The Fountains of Atco
A nursing home in Atco, New Jersey 08004
114 Hayes Mill Road, Atco, New Jersey 08004. (856) 809-7206.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 27 health citations at the latest inspection cycle New Jersey average: 8.6
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
27 health citations at the latest inspection cycle
The New Jersey average is 8.6.
Last standard inspection Jan 9, 2026.
Most serious in three years: immediate jeopardy to health or safety (L), at a complaint inspection on Jun 8, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
35 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 35 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 9 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 8, 2026: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Mar 5, 2026: complaint inspection2 citations
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Provide and implement an infection prevention and control program.
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Keep all essential equipment working safely.
Jan 9, 2026: standard inspection20 citations
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Respond appropriately to all alleged violations.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Ensure each resident receives an accurate assessment.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide safe and appropriate respiratory care for a resident when needed.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Observe each nurse aide’s job performance and give regular training.
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide or get specialized rehabilitative services as required for a resident.
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Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
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Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Provide and implement an infection prevention and control program.
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Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Jan 9, 2026: standard and complaint inspection4 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jun 28, 2024: standard inspection6 citations
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Assure that each resident’s assessment is updated at least once every 3 months.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
Dec 6, 2023: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 10, 1990.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, individual.
- 60 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $236,148 in all.
- No Medicare payment denials in the last three years.
- 9 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 8, 2026 | Fine | $82,690 |
| Jan 9, 2026 | Fine | $137,865 |
| Dec 6, 2023 | Fine | $15,593 |
Who does the caring?
| Measure | This home | New Jersey average |
|---|---|---|
| Nurse hours per resident per day | Not given | 3.90 |
| Of which registered nurses | Not given | 0.70 |
| At weekends | Not given | 3.50 |
| Nursing staff turnover | Not given | 39.3% |
| Registered nurse turnover | Not given | 37.2% |
| Administrators who left | Not given | Not given |
Who owns it?
- 5692 Irrevocable Trust owns 100% directly since Dec 1, 2024.
- 11 owners or officers are people: Riki Rimberg (owns a share through other companies, 100%); Kyle Newfeld (runs it (operational or managerial control)); Kyle Newfeld (additional disclosable party (controls, leases property to, or provides services to the home)); Nicholas G Palladino (runs it (operational or managerial control)); Nicholas G Palladino (additional disclosable party (controls, leases property to, or provides services to the home)); Chava Scharf (trustee); Eli Scharf (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Berkowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Riki Rimberg (runs it (operational or managerial control)); Riki Rimberg (on the governing body (managing control)); Itzchak Lipshutz (trustee).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Monticello Structured Products, LLC | Holds 5% or more of the mortgage | 100% | Nov 29, 2019 |
| Metropolitan Commercial Bank | Holds 5% or more of the mortgage | 100% | Mar 3, 2025 |
| Metropolitan Commercial Bank | Holds 5% or more security interest | 100% | Mar 3, 2025 |
| 5692 Irrevocable Trust | Owns a share directly | 100% | Dec 1, 2024 |
| Ms 2020 Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 29, 2023 | |
| Future Care Associates Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 1, 2024 | |
| Fountains EMS LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 9, 2023 | |
| Everest Management Solutions LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 1, 2024 | |
| Fountains Rr, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 22, 2019 | |
| Fountains Hc Prop, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 22, 2019 | |
| Mcs 2020 LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Sep 29, 2023 | |
| Fountains Inv, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 22, 2019 | |
| Fountains Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 22, 2019 | |
| Atco Willow LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 22, 2019 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (New Jersey average 4.6).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | Not rated |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 7.7 miles, this one had the 1st most health citations at the latest inspection cycle (27; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Fountains of Atco This nursing home | 27 | |
| Berlin Rehabilitation and Healthcare Center | 1.2 | 2 |
| The Subacute at Autumn Lake Healthcare | 6.4 | 9 |
| Autumn Lake Healthcare at Voorhees | 6.6 | 3 |
| Lions Gate | 6.7 | 3 |
| Echelon Care & Rehab | 6.7 | 6 |
| Voorhees Pediatric Facility | 6.7 | 13 |
| Laurel Manor Healthcare and Rehabilitation Center | 7.0 | 7 |
| Cedar Grove Respiratory and Nursing Center | 7.5 | 6 |
| Complete Care at Kresson View | 7.5 | 4 |
| Complete Care at Voorhees, LLC | 7.6 | 2 |
| The Pines at Medford | 7.7 | 11 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.