Inspection Reports for Princeton Health Care Center

An unannounced complaint investigation survey was conducted at Princeton Healthcare Center on 01/15/25.

The facility was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. The complaint was unsubstantiated.

Complaint number 36620 was investigated and found to be unsubstantiated.

The inspection was conducted as an investigation survey concluding on 05/08/2024, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Princeton Healthcare Center is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility is in substantial compliance with previously cited deficient practices.

Investigation survey concluding on 05/08/2024; facility found in substantial compliance with previously cited deficiencies.

The visit was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual recertification/licensure survey was conducted to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found out of substantial compliance with multiple deficiencies including failure to maintain resident dignity during mealtimes, protect resident privacy, revise care plans timely, maintain accurate medical records, ensure food safety, coordinate PASARR assessments, provide trauma-informed care, post accurate nurse staffing information, develop comprehensive care plans, obtain informed consent for psychotropic medications, maintain infection control, provide a safe and homelike environment, notify ombudsman of hospital transfers, and ensure physician orders for one-on-one interventions.

Complaint #31409 was substantiated; other complaints (#31628, #32638, #32177, #31669, #31553, #31600) were unsubstantiated.

The inspection was conducted as an annual survey to assess compliance with federal and state regulations related to fire safety, resident rights, and emergency preparedness at Princeton Health Care Center.

The facility was found deficient in maintaining hazardous areas with proper fire barriers and door closures, ensuring the fire alarm system was properly installed and monitored, and maintaining smoke barrier doors that close completely. The facility acknowledged these deficiencies and provided plans of correction including repairs, inspections, and staff education.

The inspection was conducted to review facility documentation and staff interviews to determine compliance with Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The visit was conducted as an annual recertification survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules.

Princeton Health Care Center was found to be in substantial compliance with the applicable federal and state regulations. The facility's plans of correction and credible evidence were accepted in lieu of an onsite revisit, confirming compliance with previously cited deficient practices.

An unannounced annual recertification survey was conducted to assess compliance with federal regulations related to resident care, safety, and facility operations.

The facility was found deficient in multiple areas including care plan timing and revision, grievance accessibility, quality of care, baseline care plans, accuracy of assessments, resident call system accessibility, food safety documentation, infection control practices, and environmental safety such as unsecured handrails.

The inspection was conducted as an annual survey to assess compliance with NFPA 101 fire safety standards and other regulatory requirements at Princeton Health Care Center.

The facility was found deficient in multiple areas related to fire safety and electrical equipment maintenance, including improper labeling and maintenance of egress doors, emergency lighting failures, hazardous area separations, cooking equipment placement, fire extinguisher signage, smoke barrier penetrations, fire and smoke barrier door maintenance, electrical wiring issues, and lack of documented testing for electrical equipment. All findings were acknowledged by the Maintenance Director and Administrator.

An unannounced complaint investigation survey was conducted at Princeton Healthcare Center from 06/21/23 to 06/22/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Three complaints (#27049, #27865, #28202) were investigated and found to be unsubstantiated.

Complaint #27049 - unsubstantiated; Complaint #27865 - unsubstantiated; Complaint #28202 - unsubstantiated

The visit was conducted as an annual recertification survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

Princeton Health Care Center was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual recertification and annual relicensure survey was conducted at Princeton Health Care Center from March 14 - 16, 2022.

The survey identified multiple deficiencies including failure to ensure resident privacy during care, failure to provide reasonable accommodations, inaccurate assessments, lack of discharge summaries, environmental hazards, improper catheter care, inadequate respiratory care, ineffective pain management, infection control lapses including improper signage and co-horting, and failure to maintain a safe and functional environment.

The inspection was conducted to assess the facility's compliance with the NFPA 101, Life Safety Code, 2012, and applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced complaint investigation was conducted at Princeton Health Care Center from 10/26/20 to 10/28/20.

The allegations were unsubstantiated with no related or unrelated deficient practices identified. The facility was in substantial compliance with applicable regulations.

Complaint # WV00024321 was unsubstantiated with no deficiencies cited.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on August 24-25, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to E-0024 (b)(6), and the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency on July 22, 2020.

The facility was found in compliance with 42 CFR 483.80 infection control regulations, 42 CFR 483.73 related to E-0024 (b)(6), and CMS and CDC recommended practices to prepare for COVID-19.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia nursing home licensure rules.

