Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Atlas Rehabilitation & Healthcare At West Deptfor during CMS and state inspections, most recent first.
A resident with quadriplegia and neurogenic bowel filed a grievance after wound care was provided but not documented in the medical record. Review of the TAR and Progress Notes showed no evidence that the wound vacuum dressing change and skin prep were completed as ordered, despite staff confirming the care was given. The LPN admitted to forgetting to document the treatment, resulting in an incomplete medical record.
A resident with multiple medical conditions, who was cognitively intact and dependent on staff for ADLs, filed a grievance about staff conduct. The facility failed to provide the required written summary of the grievance investigation and outcome, as confirmed by interviews with the resident, Administrator, and DON, in violation of facility policy.
The facility failed to maintain kitchen sanitation, with issues such as improper hair restraint, dented cans, wet nesting of pans, and a dishwasher operating below required temperatures. Spoiled food was found in the refrigerator, and temperature logs were incomplete. Unlabeled and undated food items were also discovered, indicating a failure to adhere to food safety practices.
A facility failed to obtain a physician order for a resident's Foley catheter use after reinsertion, despite the resident's diagnosis of Benign Prostatic Hyperplasia with Lower Urinary Symptoms. The absence of a physician order was confirmed by both the LPN and DON, and the facility's policy did not specify the need for such an order.
The facility failed to maintain accurate records of controlled medications, as none of the reviewed DEA 222 forms had the delivery amount and date entered. The DON, responsible for completing these forms, did not fill in the required sections, believing that keeping delivery slips was sufficient. Additionally, the facility lacked a policy for handling DEA 222 forms, contributing to the deficiency.
Failure to Document Wound Care Provided to Resident
Penalty
Summary
A deficiency was identified when the facility failed to maintain accurate and complete medical records for a resident with quadriplegia, neurogenic bowel, and neuromuscular bladder dysfunction. The resident, who was cognitively intact, filed a grievance indicating that a nurse had changed their wound dressing following a bowel movement. However, a review of the Treatment Administration Record (TAR) and Progress Notes for the relevant date showed no documentation that the wound vacuum dressing was changed or that skin prep was applied, as ordered. The facility's policy required all services provided to be documented in the resident's medical record. Interviews with the resident, an LPN shift supervisor, and the Director of Nursing confirmed that the wound care was provided, but the LPN admitted to forgetting to document the treatment due to a shift change. The DON also acknowledged that documentation should have been completed to reflect the care provided. The lack of documentation resulted in an incomplete medical record, contrary to facility policy and accepted professional standards.
Failure to Provide Written Grievance Investigation Summary to Resident
Penalty
Summary
A resident with diagnoses including iron deficiency anemia, orthopedic aftercare following surgical amputation, acquired absence of right leg below knee, and morbid obesity, who was cognitively intact and required assistance with activities of daily living, reported a grievance regarding the conduct of staff. The resident expressed dissatisfaction with the behavior of staff members, describing them as rude, and formally submitted a grievance to the facility. Despite the facility's policy requiring that residents be informed both verbally and in writing of the findings of any grievance investigation and the actions taken, the resident did not receive a written summary of the investigation or its outcome. Interviews with the resident, the Administrator, and the DON confirmed that no written response was provided to the resident regarding the grievance, which was in direct violation of the facility's established grievance policy.
Deficiencies in Kitchen Sanitation and Food Safety Practices
Penalty
Summary
The facility failed to maintain kitchen sanitation in a safe and consistent manner, leading to several deficiencies that could potentially result in foodborne illness. During an inspection, a dietary aide was observed with lengthy braids not fully contained within a hair net, exposing the hair to the kitchen environment. This lack of proper hair restraint is a violation of hygienic practices meant to prevent contamination of food from physical objects. In the dry storage room, a can of diced pears was found with a significant dent on the upper seam, which was not immediately removed from the storage area. Additionally, a stack of half pans was found wet and improperly stored, a condition known as wet nesting, which can promote the growth of microorganisms. The high-temperature dishwasher was also found to be operating below the required temperatures for effective cleaning and sanitization, with recorded temperatures significantly lower than the minimum standards. Despite the dishwasher's failure to meet these standards, it continued to be used until the issue was identified by the surveyor. Further inspection revealed issues with food storage in the walk-in refrigerator, where parsley and lettuce were found to be spoiled and slimy. Additionally, the temperature logs for the refrigerator and freezer were incomplete, with missing entries for specific dates. Unlabeled and undated food items were also found in the refrigerator, including sandwiches and a salad, which were not properly labeled or dated as per facility policy. These observations indicate a failure to adhere to food safety practices throughout the facility's food handling process.
Lack of Physician Order for Foley Catheter Use
Penalty
Summary
The facility failed to ensure that there was a physician order for the use of a Foley catheter for a resident who was reviewed for catheter use. The resident, who had a diagnosis of Benign Prostatic Hyperplasia with Lower Urinary Symptoms, was admitted to the facility and had a Foley catheter reinserted after a failed voiding trial. Despite the reinsertion of the catheter, there were no physician orders documented for the use and care of the Foley catheter after the previous orders were discontinued. The deficiency was identified through observations, interviews, and a review of medical records and facility documentation. The Licensed Practical Nurse/Unit Manager and the Director of Nursing both confirmed the absence of a physician order for the Foley catheter, which is required for the care of residents. The facility's policy on catheter care did not specify the need for a physician order for the use of a Foley catheter, contributing to the oversight.
Incomplete Documentation of Controlled Medications
Penalty
Summary
The facility failed to maintain a detailed record of receipts and accurate reconciliation of controlled medications, as evidenced by incomplete DEA 222 forms. The surveyor reviewed seven DEA 222 forms from the past six months and found that none of them had the delivery amount and date entered. Additionally, two of the forms did not have the number of packages completed and accurately documented. The Director of Nursing (DON) was responsible for completing these forms and admitted to not filling in Part 5, which requires the number of packages received and the date received, as she believed keeping copies of delivery slips was sufficient. During the survey, it was revealed that the facility did not have a policy for handling DEA 222 forms. The Licensed Nursing Home Administrator (LNHA) confirmed the absence of such a policy. The printed instructions on the DEA 222 form clearly indicated that Part 5 should be filled in by the purchaser, which was not done in this case. This lack of documentation and policy adherence led to the deficiency noted by the surveyor.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near West Deptford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Shady Lane Gloucester Co Home | 2.2 mi | — | 0 | 0 |
| Atlas Post Acute At Woodbury Country Club | 5.1 mi | — | 1 | 0 |
| Aventura At Prospect | 5.3 mi | — | 16 | 0 |
| Advanced Subacute Rehabilitation Center At Sewell | 6.3 mi | — | 2 | 0 |
| Little Flower Manor | 6.5 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.