Atrium Post Acute Care At Park Ridge
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Minimal harm or potential for actual harm
measurement (result) was n, which did not have a corresponding information in the custom prompt legend and chart codes.
Further review of the medical record revealed that there was no documented evidence that the step 1 ppd was read and result was negative.
Residents Affected - Some
On 10/23/25 at 12:25 PM, S #3 interviewed LPN #2, who informed S #3 that step 1 ppd should be administered on the day of admission, read within 48-72 hours, and step 2 ppd should be administered on
the 14 day if step 1 ppd was negative. LPN #2 stated that the orders for ppd and the reading should be in
the eMAR, other documentation should be in the PN and the electronic record immunization tab.
On that same date and time, S #3 asked LPN #2 what the expectation for the nurse would be to do when
the resident was hospitalized and returned the same day and the ppd was due to read. LPN #2 stated that
he did not know the answer. LPN #2 was unable to remember Resident #3.
On 10/23/25 at 12:55 PM, S #3 attempted to call LPN #3 twice for an interview.
On 10/23/25 at 4:10 PM, the survey team met with the LNHA, DON, ADON, and the RDON, and S #3 notified them of the above findings and concerns with Resident #3's ppd.
On 10/23/25 at 4:44 PM, the survey team met with the LNHA, DON, ADON, and RDON, and the DON acknowledged that ppd step 2 should be administered after step 1 ppd was negative, and step 1 and 2 ppd should be read within 48-72 hours of administration.
On 10/23/25 at 5:00 PM, the survey team met with the LNHA, DON, ADON, and RDON for an exit conference, and there was no additional information provided by the LNHA.
NJAC 8:39-11.2(b)
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
10/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Atrium Post Acute Care at Park Ridge
120 Noyes Drive Park Ridge, NJ 07656
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 F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
denied working on those days identified.On 10/23/25 at 4:10 PM, the survey team met with the LNHA, DON, ADON, and the Regional DON (RDON), and surveyor notified them of the above findings and concerns with Resident #3's skin impairment and CNA accountability log. The surveyor also asked the facility management if the left hip and right hip blisters were considered facility acquired wounds if they were not present on admission, and there was no response from the DON and ADON.On 10/23/25 at 4:44 PM, the survey team met with the LNHA, DON, ADON, and RDON. The DON informed the surveyor that
the blister identified on 7/31/25 was from an agency nurse and the facility was trying to reach out to the nurse. The DON stated that the fluid field blister did not require a treatment, until it ruptured in August. She further stated that the 7/31/25 documentation of blister was the edema identified from admission and probably a wrong documentation, and there was no delay in treatment.A review of the facility's Pressure Ulcers/Skin Breakdown-Clinical Protocol Policy that was provided by the LNHA with a revised date of October 2025, revealed:Assessment and Recognition:.2. In addition, the nurse shall assess and document/report the following:a. Vital signsb. Full assessment of pressure sore including location, stage, length, width and depth, presence of exudates or necrotic tissue.Treatment/Management:.2. The physician will help identify medical interventions related to (r/t) wound management; for example, treating a soft tissue infection surrounding an ulcer, removing necrotic tissue, addressing comorbid medical conditions, managing pain related to the wound or to wound treatment, etc.Monitoring:1.During resident visits, the physician will evaluate and document the progress of wound healing-especially for those with complicated, extensive, or non-healing wounds.A review of the facility's Urinary Incontinence-Clinical Protocol Policy that was provided by the LNHA, with a revised date of 10/2025, revealed:Assessment and Recognition:1. As part of the initial assessment, the physician will help identify individuals with impaired urinary continence.4.
For incontinent individuals, the nursing staff will identify and document circumstances r/t the incontinence
On 10/23/25 at 5:00 PM, the survey team met with the LNHA, DON, ADON, and RDON for an exit conference, and there was no additional information provided by the LNHA.NJAC 8:39-11.2(b); 27.1(a)
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
10/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Atrium Post Acute Care at Park Ridge
120 Noyes Drive Park Ridge, NJ 07656
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 F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm
the resident's forehead. CNA #4 stated she was educated and disciplined by management after the incident.
On 10/23/25 at 3:00 PM, S #2 requested from the LNHA for any education provided to RR #2 regarding Hoyer transfer.
Residents Affected - Few
On 10/23/25 at 4:00 PM, RR #2 confirmed via phone conference that they did not receive an education with regard to use of Hoyer lift transfer for Resident #1.
On 10/23/25 at 4:15 PM, the surveyors met with the LNHA, DON, RDON, and ADON regarding the above concern for Hoyer transfer on 9/6/25, that the resident's CP was not followed for two person assist and that RR #2 assisted with no training. The LNHA confirmed that the RR #2 did not receive any formal training, and that RR #2 was always at the facility.
A review of the facility's Lifting Machine, Using a Portable Policy dated 10/2025, revealed, review the resident's CP to assess for any special needs of the resident.The portable lift can be used by one nursing assistant if the resident can participate in the lifting procedures. If not, two nursing assistants will be required to perform the procedure.
NJAC 8:39-27.1(a); 33.1 (d)
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Atrium Post Acute Care at Park Ridge in PARK RIDGE, 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 PARK RIDGE, 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 Atrium Post Acute Care at Park Ridge or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.