The Fountains of Atco
114 Hayes Mill Road · Atco, NJ · 08004 · 8568097206
60 certified beds For profit - Individual Part of a CCRC
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $137,865 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$137,865 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: not rated Quality measures: 5 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $153,458 |
Inspection citations (34 in the current record)
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Potential for harm · F March 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
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Potential for harm · F March 5, 2026 · found via complaint
Keep all essential equipment working safely.
Corrected March 30, 2026 · Environmental
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Actual harm · H January 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 10, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · F January 9, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 9, 2026
Respond appropriately to all alleged violations.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 9, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026
Ensure each resident receives an accurate assessment.
Corrected February 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 9, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · F January 9, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · F January 9, 2026
Observe each nurse aide's job performance and give regular training.
Corrected February 20, 2026 · Nursing and Physician Services
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Potential for harm · D January 9, 2026
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.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 20, 2026 · Pharmacy Service
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Potential for harm · E January 9, 2026
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 February 20, 2026 · Pharmacy Service
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Potential for harm · F January 9, 2026
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.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · F January 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 20, 2026 · Nutrition and Dietary
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Potential for harm · E January 9, 2026
Provide or get specialized rehabilitative services as required for a resident.
Corrected February 20, 2026 · Quality of Life and Care
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Potential for harm · F January 9, 2026
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.
Corrected February 20, 2026 · Administration
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Potential for harm · F January 9, 2026
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.
Corrected February 20, 2026 · Administration
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Potential for harm · F January 9, 2026
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected February 20, 2026 · Administration
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Potential for harm · F January 9, 2026
Provide and implement an infection prevention and control program.
Corrected February 20, 2026 · Infection Control
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Potential for harm · F January 9, 2026
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected February 20, 2026 · Administration
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Potential for harm · D January 9, 2026 · found via complaint
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 February 20, 2026 · Resident Rights
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Potential for harm · E January 9, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected February 20, 2026 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2026 | Fine | $137,865 |
| December 6, 2023 | Fine | $15,593 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 315297 · certified since June 10, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.