The facility, Princeton Health Care Center, was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Princeton Health Care Center from 12/16/19 through 12/18/19. The survey included a complaint investigation which was unsubstantiated.

The facility was found deficient in multiple areas including failure to complete advance directives properly, inaccurate Minimum Data Set (MDS) assessments, improper labeling and storage of medications, and inadequate infection prevention and control practices. Specific issues included incomplete POST forms, incorrectly coded MDS assessments for nutritional status, hospice services, and medications, failure to date multi-use medication vials, and unsafe oxygen tubing placement.

Complaint investigation #23355 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to assess compliance with NFPA 101 standards for exit signage and sprinkler system maintenance and testing, as well as to verify the facility's adherence to resident rights and emergency preparedness requirements.

The facility was found deficient in maintaining proper exit signage and ensuring the sprinkler system was maintained according to NFPA standards, with missing exit signs at key hallway intersections and corroded sprinkler heads in bathing areas. The facility was found in compliance with emergency preparedness requirements.

An unannounced revisit was conducted at Princeton Health Care Center on 01/28/19 to 01/29/19 for the annual recertification and relicensure survey concluding on 11/12/18.

The facility was found to have corrected the previously cited deficient practices and these are reflected on the CMS-2567B.

The document is a Statement of Deficiencies and Plan of Correction for Princeton Health Care Center, summarizing compliance with federal, state, and local Emergency Preparedness requirements.

The facility was found in compliance with all applicable Federal, State and local Emergency Preparedness requirements. One deficiency related to resident rights and notification was cited.

The inspection was a routine survey to assess compliance with National Fire Protection Association (NFPA) codes and other regulatory requirements related to fire safety, electrical systems, and resident rights.

The facility was found deficient in multiple areas including egress door locking mechanisms, cooking facility safety, sprinkler system maintenance, portable fire extinguisher placement and maintenance, smoke barrier doors, fire drill scheduling, electrical system security and maintenance, electrical equipment testing, gas cylinder storage, and staff training on gas equipment handling. The maintenance director acknowledged the deficiencies and corrective plans were submitted.

An unannounced annual re-certification and annual re-licensure survey was conducted at Princeton Health Care Center from 11/05/18 through 11/12/18, including an extended survey from 11/07/18 through 11/12/18.

The facility had multiple deficiencies including failure to ensure resident dignity during meals, failure to notify representatives and physicians timely after falls, failure to provide appropriate notice of Medicare non-coverage, failure to promptly resolve grievances, failure to prevent resident to resident abuse, failure to develop and implement comprehensive care plans, failure to provide proper foot care, insufficient nursing staff, improper medication labeling, incomplete oral health assessments, and failure to maintain clean laundry area to prevent cross contamination.

The inspection was conducted as a complaint investigation based on complaint references #20413 and #20415, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Princeton Health Care Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules. The facility was in substantial compliance with previously cited deficient practices.

Complaint investigations concluded on 06/13/18 with substantial compliance found; complaint references #20413 and #20415.

An unannounced complaint survey was conducted at Princeton Health Care Center from May 29, 2018 to May 31, 2018, triggered by complaint #20319 which was substantiated with related deficiencies cited.

The facility was found deficient in multiple areas including failure to date care plan interventions, inadequate treatment and prevention of pressure ulcers, failure to evaluate and prevent accident hazards related to bruising, and failure to ensure nutritional supplements were provided as ordered.

Complaint #20319 was substantiated based on observations, clinical record reviews, resident and family interviews, and staff interviews. The complaint sample consisted of 3 residents.

An unannounced annual recertification and relicensure survey was conducted at Princeton Health Care Center from January 22, 2018 through January 25, 2018.

The survey identified multiple deficiencies including failure to report alleged violations timely, failure to provide transfer/discharge notices, failure to permit resident readmission, incomplete significant change assessments, inaccurate assessments, incomplete care plans, failure to maintain nutritional status, improper tube feeding management, failure to conduct monthly medication regimen reviews, failure to limit PRN psychotropic medications to 14 days, and infection control issues related to tube feeding syringe use.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. Previously cited deficient practices were addressed.

The inspection was a routine facility survey conducted to assess compliance with NFPA fire safety codes and other regulatory requirements.

