Home / New Jersey / Atco
114 Hayes Mill Road, Atco, NJ 08004 · Camden County · (856) 809-7206
60 certified beds, about 56 residents a day · For profit - Individual · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 315297 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 9, 2026, inspectors cited 24 health deficiencies (the New Jersey average is 8.6, the national average 9.2).
Of 35 health citations since September 2022, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 3 fines totaling $236,148 in the last three years; the largest was $137,865, and the latest is dated June 8, 2026.
Nurses and nurse aides worked 7.70 hours per resident per day, against 3.85 across New Jersey and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 35 health citations on file.
Inspectors wroteComplaint #3041277 Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to a.) develop and implement an effective water management plan in accordance with nationally accepted standards to mitigate the growth of Legionella bacteria in the facility's water system, b.) follow the recommended guidance from the New Jersey Department of Health's (NJDOH) Communicable Disease Service (CDS) including biweekly water testing and conducting a root cause analysis to identify and address any hazardous conditions, and c.) implement corrective actions for nine occupied resident rooms that tested positive for Legionella. This deficient practice had the potential to affect all 53 residents. [...]
Inspectors wroteCOMPLAINT # 2792802 and 2795965 Based on observation, interview, record review, and review of pertinent facility documentation, it was determined that facility staff members failed to a.) ensure control measures were implemented, maintained and monitored to prevent the growth of Legionella in accordance with the facility Water Management Program (WMP)(a risk management plan for the prevention and control of legionellosis associated with the building water systems) and in accordance with accepted national standards, Centers for Disease Control and Prevention (CDC) guidelines and American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) Guideline 12, when there was a positive Legionella report in December 2024 and February 2025, by maintaining and changing filters in the shower heads and ice machine; [...]
Inspectors wroteComplaint #: 2792802 and 2795965 Based on observations, interviews, and review of pertinent facility documentation on 03/05/2026, in the presence of the facility's Campus Maintenance Director (CMD), it was determined that the facility failed to provide 0.2-micron biological point-of-use filters on resident showerheads and change water filters on ice machines to ensure control measures were implemented to mitigate the growth of legionella. This deficient practice had the potential to affect all residents and was evidenced by the following:A review of facility provided documentation from the New Jersey Department of Health (NJDOH) Communicable Disease Service (CDS) to the facility, dated 01/21/2025, included:Immediate Control Measures: 1. Immediately install 0.2-micro biological point-of-use filters on any shower heads intended for use or restrict showers and use sponge baths instead. [...]
Inspectors wroteComplaint #: 2704937; 414412 Based on observation, interview, and record review, it was determined that the facility failed to ensure a) adequate supervision was provided to a cognitively impaired resident (Resident #7) identified as being at high risk for falls, impulsive, and required supervision. Resident #7 sustained 13 falls including three falls with injury that required transfer to the emergency room on 8/10/25, for a contusion and laceration to the left supraorbital and frontal scalp; on 10/28/25, for a large intramuscular hematoma to the right thigh, and on 11/14/25, for a closed head injury and laceration to the forehead which required sutures; b) ensure each fall was thoroughly investigated to prevent additional falls; and c.) consistently initiate and implement new fall prevention interventions in response to falls to prevent further falls. [...]
Inspectors wroteBased on interview and document review, it was determined that the facility failed to have a system in place to ensure a) prior to hire, all employees were pre-screened to ensure that they had not been found guilty in a court of law of abuse, neglect, or misappropriation, or had findings entered into the state nurse aide registry or against a professional license, and b) a process was in place to maintain documentation to confirm an appropriate pre-screening had occurred for all contracted facility employees which including dietary and housekeeping. The deficient practice was identified for 28 of 55 (50%) employee files reviewed that were provided by the facility (99 out of 154 employee files were not able to be provided by the facility). The evidence was as follows: [...]
Inspectors wroteBased on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to ensure a) sufficient and competent staff were available to provide timely and appropriate incontinence care, showers, and feeding assistance for residents who were dependent on staff for Activities of Daily Living (ADL's) care, b) ensure staff were available to supervise residents identified as high fall risks, c) competent to reposition a resident in bed so the resident did not sustain a fall, and d) ensure minimum Certified Nurse Aide staffing requirements were consistently met. [...]
