Atlas Rehabilitation and Healthcare at Washington

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 30, 2023

  Based on observations, interviews, record review, and policy review, it was determined that the facility failed to ensure resident safety related to lights over headboard are smoking when turned on for (Resident (R)73 and R51). The lights were found to be smoking by staff on 8/31/2023 and not repaired until 9/28/2023. This failure placed R73 and R51, as well as all residents, at risk of an electrical fire and in an Immediate Jeopardy situation. Additionally, the facility failed to provide a safe smoking environment for 10 residents (Resident (R) 17, R24, R48, R52, R55, R60, R65, R72, R159, and R160) of the facility identified as smokers. […]

• Immediate jeopardy, isolatedF689Feb 24, 2023

  Complaint Intake #NJ161004 and NJ160982 Based on interviews, record review, facility policy review, and video surveillance review, the facility failed to provide supervision for 1 (Resident #5) of 8 residents reviewed for wandering/elopement. The facility failed to identify and implement interventions to prevent elopement for Resident #5 who had a documented history of elopement attempts, was cognitively impaired, and was unable to walk safely. On 12/15/2022, Resident #5 left the facility without staff knowledge. A staff member leaving the facility found the resident in the rain by a busy four-lane highway by the facility and assisted the resident back to the facility. Resident #5 was outside unsupervised without staff knowledge for approximately nine minutes. […]

• Actual harm, isolatedF692Jul 7, 2021

  Complaint Intake NJ 4 Based on record review, facility policy review, and interviews, it was determined that the facility failed to maintain adequate nutritional status for 1 (Resident #9) of 3 residents investigated for weight loss. Specifically, the facility failed to prevent significant weight loss for Resident #9, leading to the progression of pressure injuries on the resident's bilateral heels identified on 12/30/2020. Supplementation was not ordered after recommended by the registered dietitian (RD) on 12/21/2020. The resident experienced new pressure ulcer development on 12/30/2020. The resident experienced significant weight loss of 8.2% on 01/06/2021 in one month with no supplementation ordered. A new pressure area was identified on 01/08/2021. […]

• No harm, potential for more than minimal, widespreadF812Apr 16, 2026

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to maintain the ice machine and kitchen environment in a clean and sanitary manner to prevent potential contamination and foodborne illness. This deficient practice was evidenced by the following:On 04/13/2026 at 9:19 AM, during a kitchen observation conducted with the Dietary Director (DD), the surveyor observed that the interior compartment of the ice machine, where ice was dispensed, contained a light yellow, slimy, film-like substance. The interior tray contained brown and black debris. The exterior compartment beneath the ice chute, used to catch ice, contained brown debris within the drainage tray. […]

• No harm, potential for more than minimal, widespreadF812Sep 19, 2024

  Based on observation, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe, consistent manner intended to prevent food borne illness. This deficient practice was evidenced by the following: On [DATE] from 9:19 AM until 10:00 AM, the surveyor observed the following in the presence of the Assistant Food Service Director (AFSD): 1. The AFSD turned on the faucet, wet her hands, applied soap to her hands, and lathered her hands with soap for a period of time too briefly to be counted, before she rinsed her hands under the running water, and dried her hands with a paper towel. The AFSD discarded the paper towel and obtained a second paper towel to turn off the faucet and then discarded it. 2. […]