The facility was found to have multiple deficiencies related to fire safety, including obstructed means of egress, sprinkler system installation and maintenance issues, unsealed fire and smoke wall penetrations, missing electrical junction box covers, missed fire drills, incomplete generator testing, and lack of electrical equipment testing on resident beds. Corrective actions and plans of correction were submitted for each deficiency.

The visit was conducted as a Quality Indicator and Licensure Survey, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

Princeton Health Care Center was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule, with previously cited deficient practices corrected.

An unannounced revisit was conducted at Princeton Health Care Center on August 1-2, 2016 for the Quality Indicator and Licensure Surveys concluding on June 1, 2016. The revisit was to verify correction of previous deficiencies and to assess new compliance issues.

The facility was found to have corrected prior citations but was out of compliance with a new deficiency related to medication administration. Specifically, the facility failed to follow physician's orders for holding an anti-hypertensive medication for one resident on three occasions.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Princeton Health Care Center from May 23, 2016 through June 1, 2016 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including maintenance issues with resident rooms, failure to respect resident medication and bedtime preferences, unsafe water temperatures posing immediate jeopardy, medication errors, and improper medication storage and labeling practices.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including fire safety barriers, exit access, sprinkler system maintenance, and electrical wiring safety.

The facility was found deficient in maintaining the required 2-hour fire rating for smoke barriers, proper exit door signage and operation, reliable automatic sprinkler system condition, and electrical wiring safety. These deficiencies could affect all residents, staff, and visitors.

The inspection was conducted as a complaint investigation following a complaint referenced as 14005, with review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Princeton Health Care Center, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with previously cited deficient practices corrected.

Complaint Reference: 14005. The complaint investigation concluded on 10/07/15 with the facility in substantial compliance.

An unannounced complaint survey was conducted at Princeton Healthcare Center from October 5, 2015 to October 7, 2015. The complaint #14005 was unsubstantiated with unrelated deficiencies cited.

The facility failed to post the results of the most recent survey and a notice of their availability, and failed to obtain a timely laboratory test (HGA1C) for one resident. The complaint was unsubstantiated and no residents were harmed by these deficiencies.

Complaint #14005 was unsubstantiated with unrelated deficiencies cited. The facility's census on the first day of the complaint investigation survey was 118 residents. The complaint sample consisted of 18 residents.

An unannounced revisit was conducted at Princeton Health Care Center on 05/26/15 for the Quality Indicator Survey concluding on 02/19/15.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

An unannounced annual Quality Indicator Survey was conducted at Princeton Health Care Center from February 16, 2015 through February 19, 2015 to assess compliance with regulatory requirements.

The facility was found deficient in implementing care plans related to nutrition and fall prevention for several residents, failure to maintain accurate weight records and timely dietary interventions, failure to provide dietary supplements as ordered, and failure to maintain proper infection control practices related to medication application.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to fire safety, emergency preparedness, and resident rights at Princeton Health Care Center.

The facility was found deficient in multiple areas including failure to maintain one-hour fire rated construction in hazardous areas, inadequate fire drill documentation and scheduling, failure to maintain sprinkler systems in reliable condition, gaps in ceiling construction affecting sprinkler activation, and insufficient generator maintenance and testing documentation.

An unannounced revisit was conducted at Princeton Health Care Center from 06/17/14 to 06/19/14 for the Quality Indicator and Licensure Surveys concluding on 05/14/14.

The facility was found to have corrected the previously cited deficient practices, as reflected on the CMS-2567B.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically regarding fire drill documentation and oxygen storage safety.

The facility failed to maintain fire drill documentation for the second quarter of 2013/2014 and the first two weeks of April 2014. Additionally, the facility failed to maintain proper separation of empty and full oxygen cylinders in the oxygen storage cabinet, and the storage cabinet was not located at least 20 feet from any doors or windows.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted at Princeton Health Care Center from April 14, 2014 through April 17, 2014.

The facility was found deficient in multiple areas including failure to notify physicians of changes in condition, failure to maintain resident dignity during meals, failure to develop comprehensive care plans, failure to revise care plans after significant weight loss, failure to implement care plan interventions, failure to provide highest practicable well-being, medication errors, unsafe environment hazards, failure to maintain nutrition status, failure to prevent significant medication errors, and failure to maintain sanitary food and medication storage conditions.

The inspection was conducted as a complaint survey based on complaint numbers 10628 and 14047 to investigate allegations related to care and services.

