Goldwater Care Princeton

In the surveyor’s words

From the most serious findings on record at Goldwater Care Princeton, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 12, 2021

  Based on observation, interview and record review the facility failed to provide a lift sling for mechanical lift transfers for one resident (R11) of three residents reviewed for Activities of Daily Living in the sample of 15. This failure resulted in R39 experiencing increased feelings of isolation, disappointment and hopelessness related to inability to get out of bed. Findings include: Current Physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . Weight Record indicates R11's weight on 3/5/21 was 472.6 pounds. Comprehensive Cognitive assessment dated [DATE] indicates R11 has no cognitive or memory impairments, understands and is understood. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observation, interview, and record review the facility failed to ensure hair nets contained all hair during food preparation; failed to ensure hands were washed and gloves were changed in a manner to prevent cross-contamination; failed to ensure the dishwasher sanitization levels were properly tested and maintained; and failed to ensure dishes were washed in a manner to prevent cross contamination. These failures have the potential to affect all 76 residents residing at the facility.The findings include:1. The CMS 671 dated 7/21/26 showed there were 76 residents residing in the facility.On 7/21/26 at 9:34 AM, V4 (Dietary Manager) was in the kitchen assisting with preparation of the noon meal. V4's had her bangs outside of the hair net. […]

• No harm, potential for more than minimal, widespreadF880Jul 23, 2026

  Failures at this level required more than one deficient practice statement: A. Based on observation, interview, and record review the facility failed to ensure the legionella water management program included a facility assessment, identified control measures, provided acceptable ranges for control measures, and established how to intervene if the control limits are not met. This failure has the potential to affect all 76 residents residing in the facility reviewed for infection control. B. […]

• No harm, potential for more than minimal, widespreadF727Apr 23, 2026

  Based on observation, interview and record review the Facility failed to staff a full-time Director of Nursing. This failure has the potential to affect all 76 Residents residing in the Facility.Findings include: The Facility Assessment Tool, dated 1/21/26, documents: V2 (former Director of Nursing/DON) as the Director of Nursing; and a Director of Nursing is needed to provide support and care for Residents; and the Director of Nursing will communicate verbally/in writing, the expectations of care provided to the Residents and will provide oversight to ensure these expectations are met.The Director of Nursing Job Description, created 5/2/17, documents the primary purpose of the position is to plan, organize, develop and direct the overall operation of our Nursing Department in accordance… […]

• No harm, potential for more than minimal, widespreadF809Jun 13, 2024

  Based on interview and record review the facility failed to provide snacks at bedtime for all residents. This failure has the potential to affect all facility residents. The facility policy, Snacks, undated, documents Policy: Between meal snacks are available to residents per the planned menu or resident preference. Purpose: Too offer additional nourishment between meals. Procedure: 1. The Food and Nutrition Department will send snacks to the nursing stations at the appropriated times .3. Bedtime snacks will be sent to the nursing station(s) in bulk. These snack items are to be offered to each resident. […]