Princeton Rehab & HCC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 11, 2023

  Based on observation, interview, and record review, the facility failed to provide adequate supervision for a cognitively impaired resident (R1); failed to visually check every two hours for the presence of one of four residents (R1) reviewed who were at risk for elopement and wandering; and failed to ensure the facility entrance/exit was secure. As a result, R1 eloped from the facility on the night of 8/07/23, without the facility staff being aware the resident (R1) was missing until the morning of 8/08/23. This failure resulted in Immediate Jeopardy which began on 8/07/2023, when R1 eloped from the facility unnoticed and was unaccounted for. […]

• Immediate jeopardy, isolatedF921Jan 20, 2023

  Based on observation, interview, and record review, the facility failed to ensure each resident's room window was secured to prevent a resident from eloping via the window, and failed to have an effective maintenance program that ensures all resident room windows are secured throughout building. 1 of 162 residents (R7), who resided on the facility third floor monitored psychiatric unit, was able open a room window and jump from a window in his room. As a result of the failure, R7 sustained left leg, right leg, and foot fractures on 11/29/22. This was identified as an Immediate Jeopardy which began on 11/29/22. V1, Administrator, was notified of the Immediate Jeopardy on 1/12/2023. The facility presented a removal plan on 1/13/2023 at 4:24pm that was accepted. […]

• Actual harm, isolatedF600Jul 14, 2026

  F600Based on interview and record review, the facility failed to follow its policy to affirm the right of residents (R4 and R5) to be free from abuse. On May 16, 2026, R4 hit/struck R5 on the face and head, resulting in R4 sustaining a fracture of the right hand fifth metacarpal. A total of six residents were reviewed for abuse. The findings include: R4's face sheet shows an admission date of 5/22/24, with diagnoses including-but not limited to-Bipolar disorder, schizoaffective disorder, and Anxiety disorder. The Minimum Data Set (MDS) dated [DATE] indicates R4 is cognitively intact. […]

• Actual harm, isolatedF600Sep 28, 2025

  Based on interview and record review the facility failed to ensure that residents in the facility were free from abuse. This failure affected one of three (R4) residents reviewed for abuse and resulting in R4 acquiring a laceration to the head requiring sutures.Findings include:R4's medical diagnoses include but are not limited to schizophrenia, bipolar disorder, essential hypertension and major depressive disorder.R4's Minimum Data Set (MDS) dated [DATE] has a Brief Interview for Mental Status (BIMS) score of 15, indicating R4's cognition is intact.R4's progress note dated 08/07/25 documents in part, Resident became agitated, pacing and engaged in a verbal altercation with peer that turned physical. Residents were separated and placed on 1:1. […]

• Actual harm, isolatedF689Jun 20, 2024

  Based on interview and record review, the facility failed to ensure a second staff member was present to assist in a mechanical lift transfer for three resident (R1, R2 and R3) reviewed for accidents and incidents in the sample. This failure resulted in R1 sustaining a laceration to the right foot requiring five sutures and a fracture to the right great toe. Findings include: On 6/17/24 at 11:55am, V1 (Administrator) presented the facility's report of injury dated 4/11/24 and 6/3/24 that were sent to the State Agency. The report dated 4/11/24 states in part: On 4/11/24 during transfer with a mechanical lift, resident's foot was inadvertently bumped on the lift. […]