Inspection Reports for Carnegie Assisted Living Facility At Princeton

NJ, 08540

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Deficiencies per Year

8 6 4 2 0
2021
2022
2024
2025
Severe High Moderate Low Unclassified

Census Over Time

30 60 90 120 Apr '21 Feb '22 Jun '24 Feb '25
Census Capacity
Notice Deficiencies: 0 Nov 19, 2025
Visit Reason
This document serves to inform individuals about the privacy practices of NJDHSS, including how their medical information may be used and disclosed, and their rights related to this information.
Findings
The notice details the types of information covered, reasons for use and disclosure of health information, individuals' rights to access and control their information, and the legal duties of NJDHSS to protect privacy.
Report Facts
Effective date: 2011
Employees Mentioned
NameTitleContext
Devon L. GrafDirector, Office of Legal and Regulatory ComplianceListed as NJDHSS Privacy Officer contact for questions about the notice
Inspection Report Complaint Investigation Census: 78 Deficiencies: 4 Feb 28, 2025
Visit Reason
The inspection was conducted as a complaint investigation based on complaint numbers NJ00182319, NJ00183541, and NJ00184004 to determine compliance with New Jersey Administrative Code 8:36 for assisted living residences.
Findings
The facility was found not in substantial compliance with standards, with deficiencies related to failure to ensure respectful communication and care for residents, failure to update General Service Plans based on resident needs, failure to ensure a functioning doorbell system, and failure to provide safeguards to prevent interference in residents' lives from pets. Several employees were disciplined based on findings related to Resident #2.
Complaint Details
The investigation was based on complaints NJ00182319, NJ00183541, and NJ00184004. The facility was found not in substantial compliance with standards. Several employees were disciplined related to Resident #2. The complaint was substantiated as evidenced by multiple deficiencies.
Deficiencies (4)
Description
Failure to ensure staff communicated and provided care in a dignified and respectful manner for Resident #2.
Failure to update the General Service Plan (GSP) based on resident response and changes in needs for Residents #2 and #3.
Failure to ensure a sounding device (doorbell) rang in an area staffed 24 hours a day.
Failure to provide safeguards to prevent interference in residents' lives from pets, including pet facilitated therapy.
Report Facts
Sample Size: 7 Time of surveyor review: 1015 Time of surveyor interview: 1027 Time of surveyor interview: 1450 Time of surveyor interview: 1530 Time of surveyor phone interview: 815 Time of surveyor interview: 1045 Time of surveyor interview: 1230 Date of revisit: May 6, 2025
Inspection Report Complaint Investigation Census: 85 Deficiencies: 5 Jan 8, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to issues including loss of heat in the dining room, food service concerns, emergency food and water supplies, and dining service deficiencies.
Findings
The facility was found not in substantial compliance with New Jersey Administrative Code standards due to failure to timely report loss of heat, inadequate enforcement of food service policies, insufficient emergency food and water supplies, lack of availability of snacks and beverages at all times, and failure to document food temperature monitoring.
Complaint Details
Complaint numbers NJ00182165 and NJ00182239 triggered the investigation. The complaints involved loss of heat in the dining room, food service issues, and emergency preparedness. The facility was found deficient in multiple areas related to these complaints.
Deficiencies (5)
Description
Failure to immediately notify NJDOH of loss of heat in the dining room within 72 hours.
Food Service Director failed to enforce and implement policies related to menu planning and community dining service audits.
Facility failed to ensure at least three days of emergency food and water supplies for all residents.
Facility failed to ensure snacks and beverages were available to residents at all times.
Facility failed to provide documented evidence that food were monitored, maintained, and served at proper temperatures.
Report Facts
Census: 85 Sample size: 3 Days delay in reporting loss of heat: 10 Emergency water shortage: 300 Emergency food items missing: 16
Employees Mentioned
NameTitleContext
Executive DirectorInterviewed regarding loss of heat and reporting to NJDOH.
Food Service Director (FSD)Failed to enforce food service policies and maintain emergency food supplies.
Assistant Food Service Director (AFSD)Interviewed regarding menu planning and emergency food supplies.
Regional Food Service Director (RFSD)Interviewed regarding emergency food supplies and audits.
Maintenance TechnicianMeasured dining room temperature during inspection.
CookInterviewed about food temperature monitoring.
Inspection Report Complaint Investigation Census: 88 Deficiencies: 7 Jun 6, 2024
Visit Reason
The inspection was a standard survey conducted with complaints related to facility compliance with New Jersey Administrative Code 8:36 for assisted living residences. Complaints included failure to notify family members, call bell response issues, and other regulatory concerns.
Findings
The facility was found not in substantial compliance with multiple standards including failure to notify family members timely, delayed response to resident call pendants, failure to provide dignified living conditions during apartment treatment, failure to post menus with portion sizes, lack of snacks and beverages availability, unlocked medication refrigerator, incomplete resident discharge documentation, and fire safety hazards due to obstructed sprinkler heads.
Complaint Details
Complaints NJ00173856, NJ00155866, NJ00163735, NJ00153700 were investigated. The facility was found deficient in multiple areas including notification failures, call bell response delays, medication storage security, and fire safety hazards.
