complaint2 findings
  • May 4, 2016Standard1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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