Inspectors wroteBased on interview and document review it was determined that the facility failed to ensure that annual performance reviews were completed for Certified Nurse Aides (CNAs) and ensure that education was provided based on the outcome of the review. The deficient practice was evidenced for 5 of 5 CNA records reviewed and was evidenced by the following: requested CNA files. A performance review had not been completed for all five of five CNAs: CNA #1, Date of Hire (DOH) 7/29/24CNA #2, DOH 7/30/2024CNA #3, DOH 8/08/2024CNA #4, DOH 9/06/2024CNA #5, DOH 11/07/2024On 01/07/26 at 12:30 PM, the Human Resources Director (HRD) confirmed that she did not have the performance reviews. On 01/09/26 at 10:02 AM, the HRD stated that performance evaluations were the responsibility of the department heads where the employee worked. [...]
Inspectors wroteBased on observation, interview and document review it was determined that the facility failed to have a system in place to ensure menus were prepared using standard meal planning guides, and recipes were utilized with portion sizes to ensure menus were nutritionally adequate. This deficient practice was evidenced by the following: On 1/5/26 at 10:00 AM, the Food Service Director provided a copy of the for week menu cycle and the surveyor requested the extensions/portion sized for all diets. On 01/06/26 at 12:03 PM, during the lunch preparation observation in the remote dining pantry, the surveyor observed staff utilize a 2- ounce scoop and prepared portions of cucumber salad that were placed in a plastic cup with a lid. [...]
Inspectors wroteBased on observation, interview, and document review, it was determined that the facility failed to ensure a) food was stored in a manner to ensure it was utilized by a safe use- by date, and b) the kitchen and remote service kitchen environment and equipment was maintained in a sanitary manner to prevent potential contamination from foreign substances and limit the potential for the development a food borne illness. This deficient practice was evidenced by the following:On 01/05/26 at 9:48 AM, the surveyor conducted an initial tour of the kitchen with the Executive Chef (EC) and Food Service Director (FSD) and observed the following:-The EC utilized a hair net on his face which did not cover all of his facial hair above lip and on sides. [...]
Inspectors wroteBased on observations, interviews, and review of pertinent facility documents it was determined that the facility failed to notify CMS (Centers for Medicare & Medicaid Services) and receive authorization for a change in the facility's name in accordance with 42 CFR (Code of Federal Regulations) 424.516. This deficient practice was evidenced by the following: According to 42 CFR 424.516 Additional provider and supplier requirements for enrolling and maintaining active enrollment status in the Medicare Program:(a) Certifying compliance. CMS enrolls and maintains an active enrollment status for a provider or supplier when that provider or supplier certifies that it meets, and continues to meet, and CMS verifies that it meets, and continues to meet, all of the following requirements: (1) Compliance with title XVIII of the Act and applicable Medicare regulations. [...]
Inspectors wroteBased on interview, record review and document review it was determined that the facility failed to ensure the facility assessment addressed the skill sets, and competencies required by staff to provide care to the resident population. The deficient practice affected all residents and was evidenced by the following: On 1/5/26 at 12:30 PM, the facility provided a copy of the facility assessment (FA) which completed by the prior Licensed Nursing Home Administrator on 2/10/25 and revealed under Staff training/education and competencies 3.6 Describe the staff training/education and competencies that are necessary to provide the level and tapes of support and care needed for your resident population . It may be helpful to review specific references in the regulation regarding the facility assessment .Consider the following training topics (this is not an inclusive list) . [...]
Inspectors wroteBased on observation, interview and document review it was determined that the facility Quality Assurance and Performance Improvement (QAPI) committee failed to self-identify systems and processes that may negatively affect resident quality of care, quality of life and review significant events implement data driven QAPI program. The deficient practice affected all residents who resided at the facility and was evidenced by the following: Refer to 607F, 610E, 677E, 684E, 689H, 742DOn 1/5/26 at 10:12 AM, the surveyor observed Resident #22 lying in bed in their room. There was a strong urine odor in the room. The resident was alert and informed the surveyor that he/she was soiled. The surveyor left the room and informed the Certified Nursing Aide (CNA) if he could assist with an incontinence tour observation. The CNA exited the room and returned 10 minutes later. [...]
Inspectors wroteBased on observations, interviews, review of facility policies and review of pertinent facility documentation, it was determined that the facility failed to develop a system to prevent the spread of potential influenza (flu) by ensuring a process was in place to monitor employee flu vaccination to prevent potential transmission of influenza to residents. This deficient practice had the potential to affect all resident who resided at the facility and was evidenced by the following:Reference: Infection Prevention and Control Strategies for Seasonal Influenza in Healthcare Settings; Health Care Providers (HCP); April 28, 2025. On January 13, 2020, Governor [NAME] signed P.L. 2019 c. 330 (codified at N.J.S.A. 26:2H-18.79 and referred to hereafter as the Statute). The Statute requires certain healthcare facilities to establish and implement an annual influenza vaccination program. [...]
