Princeton Health & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Princeton Health & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Jul 25, 2025

  Based on observation, interviews, and record reviews, the facility failed to protect the residents from the potential for accidents and hazards when the facility:- Permitted residents, with independent smoking privileges, to keep smoking materials, to include lighters and cigarettes, in their possession and to take them to their rooms.- Failed to ensure residents who utilized supplemental oxygen did not take their oxygen tanks into the designated smoking area.These failures had the potential to affect all residents. If residents have smoking materials in their possession, then there is the potential to light cigarettes or start fires in the facility. If this occurred around supplemental oxygen, then the oxygen could ignite and feed the fire. […]

• Immediate jeopardy, isolatedF600Jul 30, 2024

  Based on interview and record review, the facility failed to keep residents free from abuse and neglect for 1 (R #1) of (R #1) residents sampled for abuse when staff failed to: 1. Provide line of sight supervision for R #1 after she requested a one on one or to be sent to the hospital. This deficient practice could likely result in physical harm to residents, and/or psychosocial distress (unpleasant emotions associated with a highly stressful situation), or worsening of current mental health conditions for the residents who were subject to this behavior. The findings are: R #1 A. Record review of the face sheet for R #1 indicated the following: R #1 was admitted to the facility on [DATE]. […]

• Immediate jeopardy, isolatedF600Nov 9, 2021

  R #1 was admitted to the facility on [DATE] with known history of decannulating (removing [CONDITION(S)] tube: curve tube inserted in the neck and windpipe) himself. On [DATE] and [DATE], R #1 is observed pulling on his [CONDITION(S)]. On [DATE], R #1 decannulated himself twice (in the morning and late afternoon) and was provided one on one (one resident to one staff) observation overnight which was then discontinued in the morning. On [DATE], R #1 decannulated himself and the [CONDITION(S)] was reinserted. No new interventions were implemented. On the morning of [DATE], R #1 decannulated himself and the [CONDITION(S)] was reinserted. The Provider was not notified and no interventions to prevent decannulation were implemented. […]

• No harm, potential for more than minimal, widespreadF880Nov 17, 2025

  Based on interviews and record reviews, the facility failed to demonstrate its measures to minimize the risk of Legionella (bacteria naturally found in water that can cause a severe type of lung infection called legionnaires' disease when people inhale tiny water droplets containing the bacteria) in the building's water system, when the Legionella Water Management Program (LWMP) team failed to develop and implement an adequate LWMP. This failure had the potential to affect all residents in the facility. This deficient practice is likely to lead to outbreaks of legionellosis (legionnaires' disease and Pontiac fever, a milder flu-like illness).The findings are:A. […]

• No harm, potential for more than minimal, widespreadF700Jul 25, 2025

  Based on observation, record review, and interview, the facility failed to ensure resident was assessed for risk of entrapment (state of being stuck or caught on bed rail) from bed rails for 2 (R #123 and R #296) of 3 (R #101, R #123 and R #296) resident reviewed for accidents. This deficient practice has the potential to cause serious injury by becoming trapped between the mattress and bed rail. The findings are: R #123 A. On 07/22/25 at 8:29 am during an observation of R #123's room, there was a quarter size rail (rails that take up a quarter part of the bed) on each upper side of R #123's bed. B. Record review of R #123's admission Record revealed he was originally admitted to the facility on [DATE] with the following diagnoses: 1. […]