Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

THE FOUNTAINS OF ATCO

ATCO, NJ · 60 certified beds · Last Life Safety survey January 9, 2026

CMS Certification Number 315297 · first certified June 1990

Ownership

Independently operated (no chain recorded by CMS) · For profit - Individual

Ownership changed November 22, 2019 (change of ownership)to ALLEGRIA AT THE FOUNTAINS from THE WOODLANDS AT HAYES MILL, LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NJ

28 citations — more than 93% of the 348 certified nursing homes in NJ. Compared within NJ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 11 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was January 2026. Facilities in NJ are typically surveyed 16–20 months after the last one (median 17), measured over 431 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 28 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 28 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in NJ, and nationally. Surveyors differ markedly between states, so the NJ figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	28
Median facility in NJ	15
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
September 15, 2022	6
June 28, 2024	11
January 9, 2026	11

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0324	Provide properly protected cooking facilities.	2	2026-01-09
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2026-01-09
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2026-01-09
K-0281	Install proper backup exit lighting.	2	2026-01-09
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-06-28
K-0222	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.	2	2024-06-28
K-0363	Install corridor and hallway doors that block smoke.	2	2024-06-28
K-0293	Have properly located and lighted "Exit" signs.	1	2022-09-15

What the citations cover

Citations by CMS category

Smoke Deficiencies 12
Egress Deficiencies 7
Gas, Vacuum, and Electrical Systems Deficiencies 5
Emergency Preparedness Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	12
Egress Deficiencies	7
Gas, Vacuum, and Electrical Systems Deficiencies	5
Emergency Preparedness Deficiencies	2
Services Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 9, 2026 — 11 citations

Citations issued on January 9, 2026
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (February 20, 2026)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (February 20, 2026)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (February 27, 2026)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (February 20, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 20, 2026)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (February 20, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 23, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 20, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 20, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (February 20, 2026)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (February 20, 2026)

June 28, 2024 — 11 citations

Citations issued on June 28, 2024
Tag	What the surveyor checks	Status
K-0222	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.	Deficient, Provider has date of correction (August 12, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 12, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (August 12, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 12, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 12, 2024)
K-0347	Properly provide smoke detection systems in areas open to corridors.	Deficient, Provider has date of correction (August 12, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 12, 2024)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (August 12, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 12, 2024)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (August 12, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (August 12, 2024)

September 15, 2022 — 6 citations

Citations issued on September 15, 2022
Tag	What the surveyor checks	Status
K-0222	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.	Deficient, Provider has date of correction (October 17, 2022)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (October 17, 2022)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 17, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (October 17, 2022)
K-0379	Have proper openings in smoke barrier doors.	Waiver has been granted (October 17, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 17, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.