Inspectors wroteBased on interview and document review, it was determined that the facility failed to develop and implement a staff training program and ensure staff were competent to provide care and services for the resident population as identified on the facility assessment. The deficient practice was evidenced by the following: On 1/5/26 at 12:30 PM, the facility provided a copy of the facility assessment (FA) which completed by the prior Licensed Nursing Home Administrator on 2/10/25 and revealed under Staff training/education and competencies 3.6 Describe the staff training/education and competencies that are necessary to provide the level and tapes of support and care needed for your resident population . It may be helpful to review specific references in the regulation regarding the facility assessment .Consider the following training topics (this is not an inclusive list) . [...]
Inspectors wroteBased on observation, interview, record review and review of pertinent facility documentation, it was determined that the facility failed to ensure investigations were initiated to determine if potential abuse and neglect had occurred when residents who were dependent on staff to provide care, contacted 911 due to the facility not providing incontinence care or assistance with meals. This deficient practice was identified for 2 of 2 residents (Resident #9 and Resident #74) reviewed for abuse and neglect and was evidenced by the following:a. On 1/5/2026 at 10:28 AM, during the initial tour, the surveyor observed Resident #9 in bed, and the surveyor inquired about the care provided at the facility. Resident #9 stated there had been multiple times that they had been left unattended in wet incontinence briefs and linens for hours. [...]
Inspectors wroteCOMPLAINT #2704937 Based on observation, interview, and record review, it was determined that the facility failed to provide a communication device for a resident identified as having language barrier. This deficient practice was identified for one (1) of one (1) resident (Resident #27) reviewed for language and communication deficits and was evidenced by the following: Refer to 684EA review of the Complaint #2704937 reflected an alleged event date on 12/29/25 at 8:15 AM showed the family representative arrived at the hospital on that day at 8:00 AM that day, to meet the resident and was told that the facility cancelled the appointment. The family representative then arrived at the facility at 8:15 AM and spoke with Resident # 27 who spoke minimal English. [...]
Inspectors wroteBased on observation, interview, record review, and review of facility documentation, it was determined that the facility failed to ensure residents who were dependent on staff for Activities of Daily Living (ADLs) were provided with timely and appropriate incontinence care, showers, and feeding assistance The deficient practice was evidenced for 4 of 4 residents reviewed for ADLs (Resident #9, Resident #22, Resident #73, Resident #74) and was evidenced by the following:a) On 1/5/26 at 10:12 AM, during the initial tour of the facility, a strong odor of urine was permeated in the hallway. The surveyor continued the tour and entered Resident #22's room. A strong urine odor was noted in the room. The surveyor asked a Certified Nurse Aide (CNA) to assist with an incontinence tour. Resident #22 had 2 incontinence briefs on and was soiled with urine and feces. [...]
Inspectors wroteComplaint # NJ 2704937Based on observation, interviews, and record review, it was determined that the facility failed to ensure that a system was developed and implemented that enabled residents to attend outside physician appointments in accordance with resident needs, goals for care, and professional stands of practice. This deficient practice was identified for one (1) of one (1) resident (Resident# 27) reviewed for Activities of Daily Living (ADL) and was evidenced by the following: On 1/5/26 at 10:51 AM, Resident #27 was observed asleep in the activities room and appeared well dressed and groomed. The surveyor reviewed the medical record for Resident #27. According to the resident's admission Record (AR; or face sheet; admission summary) reflected the resident was admitted to the facility with diagnoses that included but not limited to; [...]
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to dispose of medications for one (1) of one (1) medication refrigerator and for one (1) of one (1) medication room inspected. The deficient practice was evidenced by the following:On 1/7/26 at 10:33 AM, in the presence of the Licensed Practical Nurse/Charge Nurse (LPN/CN), the surveyor inspected the medication refrigerator and observed the following: -Spikevax (Moderna COVID-19 Vaccine) the pharmacy label reflected, thawed on 10/10/25 and an expiration date of 12/10/25.-discharged Resident #78's one (1) box of Brovana (used for Chronic Obstructive Pulmonary Disease; COPD). Resident #78 was discharged on 11/29/25.-discharged Resident #79's one (1) box Cosentyx (biological medication used for chronic inflammatory condition. [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to provided rehabilitation services per physician order to ensure a resident reached their highest physical and practical level. The deficient practice was evidenced for 1 of 1 resident reviewed for rehabilitation services (Resident #74) and was evidenced by the following:On 01/05/26 at 10:18 AM, the surveyor observed Resident #74 in bed and when asked how things were going at the facility, Resident #74 stated, it's bad here, I am paralyzed. Resident #74 stated they wanted to be transferred to [another facility name]. Resident #74 also reported that a couple weeks ago they called 911 because the staff was not assisting them with eating breakfast and was worried because they were Diabetic (a condition where your body doesn't make enough insulin and may require insulin to utilize food as energy). [...]
