Cycle 1
Health 2024-07-09 · Fire 2024-07-09
5 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
11 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
West Deptford, NJ
Atlas Rehabilitation & Healthcare At West Deptfor
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
550 Jessup Road, West Deptford, NJ
(856) 848-9551
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
156
Certified beds
Average residents
145
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Atlas Healthcare
Operator or chain grouping
Approved since
1987-06-30
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
0.41
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.94 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.23 · national 2.35
Total nurse hours
3.73
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.62 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.45 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.49 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.56
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,652
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0023
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.32
Baseline 20.94% · Performance 17.11% · Measure score 9.32 · Achievement 9.32 · Improvement 9
Healthcare-associated infections
6.39
Baseline 7.60% · Performance 5.92% · Measure score 6.39 · Achievement 6.39 · Improvement 5.93
Total nurse turnover
2.38
Baseline 33.96% · Performance 53.96% · Measure score 2.38 · Achievement 2.38 · Improvement 0
Adjusted total nurse staffing
1.31
Baseline 3.96 hours · Performance 3.45 hours · Measure score 1.31 · Achievement 1.31 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.2% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 240 · Observed rate 10.83% · Lower 95% interval 9.15% |
| Discharge to community | 59.4% |
50.57%
8.8 pts better
|
Better than the National Rate · Eligible stays 231 · Observed rate 53.68% · Lower 95% interval 51.99% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.37% |
95.27%
2.1 pts better
|
Numerator 222 · Denominator 228 |
| Falls with major injury | 0.88% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 228 |
| Discharge self-care score | 59.57% |
53.69%
5.9 pts better
|
Numerator 84 · Denominator 141 |
| Discharge mobility score | 65.25% |
50.94%
14.3 pts better
|
Numerator 92 · Denominator 141 |
| Pressure ulcers or injuries, new or worsened | 1.32% |
2.29%
1 pts better
|
Numerator 3 · Denominator 228 · Adjusted rate 1.32% |
| Healthcare-associated infections requiring hospitalization | 5.92% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 138 · Observed rate 4.35% · Lower 95% interval 3.54% |
| Staff COVID-19 vaccination coverage | 1.55% |
8.2%
6.6 pts worse
|
Numerator 3 · Denominator 194 |
| Staff flu vaccination coverage | 100% |
42%
58 pts better
|
Numerator 183 · Denominator 183 |
| Discharge function score | 67.38% |
56.45%
10.9 pts better
|
Numerator 95 · Denominator 141 |
| Transfer of health information to provider | 93.81% |
95.95%
2.1 pts worse
|
Numerator 91 · Denominator 97 |
| Transfer of health information to patient | 97.5% |
96.28%
1.2 pts better
|
Numerator 78 · Denominator 80 |
| Resident COVID-19 vaccinations up to date | 10.37% |
25.2%
14.8 pts worse
|
Numerator 14 · Denominator 135 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
2.1
About the same
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.1
0.3 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
93.0%
7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% |
97.2%
1.2 pts better
|
95.5%
2.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
2.4%
0.6 pts worse
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.7% · Q3 2.7% · Q4 1.9% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.9% |
11.4%
0.5 pts better
|
11.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 11.5% · Q3 10.6% · Q4 8.7% · 4Q avg 10.9% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
4.6%
2.9 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.0% · Q3 3.7% · Q4 1.0% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.6% |
19.0%
4.6 pts worse
|
19.6%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 25.7% · Q3 22.2% · Q4 21.8% · 4Q avg 23.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.2% |
13.5%
5.3 pts better
|
16.7%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 9.4% · Q3 8.1% · Q4 6.3% · 4Q avg 8.2% · 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 | 2.8% |
9.8%
7 pts better
|
16.3%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.7% · Q3 0.0% · Q4 2.4% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.0% |
9.7%
7.7 pts better
|
14.9%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.0% · Q3 1.0% · Q4 2.1% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
0.8%
0.3 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.1% |
15.9%
5.2 pts worse
|
19.8%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 19.2% · Q3 19.2% · Q4 10.5% · 4Q avg 21.1% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
6.0%
3.2 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.1% · Q3 3.3% · Q4 2.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
78.7%
20.6 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 99.5% · Q3 100.0% · Q4 99.2% · 4Q avg 99.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.6% |
8.2%
2.6 pts better
|
12.0%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.6% · Observed 5.1% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
80.1%
16.7 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.9% |
25.4%
2.5 pts better
|
23.9%
1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 24.2% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-01 · Fire 2022-11-01
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2020-03-03 · Fire 2020-03-03
5 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-09