The facility was found to have failed to provide care and services to prevent avoidable urinary tract infections (UTIs) and failed to ensure residents were not unnecessarily isolated. Both allegations were determined to be unsubstantiated. No unrelated deficiencies were identified.

Complaint #: 10628/14047 Unsubstantiated. The facility fails to provide care and services to prevent avoidable UTIs. Unsubstantiated. The facility fails to ensure residents are unnecessarily isolated. Unsubstantiated.

An unannounced complaint investigation was conducted at Princeton Healthcare from March 18, 2014 through March 19, 2014 in response to complaint #10628/14047.

The complaint was unsubstantiated with no unrelated deficiencies found. The investigation included observations, review of residents' clinical records, resident and staff interviews, and review of other facility documentation.

Complaint #10628/14047 was unsubstantiated with no unrelated deficiencies.

This document is a plan of correction related to deficiencies identified during a prior inspection of Princeton Health Care Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was a Quality Indicator Survey conducted from 12/03/2012 through 12/06/2012 to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including failure to notify a physician of abnormal lab results for a resident on anticoagulant therapy, inaccurate resident assessments, failure to revise care plans to reflect current medication orders, and failure to ensure medications were not expired in medication storage areas.

The inspection was conducted to assess compliance with life safety codes, fire drill requirements, and maintenance of emergency power systems at the facility.

The facility was found deficient in maintaining proper signage on delayed egress doors, failure to conduct quarterly fire drills on each shift, and failure to maintain and test the emergency generator and transfer switch as required by NFPA standards.

The inspection was conducted in response to complaint reference #11106.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11106 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a substantiated complaint investigation (reference #11029) regarding failure to provide reasonable accommodations and adequate supervision to residents, specifically Resident #78.

The facility failed to provide reasonable accommodations related to the physical environment and staff behaviors, resulting in delayed response to call lights. Additionally, the facility failed to revise Resident #78's care plan and nursing assistant worksheet after hospital readmission to reflect increased assistance needs, leading to a fall with injury. The facility also failed to provide adequate supervision to prevent avoidable accidents, as Resident #78 was left unattended on a bedside commode and subsequently fell, sustaining a concussion and abrasions.

Complaint reference #11029 was substantiated with deficiencies cited related to Resident #78's care and supervision.

The document is a Statement of Deficiencies and Plan of Correction for Princeton Health Care Center, related to regulatory compliance and facility oversight.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The inspection was conducted as a complaint investigation (reference #10244) regarding the facility's failure to coordinate assessments with the pre-admission screening and resident review (PASRR) program under Medicaid.

The facility re-admitted Resident #56 from an inpatient psychiatric stay without prior approval from the State-designated reviewing agency (WVMI), resulting in no payer source for the resident's continued stay. The facility staff were unaware of the requirement for an approved PAS-2000 prior to readmission. The facility failed to comply with Medicaid eligibility requirements for nursing home placement.

Complaint reference #10244 was substantiated with deficiencies cited related to failure to coordinate PASRR assessments and Medicaid eligibility requirements for Resident #56.

The inspection was conducted as part of a comprehensive annual survey to assess compliance with federal regulations regarding resident rights, housekeeping, assessment accuracy, care planning, nutrition, food safety, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to maintain a sanitary environment, inaccurate resident assessments and care plans, failure to promptly address significant weight loss, improper medication administration, unsanitary food handling and storage practices, and incomplete clinical records.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to fire safety, medical gas storage, electrical safety, and resident rights.

The facility was found deficient in maintaining smoke barrier walls with required fire resistance, conducting quarterly fire drills on each shift, storing oxygen cylinders according to NFPA 99 standards, and maintaining electrical equipment in accordance with NFPA 70. Specific issues included unsealed openings in smoke barrier walls, missing fire drills for certain shifts, improper oxygen cylinder storage, and an uncovered electrical outlet.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Princeton Health Care Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation based on complaint reference #9233, which was substantiated with deficiencies cited, and complaint reference #9237, which was unsubstantiated with no deficiencies.

The facility failed to provide a written discharge notice to Resident #117 and her legal representative on two occasions and failed to ensure a safe and orderly discharge. Resident #117 was discharged to an acute care hospital without a plan for readmission, and the facility did not assist with placement efforts. The resident's health care surrogate refused psychiatric medications, leading to discharge from psychiatric care.