Deficiencies (7)
Description
Failure to notify family member of bedbug treatment and failure to enforce call bell response policy for residents #3 and #5.
Failure to provide dignified living area for Resident #3 during apartment treatment.
Failure to post menus with portion sizes in the kitchen preparation area.
Failure to ensure snacks and beverages were available to residents at all times.
Medication refrigerator in Wellness Office was unlocked due to lost key.
Resident #1's medical record lacked documentation of discharge information including date, time, reason, condition, and destination.
Fire sprinkler heads in the walk-in freezer had paper towels stuffed into deflector heads, rendering them inoperable.
Report Facts
Census: 88 Sample size: 10 Pendant call response time: 50 Occurrences of pendant call response > 6 minutes: 27 Pendant call response time average: 7 Duration pendant call unanswered: 120 Duration pendant call unanswered: 39
Employees Mentioned
NameTitleContext
Licensed Practical Nurse (LPN)Interviewed regarding notification failures and pendant call response
Executive Director (ED)Interviewed regarding notification failures, pendant call response issues, medication refrigerator key, and dignified living conditions
Caregiver #1Interviewed about pendant call response procedures
Caregiver #2Interviewed about pendant call response and assignment to Resident #5
Caregiver #3Interviewed about pendant call response and reasons for delay
ReceptionistInterviewed about pendant call system and response
Food Service Director (FSD)Interviewed about menu portion sizes and snack availability
Cook #1Interviewed about menu portion sizes
Cook #2Interviewed about menu portion sizes
Director of FacilitiesConfirmed fire sprinkler obstruction and lack of surveillance policies
Inspection Report Abbreviated Survey Census: 38 Capacity: 113 Deficiencies: 0 Jun 3, 2022
Visit Reason
A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.
Report Facts
Sample Size: 4
Inspection Report Complaint Investigation Census: 38 Deficiencies: 5 Feb 25, 2022
Visit Reason
The inspection was conducted as a complaint investigation related to compliance with New Jersey Administrative Code 8:36 for licensure of assisted living residences, prompted by complaint #NJ 00152233.
Findings
The facility was found not in substantial compliance due to deficiencies in fire safety systems including obstructed sprinkler heads, failure to maintain and inspect fire extinguishers properly, and unsafe environmental conditions such as exposed live electrical wires and smoke detectors covered with painter's tape, which could impair fire detection and safety.
Complaint Details
Complaint #NJ 00152233 triggered the investigation. The complaint was substantiated based on observations, interviews, and document reviews confirming multiple fire safety violations.
Deficiencies (5)
Description
Sprinkler head obstructed by spackling compound and missing cover plate, potentially preventing proper function during fire.
Failure to provide proper sprinkler maintenance as per NFPA 25 standards, including unresolved waterflow alarm issues.
Failed to inspect 7 of 17 fire extinguishers annually and failed to perform monthly visual examinations for all 17 fire extinguishers as required by NFPA 10 standards.
HVAC units had missing cover panels exposing live electrical wires, creating safety hazards.
Smoke detector sensing chambers were covered with painter's tape, preventing proper smoke detection.
Report Facts
Census: 38 Fire extinguishers inspected: 7 Fire extinguishers total: 17 Dates of annual inspections missing or overdue: 17
Employees Mentioned
NameTitleContext
AdministratorInterviewed confirming sprinkler head obstruction and missing cover plate
Regional Director of Operations (RDO)Interviewed regarding sprinkler maintenance and fire extinguisher inspection documentation
Maintenance DirectorInterviewed about sprinkler maintenance work tickets
Director of Environmental Services (DEVS)Present during fire extinguisher inspection observations and confirmed findings
Licensed Practical Nurse (LPN)Interviewed about resident presence on 3rd floor where safety hazards were observed
Inspection Report Routine Census: 37 Deficiencies: 0 Feb 1, 2022
Visit Reason
A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and CDC recommended practices related to COVID-19.
Findings
The facility was found to be in compliance with the New Jersey Administrative Code 8:36 infection control regulations standards for licensure of assisted living residences and CDC recommended practices to prepare for COVID-19.
Report Facts
Census: 37
Inspection Report Complaint Investigation Census: 43 Deficiencies: 2 Apr 1, 2021
Visit Reason
The inspection was conducted as a complaint investigation based on Complaint #NJ 143909 to determine compliance with New Jersey Administrative Code 8:36 standards for licensure of assisted living residences.
Findings
The facility was found not in substantial compliance due to safety hazards including open toilet floor flanges and open sewer lines emitting sewer and flammable methane gases into the building, and smoke detector sensing chambers covered with painter's tape, which could prevent proper function during a fire emergency.
Complaint Details
Complaint #NJ 143909 triggered the investigation. The complaint was substantiated based on observations of multiple safety hazards including open sewer lines and disabled smoke detectors.
Deficiencies (2)
Description
Open toilet floor flanges and open sewer lines emitting sewer gases and flammable methane gas into the building.
Smoke detector sensing chambers covered with painter's tape, preventing proper function during a fire emergency.
Report Facts
Census: 43 Sample size: 3
Employees Mentioned
NameTitleContext
Executive DirectorFacility Executive Director was requested to provide facility layout during survey entrance
Director of Environmental ServicesPresent during inspection of first-floor renovation area

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