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to provide the required Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN) for 1 of 2 residents (Resident #1) reviewed for change in insurance coverage status and who remained in the facility. The deficient practice was evidenced by the following: On 1/7/26 at 10:06 AM, the surveyor observed Resident #1 in bed, awake, alert and conversant. Resident #1 stated they received rehabilitative services in the past that had stopped without explanation. On 1/8/26 at 9:00 AM, the surveyor reviewed the facility provided Beneficiary Protection Notification Review (BPNR) forms for two residents, Resident #1 and #30, who had a change in insurance coverage status and remained in the facility. [...]
Inspectors wroteCOMPLAINT # NJ 2704937 Based on observation, interview, and review of pertinent documents, the facility failed to ensure that the method for filing a grievance was consistent with the facility's practice and policy. This deficient practice was identified for one 1 of four 1 residents (Resident #27) reviewed for grievances and was evidenced by the following: Refer to 684E and 676EOn 1/6/26 at 10:13 AM, two (2) surveyors interviewed Resident #27 regarding the care that they received. Resident #27 stated their name and was aware that they resided in a long-term care facility. Resident #27 also stated that they had anticipated a medical appointment related to follow-up brain surgery that was scheduled on 12/29/25, and Resident #27 shared that they were eager to see their physician because of the persistent deep pain they felt in their head. [...]
Inspectors wroteBased on interview, record review, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined that the facility failed to complete the admission Minimum Data Set (MDS), a periodic and federally mandated, standardized assessment tool, within the required time frame. This deficient practice was identified for 1resident (Resident #74) reviewed for timing of assessments and was evidenced by the following: On 1/05/26 a review of the electronic health record (EHR) reflects that resident #74 was admitted to the facility on [DATE]. The Comprehensive admission MDS was noted to be in progress. On 1/07/2026 at 10:56 AM, the surveyor interviewed the MDS coordinator (MDSC), who stated she worked remote and was rarely in the facility. She further stated that an admission MDS must be completed by day 14 (of the resident's stay in facility). [...]
Inspectors wroteBased on interview, review of medical records, other facility documentation, and review of the Resident Assessment Instrument (RAI) User's Manual, it was determined that the facility failed to accurately complete the Minimum Data Set (MDS), an assessment tool, for 1 resident reviewed (Resident #74). This deficient practice was evidenced by the following:On 1/05/26 a review of the electronic health record (EHR) reflects that resident #74 was admitted to the facility on [DATE]. The Comprehensive admission MDS was noted to be in progress. On 1/07/2026 at 10:56 AM, the surveyor interviewed the MDS coordinator (MDSC), who stated she worked remote and was rarely in the facility. She further stated that an admission MDS must be completed by day 14 (of the resident's stay in facility). [...]
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure respiratory care services were provided per physician orders for 1 of 1 residents reviewed for respiratory care and services (Resident #73). This deficient practice was evidenced by the following:On 1/5/26 at 9:30 AM, the surveyor observed Resident #73 in bed. The head of the bed was elevated, the resident was receiving Oxygen at 4 liters via Nasal Cannula. The resident asked the surveyor to adjust the head and informed the nurse who was in the hallway. On 1/5/25 at 12:30 PM, the surveyor returned to the room and observed the resident in bed with their eyes closed. The oxygen was running at 4 liters. On 1/5/26 at 1:30 PM, the surveyor reviewed the resident clinical record. [...]
Inspectors wroteBased on observation, interviews, record review, and review of other pertinent facility documentation, it was determined that the facility failed to ensure a resident with history of post-traumatic stress disorder (PTSD) received the appropriate treatments and services, when on 12/21/25, the resident (Resident #74) became increasingly anxious when they had not received their breakfast timely. The resident reported that they had a panic attack and called 911 emergency services since they were diabetic and received insulin. This deficient practice was identified for one 1 of 1 resident (Resident #74) reviewed for PTSD and was evidenced by the following:Refer F 610 On 1/05/26 at 10:18 AM, the surveyor observed Resident #74 in bed. When asked about how their stay had been at the facility, Resident #74 stated it's bad here, and that I am paralyzed. [...]
