B
77/100

Atrium Center for Rehabilitation and Nursing Inspection Report, Violations & Safety Grade (Brooklyn, New York)

630 E 104TH Street, Brooklyn, New York 11236

Phone: 7182403100

CMS Overall:4/5

Overview & Bed Count

Certified Beds
380
Avg Residents/Day
368.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Kings
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.440.73-0.29
Total Nurse Hours per Resident per Day2.913.69-0.78
CMS Staffing Rating2/52.9/5-
Nursing Staff Turnover14.8%40.3%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2025-03-07Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E – Moderate Harm Potential
2025-03-07Resident Rights DeficienciesProtect a residents' right to refuse some types of non-requested transfers within the nursing home.D – Moderate Harm Potential
2025-03-07Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2025-03-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-03-07Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2025-03-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2025-03-07Quality of Life and Care DeficienciesProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.D – Moderate Harm Potential
2025-03-07Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2025-03-07Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-03-07Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2023-04-12Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-04-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-04-12Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2023-04-12Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2023-04-12Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.B – Minimal Harm Potential
2020-03-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

21 fire safety citations on record

DateCategoryDescriptionSeverity
2025-03-07Egress DeficienciesHave exits that are accessible at all times.D – Moderate Harm Potential
2025-03-07Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2023-04-12Smoke DeficienciesHave properly sized and located compartments to protect residents from smoke.F – Moderate Harm Potential
2023-04-12Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-04-12Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2023-04-12Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-04-12Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.E – Moderate Harm Potential
2023-04-12Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2023-04-12Miscellaneous DeficienciesProvide properly sized and located linen or trash receptacles.E – Moderate Harm Potential
2023-04-12Gas, Vacuum, and Electrical Systems DeficienciesHave proper power supply for life support equipment.E – Moderate Harm Potential
2023-04-12Smoke DeficienciesHave properly installed hallway dispensers for alcohol-based hand rub.D – Moderate Harm Potential
2023-04-12Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2023-04-12Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2020-03-11Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2020-03-11Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2020-03-11Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2020-03-11Construction DeficienciesUse approved construction type or materials.D – Moderate Harm Potential
2020-03-11Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2020-03-11Egress DeficienciesAdd 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.D – Moderate Harm Potential
2020-03-11Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2020-03-11Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.D – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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