Princeton Place-Ruston

In the surveyor’s words

From the most serious findings on record at Princeton Place-Ruston, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Sep 10, 2025

  Based on observation and interviews, the facility failed to ensure the chemical solution for the dishwasher was maintained at the correct concentration. This deficient practice had the potential to affect 62 residents who received meals served from the kitchen.Findings:Review of the facility's current Dishwashing by Use of Machine policy (undated) revealed the following, in part:10. Check the machine during each procedure to determine if detergent, wetting agent and chemical sanitizer (if appropriate) is being dispensed properly.On 09/08/2025 at 8:48 a.m. observation of the kitchen revealed S5Dietary Manager (DM) checked the chemical solution concentration in the dishwasher. […]

• No harm, potential for more than minimal, patternF758Sep 27, 2023

  Based on record reviews and interviews the facility failed to ensure that each resident was free from unnecessary medication use for 3 (#32, #42 and #53) of 6 (#29, #32, #37, #42, #49 and #53) residents reviewed for unnecessary medications. The facility failed to monitor side effects for residents #32, #42 and #53 that received psychotropic medications. Findings: Resident #32 Review of the facility's Depression/Anxiety-Clinical Protocol revealed in part the following: the staff and physician will monitor the resident carefully for side effects specific to each class of medication as well as interactions between antidepressants and anti-anxiety medications and other classes of medication. […]

• No harm, potential for more than minimal, patternF578Aug 25, 2022

  Based on interview and record review the facility failed to provide documentation that a resident or resident's representative were provided written Advance Directive information, and at the residents option, the right to decline or formulate and advance directive for 29 (#1, #2, #3, #4, #5, #6, #8, #10, #11, #12, #15, #18, #19, #28, #29, #33, #35, #38, #39, #40, #45, #49, #54, #58, #61, #62, #63, #161, #361) of 29 sampled residents. Findings: Review of the facility Advance Directives policy revised 12/2016 revealed in part: 6. Prior to or upon admission of a resident, the Social Services Director or designee will inquire of the resident, his/her family members and/or his or her legal representative, about the existence of any written advance directives. 7. […]

• No harm, potential for more than minimal, patternF638Aug 25, 2022

  Based on record review and interview the facility failed to complete a quarterly assessment using the quarterly review instrument specified by the State and approved by CMS (Centers for Medicare and Medicaid Services) no later than 14 days after the Assessment Reference Date (ARD) for 2 (#6, and #11) of 7 (#1, #2, #3, #4, #6, #11, and #12) reviewed for Resident Assessment. Findings: Record review revealed the MDS (Minimum Data Set) quarterly assessments with an ARD date of 07/20/2022 were not completed for 2 (#6, and #11) residents. On 08/24/2022 at 11:33AM, an interview with S3MDS Coordinator confirmed Resident #6 and Resident #11's quarterly assessments with an ARD date of 07/20/2022 should have been completed by 08/03/2022.

• No harm, potential for more than minimal, patternF640Aug 25, 2022

  Based on record review and interview, the facility failed to ensure resident assessments were electronically transmitted in a timely manner by failing to transmit the resident assessment within 14 days of completion for 5 (#1, #2, #3, #4, and #12) of 7 (#1, #2, #3, #4, #6, #11, and #12) sampled residents reviewed for resident assessments. Findings: Review of the records for residents #1, #2, #3, #4, and #12 revealed each resident had an MDS (Minimum Data Set) completed in March, April, and May in 2022 that was completed but not transmitted to the CMS (Centers for Medicare and Medicaid Services) system. Review of CMS Validation Reports dated 08/25/2022 indicated residents #1, #2, #3, #4, and #12's assessment records were submitted late. […]