Deficiency Records for Princeton Health and Rehabilitation
Updated as of June 01, 2021
This is not the most recent data for Princeton Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Princeton Health and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-09-08 | 2020-10-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-08 | 2020-10-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-08 | 2020-09-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-04 | 2020-09-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-04 | 2020-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-08 | 2020-08-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-01-29 | 2020-03-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-05 | 2020-03-05 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-02-05 | 2020-03-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-05 | 2020-03-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-05 | 2020-03-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-05 | 2020-03-05 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-02-05 | 2020-03-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-05 | 2020-03-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-05 | 2020-03-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-05 | 2020-03-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-05 | 2020-03-05 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-02-05 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-05 | 2020-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-05 | 2020-03-05 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-10-09 | 2019-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-09 | 2019-12-05 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-10-09 | 2019-12-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-10-09 | 2019-12-05 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-09 | 2019-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-15 | 2019-08-16 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-12-14 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-14 | 2019-05-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-30 | 2019-05-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-29 | 2019-05-14 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-11 | 2019-02-06 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-12-11 | 2019-02-06 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-12-14 | 2019-01-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-14 | 2019-01-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-14 | 2019-01-18 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-12-14 | 2019-01-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-14 | 2019-01-18 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-14 | 2019-01-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-14 | 2019-01-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-14 | 2019-01-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-14 | 2019-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-14 | 2019-01-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-14 | 2019-01-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-14 | 2019-01-18 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-14 | 2019-01-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-14 | 2019-01-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-14 | 2019-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-11 | 2019-01-06 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-12-11 | 2018-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-17 | 2017-12-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-10-20 | 2017-11-29 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-10-20 | 2017-11-29 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-20 | 2017-11-29 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-20 | 2017-11-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-10-17 | 2017-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-17 | 2017-11-20 | N |