Complaint reference #9233 was substantiated with deficiencies cited. Complaint reference #9237 was unsubstantiated with no related deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Princeton Health Care Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a complaint investigation referenced by complaint #9170, substantiated with deficiencies cited.

The facility failed to ensure the promotion of each resident's quality of life, as evidenced by a resident having to wait at least eighteen minutes for staff to provide a bedpan. Observations also noted delayed response to call lights.

Complaint reference #9170 was substantiated with deficiencies cited related to delayed staff response and failure to promote resident quality of life.

The inspection was conducted to evaluate compliance with NFPA Life Safety Code standards, including exit accessibility, fire alarm system maintenance, and medical gas storage safety.

The facility failed to maintain all exits and egress paths readily accessible, had a delayed-egress locking device that did not activate properly, failed to inspect and test all fire alarm system components as required, and improperly stored oxygen cylinders not secured as per NFPA 99 standards.

The inspection was conducted as part of the annual certification survey of Princeton Health Care Center to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including resident self-administration of medication, notice requirements before transfer/discharge, bed-hold policy notification, employee background checks, reasonable accommodation of resident needs, comprehensive care plan development, timely and accurate submission of resident assessments, range of motion treatment, dietary menu planning for special diets, food preparation and sanitation, and environmental safety on the 300 hall.

The visit was a paper revisit to follow up on previously identified deficiencies at Princeton Health Care Center.

The document contains a statement of deficiencies related to resident rights and notification requirements, but no specific findings or severity levels are detailed in this excerpt.

The inspection was conducted in response to complaint references #2-8126 and #2-8164. The complaints were unsubstantiated, but unrelated deficiencies were cited.

The facility failed to ensure that two of four residents who had experienced falls had comprehensive care plans that included all interventions to prevent future falls. The care plans were incomplete and had not been updated after the residents' falls.

Complaint references #2-8126 and #2-8164 were investigated and found to be unsubstantiated. However, unrelated deficiencies were cited during the investigation.

The inspection was conducted as a complaint investigation involving two complaint references (#2-7296 substantiated with deficiencies cited, and #2-7298 unsubstantiated with no deficiencies).

The facility failed to maintain accurately documented and systematically organized clinical records for one of ten sampled residents (#113), including improper error corrections and out-of-order nursing notes, which did not comply with accepted standards of practice.

Complaint reference #2-7296 was substantiated with deficiencies cited; complaint reference #2-7298 was unsubstantiated with no related deficiencies cited.

The inspection was an annual survey to assess compliance with federal regulations related to resident care, staffing, infection control, dietary services, and facility operations.

The facility was found deficient in multiple areas including staff treatment of residents, resident dignity, timely and comprehensive resident assessments, medication administration, infection control, nursing staffing and posting, dietary services, sanitary conditions in food preparation, resident call system maintenance, and laboratory services. Specific issues included failure to follow abuse/neglect reporting policies, delayed feeding assistance, improper eye drop administration, incomplete infection control monitoring, inadequate nurse staffing deployment, improper food temperature and preparation, and failure to obtain ordered lab tests.

The inspection was conducted as a routine annual survey to assess compliance with NFPA Life Safety Code standards and other regulatory requirements at Princeton Health Care Center.

The facility was found deficient in several areas including failure to provide automatic sprinkler coverage to all portions of the facility, failure to provide metal containers with self-closing covers in smoking areas, failure to properly exercise the emergency power supply system under load, and failure to maintain electrical wiring and receptacles in accordance with NFPA 70 standards.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Princeton Health Care Center.

The report identifies a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related information.

Paper revisit to review the facility's plan of correction following a prior inspection.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on informing residents of their rights and services in writing and orally.

Complaint investigation triggered by complaint reference #2-6157 regarding residents' rights to cardiopulmonary resuscitation (CPR) and other care issues.

The facility failed to provide CPR to a resident without a DNR order, had a policy conflicting with state law and CPR guidelines, failed to notify responsible parties of significant changes, failed to report an abuse allegation timely, did not ensure dignity in care, failed to provide equal opportunities for residents on locked units, had incomplete and non-measurable care plans, failed to follow physician orders for fluid restriction, did not prevent digital stool removal, failed to monitor wounds and provide appropriate treatment, failed to provide oral hygiene for dependent residents, failed to prepare food in appropriate consistency, and failed to administer respiratory medication properly. Infection control breaches were also noted.

