Atrium Post Acute Care of Wayne

In the surveyor’s words

From the most serious findings on record at Atrium Post Acute Care of Wayne, in the surveyor’s own words.

• Immediate jeopardy, isolatedF610Jul 20, 2023

  Complaint#: NJ00164781 Based on interviews, medical records (MRs), and review of other pertinent facility documentation on 7/13/23, it was determined the facility failed to thoroughly investigate an alleged staff-to-resident physical abuse allegation involving the Certified Nursing Aide (CNA #1) and Resident #1. The facility also failed to ensure its policy titled Abuse, Neglect, Mistreatment, and Misappropriation of Resident Property was consistently implemented; when, on 6/4/23 (time unknown), a visitor (Visitor #1) reported to the Licensed Practical Nurse/Unit Manager (LPN/UM) that CNA #1 hit Resident #1. The LPN/UM then reported the abuse allegation to the Registered Nurse/Evening Supervisor (RN/ES). […]

• No harm, potential for more than minimal, patternF641Feb 25, 2025

  42440 Based on observation, interview, record review, facility policy, and review of the Resident Assessment Instrument (RAI) Manual, the facility failed to ensure five residents (Resident (R) 89, 138, 293, 295, and R299) out of 37 sampled residents had an accurate Minimum Data Set (MDS) assessment. This had the potential to cause the residents to have unmet care needs. Findings include: 1. Review of R138's Admission Record, located in the resident's electronic medical record (EMR) section titled Profile, revealed the resident was admitted to the facility on [DATE] and had diagnoses that included aftercare following explanation of hip joint prosthesis. Review of R138's Prog Note tab in the EMR revealed a Physician Note dated 12/05/24, which stated [discharge] in [morning] . […]

• No harm, potential for more than minimal, patternF711Apr 5, 2024

  NJ00172016 Based on observation, interview, and record review, it was determined that the facility failed to assure that the Physician responsible for supervising the care of residents signed and dated monthly physician's orders. This deficient practice was observed for 4 of 4 residents (Resident #1, 2, 3, and 4) reviewed and was evidenced by the following: 1.According to the ADMISSION RECORD (AR), Resident #1 has diagnoses of including but not limited to Toxic Encephalopathy, Megaloblastic Anemia, Urinary Tract Infection, and Malignant Neoplasm of Breast and Ovary. […]

• No harm, potential for more than minimal, patternF711Dec 21, 2022

  Based on observation, interview, and record review, it was determined that the facility failed to assure that the physician responsible for supervising the care of residents signed and dated monthly physician's orders. This deficient practice was observed for 18 of 32 residents (Resident # 81, 98, 86, 11, 5, 135, 136, 133, 120, 28, 73, 84, 9, 112, 59, 95, 12, and 66) reviewed and was evidenced by the following: 1. The surveyor reviewed the 9/2022, 10/2022, and 11/2022 Order Summary Reports for Resident #81 which revealed that the physician did not sign and date the monthly orders for these months. 2. The surveyor reviewed the 9/2022, 10/2022, and 11/2022 Order Summary Reports for Resident #98 which revealed that the physician did not sign and date the monthly orders for these months. 3. […]

• No harm, potential for more than minimal, isolatedF640Feb 25, 2025

  Based on record review, staff interview, and facility policy review, the facility failed to complete a discharge Minimum Data Set (MDS) tracking form within 14 days of a resident's discharge and submit it to the Centers for Medicare and Medicaid Services (CMS) system for one resident out of 37 sampled residents (Resident (R) 7) reviewed for MDS completion. This failure prevented the transmission and compilation of resident-specific information for payment and quality measure purposes. Findings include: Review of R7's undated Admission Record located in the Profile tab of the electronic medical record (EMR) revealed she was admitted to the facility on [DATE] with diagnoses including clostridium difficile, pressure ulcers of the right and left buttocks, chronic kidney disease, and diabetes. […]