All citations for Atlas Rehabilitation & Healthcare at West Deptfor

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Atlas Rehabilitation & Healthcare at West Deptfor

Last standard health inspection on record

December 10, 2025

Showing 1 to 16 of 16 citations

  1. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  2. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  3. No harm, with potential for more than minimal harm

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  4. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0300, Egress Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  5. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  7. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  8. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  9. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  10. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  11. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0521, Services Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  12. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  13. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 26, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 16, 2025).

  14. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of July 9, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 13, 2024).

  16. No harm, with potential for minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of June 16, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.