Complaint reference #2-6157 substantiated with multiple deficiencies cited related to residents' rights, care, and safety.

The inspection was conducted as a routine annual survey to assess compliance with health and safety regulations, including fire safety and life safety code standards.

The facility was found to have multiple deficiencies related to life safety code standards, including failure to maintain flame spread ratings on walls, obstructed exit access, non-illuminated exit signs, corroded sprinkler heads, improper storage of large trash receptacles, and lack of battery-powered emergency lighting at the generator site.

This document is a plan of correction related to a paper revisit survey conducted at Princeton Health Care Center.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as well as providing notice of Medicaid benefits and charges.

The inspection was conducted in response to two complaint references, #2-6088 and #2-6119.

Both complaint investigations were completed with no deficiencies cited; one complaint was unsubstantiated and the other was substantiated but no deficiencies were found.

Complaint reference #2-6088 was unsubstantiated with no deficiencies cited. Complaint reference #2-6119 was substantiated with no deficiencies cited.

This document is a plan of correction submitted in response to deficiencies identified in a prior inspection of Princeton Health Care Center.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).

The inspection was conducted as a complaint investigation referenced as #2-6070, focusing on allegations of abuse and related regulatory compliance.

The facility failed to report one of four reviewed allegations of abuse to the appropriate outside agencies, specifically adult protective services (APS). The allegation involved Resident #48 and occurred on 2006-03-13. The facility's social worker could not provide proof of reporting, and APS confirmed no record of the referral.

Complaint reference #2-6070 was unsubstantiated with unrelated deficiencies cited. The investigation found failure to report an abuse allegation to APS.

The inspection was conducted in response to substantiated complaints #2-6028 and #2-6042 regarding deficiencies in resident care and facility operations.

The facility was found deficient in multiple areas including failure to develop comprehensive care plans for residents with safety needs, inadequate nursing services and supervision leading to resident falls, improper treatment of skin tears without physician consultation, and insufficient nursing staff on the night shift to meet resident needs.

Complaint references #2-6028 and #2-6042 were substantiated with related and unrelated deficiencies cited.

Paper revisit to review the facility's plan of correction following a prior inspection.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on informing residents of their rights and services. No new inspection findings are detailed beyond the plan of correction context.

The inspection was conducted as a complaint investigation referenced as #2-5283, which was substantiated with deficiencies cited.

The facility failed to ensure adequate supervision and assistive devices to prevent accidents for a resident (#7) who sustained injuries to the foot and arm and was noted to put her arms and legs through side rails. The side rail assessment and care plan had not been updated since March 2005 despite the resident's injuries.

Complaint reference #2-5283 was substantiated with deficiencies cited related to resident safety and notification of rights.

This document is a plan of correction related to a paper revisit survey conducted at Princeton Health Care Center.

The document includes a statement of deficiencies related to resident rights and notification requirements, specifically regarding informing residents of their rights, services, charges, and Medicaid benefits.

The inspection was conducted in response to complaint references #2-5161, #2-5169, and #2-5182, with one complaint substantiated and deficiencies cited.

The facility was found deficient in providing immediate access to residents by visitors, failing to provide an ongoing activities program tailored to residents' interests and mental capabilities, particularly for those with Alzheimer's or dementia, and failing to ensure staff washed hands after providing incontinence care, risking infection spread.

Complaint reference #2-5161 was unsubstantiated with no related deficiencies. Complaint reference #2-5169 was substantiated with deficiencies cited. Complaint reference #2-5182 was unsubstantiated with no related deficiencies.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document contains a statement of deficiencies and the provider's plan of correction related to resident rights and notification requirements. No new deficiencies or severity levels are explicitly stated.

The inspection was conducted as a complaint investigation referenced as #2-5135, substantiated with deficiencies cited related to quality of care.

The facility failed to follow interventions designed to prevent skin breakdown for Resident #32 and failed to turn and reposition Resident #47 who had a Stage II pressure sore, despite care plans requiring repositioning every two hours.

Complaint Reference #2-5135 was substantiated with deficiencies cited related to quality of care and failure to follow care plans for residents at risk of skin breakdown.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on informing residents of their rights and services. No new inspection findings are detailed beyond the initial comments.