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed (a).to ensure that a medication was administered according to the physician orders (PO) and acceptable standards of practice in accordance with the New Jersey Board of Nursing. This deficient practice was identified for (one) 1 of three (3) residents (Resident#77), administered by one (1) of two (2) nurses, observed during medication administration and (b). 1of 1 resident (Resident #74) reviewed for urinary catheter and was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. The Nurse Practice Act for the State of New Jersey states: [...]
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to handle potentially hazardous foods and maintain sanitation in a safe and consistent manner to prevent food borne illness. This deficient practice was evidenced by the following: On 06/25/2024 from 07:30 AM to 07:50 AM the surveyor, accompanied by the Food Service Assistant Director (FSAD), observed the following in the kitchen: 1. The meat slicer was observed uncovered with pink food scraps on it. The FSAD said, We just finished cutting ham for breakfast, and haven't had time to clean it yet. 2. In the walk-in refrigerator an open package of hard-boiled eggs was wrapped in plastic wrap with no open or use by date label. The FSAD removed them from the refrigerator and stated, It should have a label on it. 3. [...]
Inspectors wroteBased on interview and record review, it was determined that the facility failed to complete the Quarterly Minimum Data Set assessment in a timely manner for 2 residents. This deficient practice was identified for 2 of 2 Residents (Residents #43 and #4) reviewed for Resident Assessment and was evidenced by the following: Resident #43 was admitted with diagnoses that included but was not limited to congestive heart failure and muscle weakness. On 6/26/2024, the surveyor reviewed the electronic medical record (EMR) for resident #43. The Quarterly Minimum Data Set (QMDS), an assessment tool completed every 3 months, revealed an Assessment Reference Date (ARD), a date used as the last day of a look-back period, of 5/26/2024. The EMR revealed that the QMDS for Resident #43 had been completed on 6/12/2024, 3 days late. [...]
Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined the facility failed to develop and implement a comprehensive person-centered care plan that included measurable objectives, timelines, and interventions to meet resident's medical and nursing needs specifically by failing to implement a care plan for a.) the use of and refusal of bilateral (b/l) leg wraps for 1 of 1 resident (Resident #47) reviewed for skin conditions, b.) actual falls for 1 of 1 resident (Resident #19) reviewed for falls, and c.) an indwelling urinary catheter for 1 of 1 resident reviewed for urinary catheter or Urinary Tract Infection. The deficient practice was evidenced by the following: a.) On 06/25/2024 at 7:53 AM, Surveyor #1 observed Resident #47 lying in bed. Resident #47 stated that his/her legs blew up from water, went down and now are scaly. [...]
Inspectors wroteBased on observation, interview, record review, and review of pertinent facility documents, it was determined that the facility failed to provide education to a resident who was refusing a treatment and to notify the resident's physician and family. This deficient practice was identified for 1 of 1 residents (Resident #47) reviewed for skin conditions. The deficient practice was evidenced as follows: Reference: New Jersey Statutes, Annotated Title 45, Chapter 11. Nursing Board. The Nurse Practice Act for the state of New Jersey states: [...]
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to A. maintain accurate accountability of a controlled medication and B. properly acquire a controlled drug (Xanax) that staff borrowed for an unsampled resident. This deficient practice was identified for 1 of 2 medication carts and was evidenced by the following: A. On 6/25/2024 at 11:03 AM, the surveyor reviewed Cart 1 with the Licensed Practical Nurse (LPN). The Individual Patient Controlled Substance Administration (IPCSA) record for unsampled Resident # 154 reflected that there were 29 Xanax (a drug used to treat anxiety) 0.5mg (milligram) pills available. The LPN and the surveyor reviewed the corresponding medication card (bingo card) for the Xanax 0.5mg which reflected there were 28 pills available. The LPN acknowledged that there should be 29 Xanax pills. [...]
Inspectors wroteBased on interview, record review and review of other pertinent facility documents, it was determined that the facility failed to ensure documentation in the resident's medical record of the information provided regarding the benefits and risks of immunization and the administration or the refusal of the vaccine, specifically the influenza vaccination (vaccine used to prevent influenza). The deficient practice was identified for 1 of 5 resident's reviewed for immunizations, (Resident #45). This deficient practice was evidenced by the following: According to the admission Record, Resident #45 was admitted to the facility with diagnoses including but not limited to: Diabetes Mellitus (DM) (a disease of inadequate control of blood levels of glucose) and Hypertension (high blood pressure). [...]
