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

ATLAS REHABILITATION AND HEALTHCARE AT DAUGHTERS O

CLIFTON, NJ · 210 certified beds · Last Life Safety survey February 18, 2025

CMS Certification Number 315021 · first certified January 1967

Ownership

Operated by ATLAS HEALTHCARE · For profit - Limited Liability company

Ownership changed June 23, 2022 (change of ownership)to ATLAS REHABILITATION AND HEALTHCARE AT DAUGHTERS OF MOSES from DAUGHTERS OF MIRIAM

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

22 citations — more than 80% 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 16 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to October 2026. This facility’s last Life Safety survey was February 2025. 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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Physical environment (health survey)

3 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 22 Life Safety citations above. The Physical Environment Index

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

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	22
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
May 5, 2021	0
May 5, 2023	6
February 18, 2025	16

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-0281	Install proper backup exit lighting.	2	2025-02-18
K-0293	Have properly located and lighted "Exit" signs.	1	2025-02-18
K-0912	Have power receptacles that are properly grounded.	1	2025-02-18
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	1	2025-02-18
K-0919	Meet requirements for the use of electrical equipment.	1	2025-02-18
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	1	2025-02-18
K-0341	Install a fire alarm system that can be heard throughout the facility.	1	2023-05-05
K-0363	Install corridor and hallway doors that block smoke.	1	2025-02-18

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Egress Deficiencies 6
Gas, Vacuum, and Electrical Systems Deficiencies 5
Services Deficiencies 2
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Egress Deficiencies	6
Gas, Vacuum, and Electrical Systems Deficiencies	5
Services Deficiencies	2
Miscellaneous Deficiencies	1

Every citation on file

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

February 18, 2025 — 16 citations

Citations issued on February 18, 2025
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 4, 2025)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (March 14, 2025)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (March 21, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 14, 2025)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (March 21, 2025)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (March 4, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (March 25, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 21, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 20, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 5, 2025)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (February 28, 2025)
K-0912	Have power receptacles that are properly grounded.	Deficient, Provider has date of correction (March 5, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 17, 2025)
K-0919	Meet requirements for the use of electrical equipment.	Deficient, Provider has date of correction (March 17, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (March 24, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (March 4, 2025)

May 5, 2023 — 6 citations

Citations issued on May 5, 2023
Tag	What the surveyor checks	Status
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (May 31, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (May 31, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (May 31, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 31, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 31, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 31, 2023)

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