The inspection was conducted as a comprehensive annual survey of the nursing facility to assess compliance with federal regulations and standards of care.

The facility was found deficient in multiple areas including medication administration errors, failure to complete comprehensive resident assessments after significant changes, inaccurate resident assessments, inadequate care planning, failure to provide gradual dose reductions for antipsychotic drugs, dietary service deficiencies, unsafe physical environment, unsecured corridor handrails, and incomplete clinical records documentation.

The inspection was conducted as a regulatory annual survey of the Princeton Health Care Center to assess compliance with health and safety standards including life safety code, resident rights, and facility policies.

The facility was found deficient in maintaining proper door latching and closing mechanisms, maintaining smoke barrier walls with required fire resistance, using soiled linen receptacles exceeding allowed capacity in non-hazardous areas, and failing to establish an approved fire watch and notify authorities during a dry sprinkler system shutdown.

Paper revisit to review the facility's plan of correction related to previously identified deficiencies.

The document contains a statement of deficiencies and the provider's plan of correction addressing the cited issues, specifically regarding resident rights and notification requirements.

The inspection was conducted as a complaint investigation referenced as #2-5014, which was ultimately unsubstantiated but resulted in unrelated deficiencies being cited.

The facility failed to ensure resident dignity when a nursing staff member administered insulin injections to Resident #56 in the main dining room in clear view of other residents, causing the resident embarrassment.

Complaint reference #2-5014 was unsubstantiated, but unrelated deficiencies were cited.

The inspection was conducted in response to complaint reference #2-4224.

The complaint was unsubstantiated and no deficiencies were cited during the inspection.

Complaint reference #2-4224 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-4121, focusing on substantiated complaints with unrelated deficiencies cited.

The facility failed to thoroughly investigate and document injuries of unknown origin for three residents (#8, #9, and #44) and did not report these injuries to the State agency as required. Investigations lacked sufficient staff interviews and documentation, and the facility's reasoning for non-abuse determinations was inadequately supported.

Complaint reference #2-4121 was substantiated with unrelated deficiencies cited. The facility did not assure thorough investigation or reporting of injuries of unknown origin for residents #8, #9, and #44.

The inspection was conducted as an annual survey to assess compliance with federal regulations governing nursing facilities, including resident rights, protection of resident funds, resident assessments, dietary services, and other regulatory requirements.

The facility was found deficient in multiple areas including failure to properly document the determination of capacity for residents deemed incompetent, lack of state-approved surety bond to protect resident funds, inadequate assessment and physician orders for Foley catheters, and improper storage and labeling of food items in the kitchen. These deficiencies affected resident rights, safety, and quality of care.

The inspection was conducted to evaluate compliance with NFPA 101 Life Safety Code standards, specifically regarding exit door locking mechanisms and the maintenance of the automatic sprinkler system.

The facility failed to maintain all exit doors as required, specifically a magnetic locking device on an exit door did not activate an audible signal during release testing. Additionally, the automatic sprinkler system was not continuously maintained in reliable operating condition due to a low air pressure switch issue that remained unrepaired during the inspection period.

The inspection was conducted as an annual survey to assess compliance with federal regulations governing nursing facilities, including resident rights, protection of resident funds, resident assessments, dietary services, and other regulatory requirements.

The facility was found deficient in multiple areas including failure to properly document the determination of capacity for residents deemed incompetent, failure to have an approved surety bond to protect resident funds, inadequate assessment and physician orders for Foley catheters, and improper storage and labeling of food items in the kitchen. These deficiencies affected resident rights, safety, and quality of care.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to resident rights and facility safety systems.

The facility failed to maintain all exit doors as required by NFPA 101, specifically a magnetic locking device lacked an audible signal during release. Additionally, the automatic sprinkler system was not continuously maintained in reliable operating condition due to a low air pressure switch issue that remained unrepaired during the inspection period.

The inspection was conducted following a complaint alleging neglect in care, specifically that residents were left unattended in the solarium with inadequate repositioning and incontinence care.

The facility failed to provide timely turning, repositioning, and incontinence care for two residents (#55 and #87) who required total care, resulting in skin breakdown and soiled clothing. Staff were observed neglecting these care needs for extended periods during the day.

The complaint was substantiated based on observations, interviews, and medical record reviews indicating neglect in care for residents #55 and #87.