Inspectors wroteComplaint #: NJ161922, NJ169428 Based on interviews, medical record review, and review of other pertinent facility documentation on 12/5/2023 and 12/6/2023, it was determined that the facility failed to ensure that the process of receiving medications from an outside pharmacy vendor was followed by staff. It was determined on 3/4/2023 that a Security Guard (SG) working at the main lobby of the facility received a mailed package addressed to Resident #2 with his/her name and room number on the unopened package. The SG delivered the unopened package to Resident #2 . Resident #2 is cognitively impaired and SG failed to give this package to nursing staff , so the package could be opened by resident with staff present. [...]
Inspectors wroteComplaint #: NJ161922, NJ169428 Based on interview and review of facility documentation, it was determined that the facility failed to provide complete and readily access to Electronic Medical Records (EMR) for all their residents. On 12/1/2023, the first day of the survey, the facility was unable to provide full access to EMR for Surveyors to access previous and current residents at the facility prior to April 2023. The facility failed to follow their policy titled Storage and Security of Resident Records. This deficient practice affects all previous and current residents at the facility. During the survey at 10:00 a.m., the Surveyor attempted to access the EMR for current and previous residents prior to April 2023, but was unable to reveiw medical records using the access that was provided by the facility at that time. The screen revealed No Data. [...]
28 fire safety citations on file: 11 on January 9, 2026, 11 on June 28, 2024, 6 on September 15, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| June 8, 2026 | Fine | $82,690 |
| January 9, 2026 | Fine | $137,865 |
| December 6, 2023 | Fine | $15,593 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Jersey | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 7.70 | 3.85 | 3.86 |
| Registered nurses | 0.44 | 0.68 | 0.69 |
| All nursing staff on weekends | 6.90 | 3.50 | 3.42 |
| Nurse aides | 5.20 | ||
| Licensed practical nurses | 2.06 | ||
| Nursing staff turnover (share who left in a year) | not reported | 39.7% | 45.8% |
| Registered nurse turnover | not reported | 37.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.91 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 8.03 on weekdays and 6.90 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 7.70 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 7.70 | 0.44 | 8.03 | 6.90 | 4.2% | 1 of 90 | 56 |
| Jul to Sep 2025 | 3.60 | 0.54 | 3.76 | 3.17 | 8.4% | 1 of 92 | 53 |
| Apr to Jun 2025 | 3.55 | 0.46 | 3.69 | 3.19 | 10.1% | 2 of 91 | 54 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Jersey, Jan to Mar 2026 | 3.68 | 0.59 | 3.82 | 3.34 | 11.6% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New Jersey, all employers | |||
| CNAs (nursing assistants) | $22.52 | $21.13 to $23.44 | 32,400 |
| LPNs and LVNs | $36.13 | $32.16 to $38.45 | 17,410 |
| Registered nurses | $51.20 | $47.94 to $61.41 | 92,680 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Jersey | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.1 | 8.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 2.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.0 | 8.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.0 | 12.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.9 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 8.1 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.1 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Fountains of Atco's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (38.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
38.9% this home
Worse than the national rate
US median of homes 51.5% · New Jersey: 130 better, 19 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 134 eligible stays.
10.8% this home
No different from the national rate
US median of homes 10.7% · New Jersey: 2 better, 8 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 125 eligible stays.
9.7% this home
No different from the national rate
US median of homes 7.1% · New Jersey: 3 better, 13 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 81 eligible stays.
69.3% this home
Median of homes: New Jersey68.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 75 residents counted.
0.8% this home
Median of homes: New Jersey0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 124 residents counted.
4.5% this home
Median of homes: New Jersey1.7% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 123 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: New Jersey99.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FOUNTAINS CCRC HOLDING LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sage Operations Nj LLC | 5% or greater direct ownership interest | Organization | 100% | 11/22/2019 |
| Satt, Avraham | 5% or greater indirect ownership interest | Individual | 50% | 11/22/2019 |
| Tennenbaum, Samuel | 5% or greater indirect ownership interest | Individual | 50% | 11/22/2019 |
| Mendell, Elyze | W-2 managing employee | Individual | 11/22/2019 | |
| Tennenbaum, Samuel | Corporate director | Individual | 11/22/2019 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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