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 2024-08-13
F · Potential for more than minimal harm
2024-07-09
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-08-13
F · Potential for more than minimal harm
2024-07-09
K300 · Egress Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-08-13
F · Potential for more than minimal harm
2024-07-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-30
F · Potential for more than minimal harm
2024-07-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-13
F · Potential for more than minimal harm
2024-07-09
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-13
F · Potential for more than minimal harm
2024-07-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-13
E · Potential for more than minimal harm
2024-07-09
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-13
E · Potential for more than minimal harm
2024-07-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-13
E · Potential for more than minimal harm
2024-07-09
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-13
E · Potential for more than minimal harm
2024-07-09
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-13
E · Potential for more than minimal harm
2022-11-01
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-12-13
E · Potential for more than minimal harm
2022-11-01
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-12-13
E · Potential for more than minimal harm
2022-11-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-13
E · Potential for more than minimal harm
2022-11-01
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-12-13
E · Potential for more than minimal harm
2022-11-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-12-13
F · Potential for more than minimal harm
2020-03-03
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-03-03
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-03-12
D · Potential for more than minimal harm
2020-03-03
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-03-12
D · Potential for more than minimal harm
2020-03-03
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-03-12
D · Potential for more than minimal harm
2020-03-03
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-12
D · Potential for more than minimal harm
2020-03-03
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-03-12
B · Minimal harm
2020-03-03
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-03-12
B · Minimal harm
2020-03-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-26
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-16
B · Minimal harm
2025-06-16
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 2025-07-07
F · Potential for more than minimal harm
2024-07-09
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 2024-08-13
D · Potential for more than minimal harm
2024-07-09
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-13
D · Potential for more than minimal harm
2024-07-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-13
E · Potential for more than minimal harm
2022-11-01
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 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-12-13
D · Potential for more than minimal harm
2022-11-01
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-12-13
E · Potential for more than minimal harm
2020-03-03
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-03-03
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2020-03-12
E · Potential for more than minimal harm
2020-03-03
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 2020-03-12
D · Potential for more than minimal harm
2020-03-03
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2020-03-12
C · Minimal harm
2020-03-03
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2020-03-12
Penalties and ownership
What sits behind the stars
Ownership
Bak, Pinchos
Operational/Managerial Control · Individual
Bak, Pinchos
Corporate Officer · Individual
Conti, Joseph
Operational/Managerial Control · Individual
Goldberger, Shlomo
Operational/Managerial Control · Individual
Herzka, David
5% Or Greater Indirect Ownership Interest · Individual
Herzka, David
Limited Partnership Interest · Individual
Jmh Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Jmh Family LLC
Limited Partnership Interest · Organization
Jmh Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Jmh Family Trust
Limited Partnership Interest · Organization
Malt Family Trust
Limited Partnership Interest · Organization
Mls Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Mls Family LLC
Limited Partnership Interest · Organization
Mls Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Mls Family Trust
Limited Partnership Interest · Organization
Rivera, Raymond
Operational/Managerial Control · Individual
Sgs 2010 Family Trust
Limited Partnership Interest · Organization
Sgs Family LLC
5% Or Greater Indirect Ownership Interest · Organization
Sgs Family LLC
Limited Partnership Interest · Organization
Sgs Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Sgs Family Trust
Limited Partnership Interest · Organization
Sonnenschein, Moshe
Operational/Managerial Control · Individual
Thomas, Stacy
Operational/Managerial Control · Individual
Tyh 2017 Trust
Limited Partnership Interest · Organization
Wds SNF Opco Manager LLC
Operational/Managerial Control · Organization
Wds SNF Operations Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Shady Lane Gloucester Co Home
Clarksboro, NJ
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Atlas Post Acute At Woodbury Country Club
Woodbury, NJ
2-star overall rating with 1-star inspections with $561,530 in total fines with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Aventura At Prospect
Prospect Park, PA
1-star overall rating with 1-star inspections with $23,624 in total fines with 25 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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