The inspection was conducted to evaluate compliance with federal regulations regarding resident rights, staff treatment of residents, resident assessment, and quality of care at Princeton Health Care Center.

The facility was found deficient in multiple areas including failure to prevent dehydration and acute renal failure in a resident, failure to ensure qualified personnel provided thickened liquids to residents, and failure to develop interventions to prevent falls. Eleven residents received pudding consistency liquids from untrained staff, and one resident suffered multiple falls without appropriate care plan revisions.

The inspection was conducted as a complaint investigation (#2-3054) regarding staff certification compliance.

The facility did not ensure that one of six certified nursing assistants (CNA #1) was certified and registered to work in West Virginia prior to employment, potentially affecting all residents in her care.

Complaint investigation #2-3054. The CNA in question was employed full-time from 02/25/03 to 04/17/03 without state certification and obtained reciprocity only on 03/24/03.

The inspection was conducted as a complaint investigation identified by CI #2-3036.

The report includes a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges as required by regulation 483.10(b)(5)-(10).

Complaint investigation identified as CI #2-3036.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards and other regulatory requirements related to resident rights and facility safety systems.

The facility failed to maintain all designated exits to be readily accessible, specifically the magnetic locking devices on double doors did not release as required. Additionally, the facility's rangehood wet chemical extinguishing system was not inspected monthly as required, with missing inspection records for October and November 2002.

The inspection was conducted as a comprehensive annual survey of Princeton Health Care Center to assess compliance with federal regulations regarding resident rights, quality of care, infection control, physical environment, and staff competency.

The facility was found deficient in multiple areas including failure to provide privacy during medication administration, unresolved resident grievances, inadequate investigation and reporting of injury of unknown origin, failure to obtain personnel references for new hires, failure to maintain resident dignity and timely meal service, failure to provide reasonable accommodations such as glasses, improper medication administration techniques, inadequate personal hygiene care, failure to follow care plans for incontinence, non-functional nurse call system, unsanitary physical environment, improper food storage and handling, ineffective infection control practices, and failure to notify physicians of lab results.

The inspection was conducted to assess compliance with clinical record maintenance and resident rights regulations at Princeton Health Care Center.

The facility failed to maintain accurate and complete clinical records for three residents, including incorrect medication administration times and missing documentation of treatments, despite confirmation that medications were administered as ordered.

Routine inspection of Princeton Health Care Center to assess compliance with federal regulations including resident rights, quality of life, quality of care, environment, pharmacy services, infection control, and dietary services.

The facility was found deficient in multiple areas including failure to ensure proper exercise of resident rights, inadequate quality of life accommodations such as early waking times and dining environment disparities, insufficient fluid intake for several residents, failure to implement gradual dose reduction of antipsychotic medication, medication labeling deficiencies, infection control lapses during G-tube medication administration, and meal service timing issues with lack of nourishing bedtime snacks.

The document is a plan of correction related to deficiencies found during a facility inspection, specifically addressing issues with the sprinkler system testing and maintenance.

The facility failed to test all portions of the sprinkler system in accordance with NFPA 25 standards. Specifically, the fire pump weekly inspection reports showed the pump motor was operated for only about 1 minute and 55 seconds weekly, less than the required minimum of 10 minutes.

The inspection was conducted to assess compliance with regulatory standards related to dietary services and resident rights at the facility.

The facility failed to ensure that food was served at the proper temperature for potentially hazardous food items, affecting all residents on an oral diet in the South Wing. The resident census on the South Wing was 57, with a total facility census of 116. Temperatures of served pork were below the acceptable 120 degrees Fahrenheit at the point of consumption.

The inspection was conducted due to allegations of abuse/neglect and failure to report incidents of unknown origin, as well as concerns about quality of care, dietary services, and sanitary food storage.

The facility failed to report and fully investigate two allegations of abuse/neglect and five incidents of unknown origin. Additionally, the facility left a medication cart unlocked, served food at improper temperatures, prepared food in a way that compromised nutritional value, and stored food improperly in violation of sanitation regulations.

The complaint investigation revealed failure to report and protect residents during investigations of abuse/neglect allegations involving residents #47 and #61, and failure to report five incidents of injuries of unknown origin involving residents #66, #63, #44, #54, and #7.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 1981.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 1981.

This document is a Statement of Deficiencies and Plan of Correction related to regulatory compliance at Princeton Health Care Center.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b).