Waters of Princeton, The

In the surveyor’s words

From the most serious findings on record at Waters of Princeton, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Mar 30, 2022

  Based on observation, interview, and record review, the facility failed to ensure a resident was free from physical abuse for 1 of 3 residents reviewed for abuse. A resident with dementia was forcibly thrown to the ground by a nurse. (Resident B) This deficient practice resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 3/1/22 at 9:36 P.M. (time according to video), when the facility failed to prevent physical abuse and psychological abuse for the reasonable person. The Administrator and Director of Nursing were notified of the Immediate Jeopardy on 3/29/22 at 10:20 A.M. […]

• Actual harm, isolatedF689Aug 28, 2023

  Based on interview, observation, and record review, the facility failed to ensure safety or supervision of a resident for 1 of 1 residents reviewed for falls resulting in major injury. This deficient practice resulted in a fall with a fractures requiring hospitalization . (Resident 43) Findings include: Resident 43's clinical record was reviewed on 8/23/23 at 2:21 P.M. Diagnoses included, but were not limited to, displaced fracture of second cervical vertebra. Resident 43's most recent Quarterly Minimum Data Set (MDS) Assessment, dated 7/31/23, indicated the resident was severely cognitively impaired and required extensive assistance of two people for mobility, transfers, and toileting. […]

• Actual harm, isolatedF686Sep 14, 2021

  Based on record review, observation, and interview, the facility failed to ensure residents, who admitted with no pressure ulcers, did not develop a pressure related skin injury for 2 of 2 residents reviewed for pressure. This deficient practice resulted in Resident 33 developing a Suspected Deep Tissue Injury (SDTI) (purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of under-lying soft tissue from pressure and/or shear) to his right lateral foot, Stage II (partial thickness loss of dermis) areas to the buttocks, and Resident 5 developing a Stage III (full thickness tissue loss) to his right heel and Stage II to his buttocks. (Resident 33, Resident 5) Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF812Aug 28, 2023

  Based on observation, interviews and record review the facility failed to store, prepare and serve food in accordance with professional standards for food service for 1 of 2 kitchen observations. Food was served on dishes that were not thoroughly sanitized, emergency use of paper goods was delayed for 55 of 55 residents served meals in the facility. The facility failed to ensure that the temperature of unit refrigerators were with acceptable range in 3 of 3 refrigerators observed. ( Kitchen, East Hall Nourishment Pantry) Findings include: 1. During the initial kitchen tour on 8/21/23 starting at 8:58 A.M., the Dietary Manager indicated that the temperature gauge on the dishwasher was not functioning properly and he had been using a digital thermometer to record temperatures. […]

• No harm, potential for more than minimal, patternF921Jul 8, 2026

  Based on observation, interview, and record review, the facility failed to ensure a safe, sanitary, and homelike environment for residents who resided in the facility for 3 of 3 units observed. Baseboards, walls, door trim were marred, with holes, or chipped paint, floors had debris built up, missing lights fixtures, dust build up on fixtures, and dirt on window sills. ( Memory Springs unit, [NAME] Hall, East Hall, Resident D) Findings include: On 7/6/26 at 8:47 a.m., the following was observed on the Memory Springs unit: Urine odor between rooms 122- 125Baseboards on the hallways observed marredBaseboards in dining room, tops had dirt build up Window sills in dining room had dirt build up Wall to the right of the double doors leading to a patio, had multiple screw/nail holesTrim around… […]