Atlas Rehabilitation and Healthcare at Daughters O

In the surveyor’s words

From the most serious findings on record at Atlas Rehabilitation and Healthcare at Daughters O, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880May 5, 2023

  Based on observation, interview, record review, and policy review, the facility failed to sanitize glucometers between uses for one (Resident (R) 111) of two residents (R152 and R111) observed receiving blood glucose testing out of a total sample of 43 residents. The failure to sanitize glucometers between residents resulted in an Immediate Jeopardy (IJ) at F880-J: Infection Control due to the increased likelihood to cause serious harm due to the potential of cross-contamination of blood-borne pathogens. On 05/04/23 at 7:15 PM, the Administrator and Director of Nursing (DON) were notified of the IJ at F880-K: Infection Control. […]

• No harm, potential for more than minimal, widespreadF812Jul 17, 2026

  Based on observation, interview, and review of other facility documentation, it was determined that the facility failed to handle potentially hazardous foods and maintain kitchen sanitation practices as well as store, and label in a manner intended to prevent the spread of food borne illness. This deficient practice was evidenced by the following:On 7/8/26 at 9:30 AM, the surveyor entered the kitchen for the initial tour, in the presence of the Food Service Director (FSD), and FSD/Registered Dietician (RD)(FSD/RD), and observed the following:In the produce walk in refrigerator (ref), an opened box with bags of carrots inside, the received date was 5/19/26, and use by date was 6/8/26, which expired, past the used by date. […]

• No harm, potential for more than minimal, widespreadF835Jan 20, 2023

  Complaint #NJ159325 Based on observation, interview, document review, facility policy review, and employee handbook review, the facility Administrator failed to ensure staff COVID-19 testing was completed twice weekly as required and were not falsified and failed to ensure facility infection control practices were implemented regarding the use of N95 masks. Findings included: Review of the Employee Handbook, not dated, specified, in part, on pages 40 and 41, Code of Conduct. The Company endeavors to maintain a positive work environment. Each employee plays a role in fostering this environment. Accordingly, we all must abide by certain rules of conduct, based on honesty, common sense, and fair play. […]

• No harm, potential for more than minimal, widespreadF880Jan 20, 2023

  Complaint #NJ159325 Based on observations, interviews, record reviews, document review, facility policy reviews, and review of the Center for Disease Control (CDC) and Occupational Safety and Health Administration (OSHA) guidelines, it was determined the facility failed to: 1. Ensure eight employees on 3 of 5 floors of the facility were wearing an N95 respirator (a mask that forms a seal against the user's face to filter airborne particles) for which they had been fit tested . 2. Ensure 80 of 140 employees were fit tested for an N95 mask annually. 3. Ensure 47 of 47 staff from a contracted nursing agency, who had worked at the facility since October 2022, were fit tested for an N95 mask. 4. […]

• No harm, potential for more than minimal, widespreadF886Jan 20, 2023

  Complaint #NJ159325 Based on interviews, document review, facility policy review, and a review of the Centers for Disease Control and Prevention (CDC) community transmission levels, it was determined the facility failed to ensure all staff were tested twice per week based on the community transmission levels. Findings included: The facility policy titled, Atlas Healthcare Policy for Emergent Infectious Diseases (including COVID-19)/Outbreak Response, revised December 2022, revealed Once notified by the public health authorities at either the federal, state and/or local level that the EID [Emergent Infectious Disease] is likely to or already has spread to the care center's community, the care center will activate specific surveillance and screening as instructed by Centers for Disease… […]