The Atrium Rehabilitation Center

Penalties

• Mar 13, 2024 — Fine ($9,600)

Inspection findings

1. Jul 9, 2026 Health · 6 findings
   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     CMS health inspection

   • Not serious Scope/severity D

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     CMS health inspection

   • Not serious Scope/severity E

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     CMS fire safety

2. Apr 17, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Apr 19, 2026 · CMS health inspection

3. May 30, 2025 Fire Safety · 14 findings
   • Not serious Scope/severity E

     E0032 Emergency Preparedness Deficiencies

     Provide primary/alternate means for communication.

     Corrected May 30, 2025 · CMS fire safety

   • Not serious Scope/severity E

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected May 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected May 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 31, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected May 31, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 31, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected May 30, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0293 Egress Deficiencies

     Have properly located and lighted "Exit" signs.

     Corrected May 30, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jun 18, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 23, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected May 30, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected May 30, 2025 · CMS fire safety

4. Jan 24, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Feb 10, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Jun 2, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Feb 12, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Feb 11, 2025 · CMS health inspection

5. Apr 19, 2024 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Apr 20, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 20, 2024 · CMS health inspection

6. Apr 5, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0622 Resident Rights Deficiencies

     Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

     Corrected Apr 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Apr 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure 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.

     Corrected Apr 6, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0912 Environmental Deficiencies

     Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

     Corrected Apr 6, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Apr 3, 2024 · CMS fire safety

7. Mar 13, 2024 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0659 Resident Assessment and Care Planning Deficiencies

     Provide care by qualified persons according to each resident's written plan of care.

     Corrected Mar 14, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Dec 4, 2023 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 14, 2024 · CMS health inspection

Owners and managers (as published by CMS)

• GOLDEN, LAUREN — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2023
• GOLDEN, LAUREN — adp of the snf, NOT APPLICABLE, since 04/01/2023
• GOLDEN, SHAWN — adp of the snf, NOT APPLICABLE, since 04/01/2023
• GOLDEN, SHAWN — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2023
• GUPTA, PREETI — adp of the snf, NOT APPLICABLE, since 04/01/2023
• GUPTA, PREETI — operational/managerial control, NOT APPLICABLE, since 04/01/2023
• HOOPER, GRADY — corporate officer, NOT APPLICABLE, since 04/01/2023
• LOREDO-GONZALEZ, CRISTYAN — adp of the snf, NOT APPLICABLE, since 04/01/2023
• LOREDO-GONZALEZ, CRISTYAN — operational/managerial control, NOT APPLICABLE, since 04/01/2023
• PRINCE, DANNY — adp of the snf, NOT APPLICABLE, since 04/01/2023
• PRINCE, DANNY — operational/managerial control, NOT APPLICABLE, since 04/01/2023
• PRINCE, DANNY — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2023
• DKP INVESTMENTS, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2023
• FREDERICKSBURG PROPERTIES OF TEXAS, LP — adp of the snf, NOT APPLICABLE, since 04/01/2023
• FREDERICKSBURG PROPERTIES OF TEXAS, LP — 5% or greater mortgage interest, NOT APPLICABLE, since 04/01/2023
• SLM INVESTMENTS LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2023
• THE FREDERICKSBURG CARE CO., LP — operational/managerial control, NOT APPLICABLE, since 04/01/2023
• THE FREDERICKSBURG CARE CO., LP — adp of the snf, NOT APPLICABLE, since 04/22/2025