Atlas Healthcare At Daughters Of Miriam
Inspection Findings
F-Tag F0684
F 0684
participate in the development of and revisions to the resident's CP.
Level of Harm - Minimal harm or potential for actual harm
NJAC 8:39-11.2(b); 27.1(a)
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/30/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Atlas Healthcare at Daughters of Miriam
155 Hazel Street Clifton, NJ 07011
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0842
F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
A review of Resident #2's facility provided Documentation Survey Report of CNA (CNA interventions and tasks accountability) for October 2025, revealed for bladder continence that the resident was coded as incontinent on most of the days of the month. The day shift for 10/7/25 and 10/27/25 were left blank and the night shift on 10/11/25 was left blank.
On 10/30/25 at 11:43 AM, S #2 interviewed the DON regarding incontinent care. The DON stated that they allow double diaper. The DON stated that some residents request it and proceeded to name two unsampled residents that resided on a different floor than Resident #2. The DON did not name Resident #2 as a resident that requested two (double) incontinent briefs. The DON stated that any new resident that requested two incontinent briefs that the staff were notified and the request was placed in the CP. The DON then stated that for cognitively impaired residents, two incontinent briefs were not used. S #2 asked the DON the reason that two incontinent briefs should not be used. The DON stated that it would increase the risk for skin impairment and cause a urinary tract infection. S #2 then notified the DON of the concern that Resident #2 was observed to have double incontinent briefs on.
On 10/30/25 at 12:14 PM, S #2 notified the LNHA and DON the concern that Resident #2 had double incontinent briefs on. The DON stated that the staff had added to the resident's CP the preference of double briefs today.
On 10/30/25 at 1:30 PM, S #2 notified the LNHA and DON the concern that Resident #2's documentation
record was left blank for three shifts during October 2025, and that the CP was not accurate. The DON stated that Resident #2 was just interviewed and the resident requested the double brief because they did not want the one brief to leak. S #2 then asked the DON about Resident #2's CP that indicated the resident was continent and used a bedpan/urinal. The DON stated that Resident #2 was continent in the past and that the CP needed to be updated. The DON also confirmed that the preference for double brief was updated today.
The LNHA and DON did not provide any additional information.
NJAC 8:39-35.2 (d)(6)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
ATLAS HEALTHCARE AT DAUGHTERS OF MIRIAM in CLIFTON, NJ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CLIFTON, NJ, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ATLAS HEALTHCARE AT DAUGHTERS OF MIRIAM or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.