Carnegie Post Acute Care at Princeton LLC

In the surveyor’s words

From the most serious findings on record at Carnegie Post Acute Care at Princeton LLC, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF881Feb 25, 2025

  Based on interviews and review of facility documents, it was determined that the facility failed to maintain an ongoing review for their Antibiotic Stewardship (AS) Program. This deficient practice was evidenced by the following: On 2/20/25 at 1:54 PM, the surveyor interviewed the Chief Nursing Officer (CNO), who stated she was the acting Infection Preventionist (IP) since the last one had recently resigned. She stated she attended the quarterly Quality Assurance & Performance Improvement (QAPI) meeting and reports on infection control. The surveyor requested to review the AS. The CNO requested the Director of Nursing (DON) to join the meeting. At 2:19 PM, the DON joined the interview with 2 Antibiotic Stewardship binders, 2024 and 2025. […]

• No harm, potential for more than minimal, patternF882Feb 25, 2025

  Based on interviews and review of pertinent facility documents, it was determined that the facility failed to have a designated Infection Preventionist (IP) dedicated solely to the infection prevention and control program (IPCP) and physically worked onsite in the facility. This deficient practice was evidenced by the following: Reference: According to the NJ Executive Directive 21-012 (revised 12/22/22) included The facility's designated individual(s) with training in infection prevention and control shall assess the facility's IPCP by establishing or revising the infection control plan, annual infection prevention and control program risk assessment, and conducting internal quality improvement audits. […]

• No harm, potential for more than minimal, patternF842Aug 3, 2023

  Complaint #NJ00146686 Based on observation, interview, medical record review, and review of other pertinent facility documentation on 08/02/23 and 08/03/23, it was determined that facility staff failed to consistently document in the Documentation Survey Report the Activities of Daily Living (ADL) status and care provided to the residents. In addition, the facility staff failed to follow the facility's policy titled Activities of Daily Living for 4 of 4 residents (Resident #1, #2, #4, and #5) reviewed for documentation. The deficient practice was evidenced by the following: 1. On 08/02/23 at 09:47 AM, the surveyor observed Resident #1 in their bed with their family member at their bedside. Resident #1 did not respond to the surveyor's greeting. […]

• No harm, potential for more than minimal, patternF656Jan 31, 2023

  Based on observation, interview and record review it was determined that the facility failed to a.) develop a comprehensive, person-centered care plan to address dementia care for Resident #16, b.) develop a comprehensive, person-centered care plan to address a sacral pressure ulcer for Resident #83, c.) develop a comprehensive, person-centered care plan to address the use of an antibiotic for Resident #109 and d.) develop a comprehensive, person-centered care plan to address pain management for Resident #122. This deficient practice was identified for 4 of 29 residents reviewed for comprehensive care plans and was evidenced by the following: 1. On 1/20/23 at 12:25 PM, the surveyor observed Resident #16 in the dining room in a recliner. […]

• No harm, potential for more than minimal, patternF658Jan 31, 2023

  Based on observation, interview, and record review, it was determined that the facility failed to a.) follow physician orders for Dilantin and Keppra (anti-epileptic medications used to control seizures) levels every three months since 8/9/2021 for Resident #13. This deficient practice was identified for 1 of 28 residents (Resident # 13) reviewed for physician orders; b.) act upon the Urology Consultation's recommnedation according to professional standards of clinical practice for Resident #90. This deficient practice was evidenced for 1 of 2 residents (Resident #90) reviewed for catheters. This deficient practice was evidenced by the following: Reference: New Jersey Statutes Annotated, Title 45. Chapter 11. Nursing Board. […]