Maywood, NJ

Atlas Rehabilitation And Healthcare At Maywood

4-star overall rating with 3-star inspections with 14 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

100 West Magnolia Avenue, Maywood, NJ

(201) 843-8411

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Atlas Healthcare

Operator or chain grouping

Approved since

1997-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

28 facilities

Chain averages 4 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.55

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.94 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.23 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.86 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.62 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.45 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

59%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,402

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.13

Composite VBP score used to determine payment impact.

Payment multiplier

0.9931

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.81

Baseline 16.48% · Performance 18.27% · Measure score 6.81 · Achievement 6.81 · Improvement 0

Healthcare-associated infections

7

Baseline 7.61% · Performance 5.74% · Measure score 7 · Achievement 7 · Improvement 6.64

Total nurse turnover

2.23

Baseline 55.44% · Performance 54.55% · Measure score 2.23 · Achievement 2.23 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.88 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.35%	10.72% 2.4 pts better	No Different than the National Rate · Eligible stays 238 · Observed rate 5.88% · Lower 95% interval 6.1%
Discharge to community	59.25%	50.57% 8.7 pts better	Better than the National Rate · Eligible stays 260 · Observed rate 48.85% · Lower 95% interval 52.18%
Medicare spending per beneficiary	1.51	1.02 0.5 pts worse
Drug regimen review with follow-up	98.51%	95.27% 3.2 pts better	Numerator 198 · Denominator 201
Falls with major injury	1%	0.77% 0.2 pts worse	Numerator 2 · Denominator 201
Discharge self-care score	42.96%	53.69% 10.7 pts worse	Numerator 61 · Denominator 142
Discharge mobility score	56.34%	50.94% 5.4 pts better	Numerator 80 · Denominator 142
Pressure ulcers or injuries, new or worsened	0.5%	2.29% 1.8 pts better	Numerator 1 · Denominator 201 · Adjusted rate 0.47%
Healthcare-associated infections requiring hospitalization	5.74%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 158 · Observed rate 4.43% · Lower 95% interval 3.44%
Staff COVID-19 vaccination coverage	2.99%	8.2% 5.2 pts worse	Numerator 5 · Denominator 167
Staff flu vaccination coverage	99.55%	42% 57.5 pts better	Numerator 222 · Denominator 223
Discharge function score	61.27%	56.45% 4.8 pts better	Numerator 87 · Denominator 142
Transfer of health information to provider	98.31%	95.95% 2.4 pts better	Numerator 58 · Denominator 59
Transfer of health information to patient	98.08%	96.28% 1.8 pts better	Numerator 102 · Denominator 104
Resident COVID-19 vaccinations up to date	25.74%	25.2% 0.5 pts better	Numerator 26 · Denominator 101

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.1 0.1 pts worse	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.9%	93.0% 1.1 pts worse	93.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 94.4% · Q3 89.9% · Q4 94.6% · 4Q avg 91.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.3%	97.2% 0.9 pts worse	95.5% 0.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	2.4% 1 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.4% · Q3 1.4% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.6%	11.4% 6.2 pts worse	11.4% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 12.7% · Q3 12.3% · Q4 31.5% · 4Q avg 17.6%
Percentage of long-stay residents who lose too much weight	0.8%	4.6% 3.8 pts better	5.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.7%	19.0% 3.3 pts better	19.6% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 17.9% · Q3 16.4% · Q4 14.1% · 4Q avg 15.7%
Percentage of long-stay residents who received an antipsychotic medication	7.1%	13.5% 6.4 pts better	16.7% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 8.0% · Q3 9.3% · Q4 4.9% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.1%	9.8% 4.7 pts better	16.3% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q2 9.0% · Q3 0.0% · Q4 6.5% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.9%	9.7% 4.8 pts better	14.9% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 1.6% · Q3 3.1% · Q4 7.2% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.7% 0.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.3%	15.9% 9.4 pts worse	19.8% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 10.9% · Q3 26.0% · Q4 34.3% · 4Q avg 25.3%
Percentage of long-stay residents with pressure ulcers	5.6%	6.0% 0.4 pts better	5.1% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.6% · Q3 9.9% · Q4 6.7% · 4Q avg 5.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	50.1%	78.7% 28.6 pts worse	81.7% 31.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 39.4% · Q2 50.0% · Q3 50.5% · Q4 59.5% · 4Q avg 50.1%
Percentage of short-stay residents who had an outpatient emergency department visit	4.8%	8.2% 3.4 pts better	12.0% 7.2 pts better	Short Stay · 20240701-20250630 · Adjusted 4.8% · Observed 4.2% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	1.2% 0.5 pts worse	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.0% · Q3 1.4% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	65.0%	80.1% 15.1 pts worse	79.7% 14.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 65.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.0%	25.4% 4.4 pts better	23.9% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 19.2% · Expected 21.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-11 · Fire 2025-08-11

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-04-19 · Fire 2024-04-19

1 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2021-11-24 · Fire 2021-11-24

3 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-08-22

F · Potential for more than minimal harm 2025-08-11

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-08-22

F · Potential for more than minimal harm 2025-08-11

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2025-08-22

F · Potential for more than minimal harm 2025-08-11

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-08-26

F · Potential for more than minimal harm 2025-08-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-08-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-27

F · Potential for more than minimal harm 2025-08-11

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2025-11-03

F · Potential for more than minimal harm 2025-08-11

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-08-27

F · Potential for more than minimal harm 2025-08-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-08-22

E · Potential for more than minimal harm 2025-08-11

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-08-22

E · Potential for more than minimal harm 2025-08-11

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-08-28

F · Potential for more than minimal harm 2024-04-19

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-05-14

F · Potential for more than minimal harm 2024-04-19

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-17

F · Potential for more than minimal harm 2024-04-19

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-06-10

F · Potential for more than minimal harm 2024-04-19

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-05-17

D · Potential for more than minimal harm 2021-11-24

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-01-03

D · Potential for more than minimal harm 2021-11-24

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-01-03

D · Potential for more than minimal harm 2021-11-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-01-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-08

E · Potential for more than minimal harm 2025-08-11

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-09-12

E · Potential for more than minimal harm 2025-08-11

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2025-09-08