Inspection Reports for The Havens at Princeton

The inspection was conducted as an annual survey of the facility.

The annual survey found no deficiencies cited at the facility.

Annual environmental inspection conducted to assess compliance with health and safety regulations.

No deficiencies were cited during the inspection. The fire marshal report dated 1/25 showed no recommendations, and the sanitarian's recommendations dated 6/24 indicated all items were corrected.

This document reports on a re-inspection visit conducted to verify correction of previously cited deficiencies from an environmental survey conducted on March 25, 2024.

The facility had deficiencies identified during the initial environmental survey, but all deficiencies were corrected by the time of the re-inspection on June 4, 2024.

The inspection was conducted as an annual survey of the facility to assess compliance with nursing and medical care requirements.

A deficiency was cited for failure to ensure that a resident's service plan addressed their nursing and medical needs, specifically the omission of a pacemaker in the care plan. The registered nurse updated the care plan and revised admission screening procedures accordingly.

The inspection was conducted to assess the facility's compliance with physical facilities maintenance, housekeeping, and emergency preparedness regulations.

The facility failed to maintain a safe, sanitary, and accident-free living environment, with multiple physical deficiencies observed including damaged heating/cooling units, unsecured ceiling exhaust fan, missing light fixture covers, water-stained ceiling tiles, and detached soffit. Additionally, the licensee failed to rehearse and document an annual disaster preparedness drill with all staff.

Follow-up to investigation of Complaint #29128 to verify correction of previously identified deficiencies.

Credible evidence was accepted in lieu of an onsite revisit, and the deficiency related to safety and supervision was cleared.

Investigation of Complaint #29128; deficiency cleared based on credible evidence accepted on 10/26/23.

Investigation of Complaint #29521 regarding facility operations and care.

The complaint investigation found the allegation unsubstantiated with no deficiencies cited after review of closed records and observation.

Investigation of Complaint #29521 was conducted on 10/17/23. One allegation was reviewed and found unsubstantiated with no deficiencies cited.

Investigation of Complaint #29128 regarding failure to ensure all Licensed Practical Nurse (LPN) license renewals were verified, specifically for one employee (#10) with an inactive license status.

The facility failed to verify the license renewal status of one LPN employee (#10), who worked shifts without a valid license. The license was found inactive with an outstanding renewal. The employee was removed from LPN duties until the license was reinstated. The deficiency was corrected by 10/06/23. Additionally, the report includes observations of inadequate housekeeping and maintenance in the facility.

Complaint #29128 was investigated on 09/13/23. The complaint was substantiated as the employee (#10) worked as an LPN without a valid license from 07/01/23 to 09/12/23. The license was reinstated on 10/06/23 and the employee returned to LPN duties on 10/08/23.

Investigation of Complaint #29127 conducted on 09/13/23 from 1:30 PM to 4:00 PM.

The inspection was conducted as a complaint investigation. The report does not provide detailed findings or deficiencies beyond the initial comments.

Complaint #29127 was investigated during the visit on 09/13/23. No substantiation status is provided.

The annual survey was conducted from 04/03/23 to 04/06/23 to assess compliance with health and safety regulations, nursing care documentation, and physical facility maintenance at Havens at Princeton.

The facility failed to maintain a complete record of registered nurse visits, did not ensure a safe and appropriate environment for consumers, and had physical facility issues including unsafe exterior conditions and inadequate housekeeping and maintenance.

The inspection was conducted as an annual survey to assess the facility's compliance with state licensing requirements.

The residence was found to be in substantial compliance with the licensing rule based on review of documentation, staff interviews, observations, and performance testing.

This was a follow-up visit to the annual survey to verify correction of previously cited deficiencies.

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.

The inspection was conducted as an annual survey to assess compliance with health and safety standards, assessment and service plans, health care standards, and housekeeping and maintenance requirements at Havens at Princeton.

The facility was found deficient in ensuring that functional needs assessments and service plans reflected residents' current needs and were updated timely. Additionally, the licensee failed to prepare proper transfer summaries for residents sent to emergency departments and did not ensure timely annual health assessments for some residents. The facility also failed to maintain adequate housekeeping and maintenance, with issues such as damaged carpets, missing bathroom fixtures, and unclean sinks observed.

The inspection was conducted as a Change of Ownership (CHOW) survey for the facility.

No tags were cited during the survey, indicating no deficiencies were found at the time of inspection.

The document is a plan of correction following a behavioral health survey conducted to address deficiencies related to the safety and appropriateness of the environment for adolescent consumers.

The survey found that the facility did not provide a safe environment, specifically noting that adolescent girls' bedrooms had outside doors without alarms and that staff were not awake on weekend nights to monitor consumers. The facility planned to implement awake-night supervision on weekends by July 1, 2004.

Annual survey conducted to assess compliance with health and safety regulations, record keeping, staffing requirements, and resident care standards at Havens at Princeton.

The facility was found deficient in documenting the release of resident belongings upon death, notifying physicians of resident deaths, ensuring at least one employee on duty had current CPR training, and maintaining complete resident records including religious preferences. Housekeeping and maintenance issues were also noted.

The inspection was an annual environmental survey conducted to assess compliance with health, safety, housekeeping, laundry, maintenance, and physical facility requirements.

The facility was found to have deficiencies related to housekeeping and maintenance, including dust, cobwebs, stains on ceilings and walls, and improper storage of soiled laundry. Corrective actions were planned or implemented to address these issues to maintain a safe, sanitary, and accident-free living environment.

The inspection was conducted as an Infection Control Survey at The Havens facility.

No deficiencies were found during the infection control survey. There were 11 cases of COVID-19 reported, including 8 residents and 3 employees.

Follow-up survey visit to verify correction of previously cited deficiencies at Havens at Princeton.

The deficiencies previously cited were corrected as of the follow-up survey conducted on 11/16/2020.

The inspection was conducted as an annual survey to assess compliance with health care standards and regulatory requirements at Havens at Princeton.

The facility was found deficient in ensuring timely renewal of insulin injection waivers for residents, preparing complete transfer summaries for residents discharged to other health care facilities, and maintaining adequate housekeeping and maintenance standards.

Annual environmental inspection conducted to assess the facility's compliance with health and safety regulations.

No deficiencies were cited during the inspection. The facility was found to have a public sewer system and a sprinkler type 13 system. Fire Marshal and Sanitarian reports indicated no recommendations.

The annual survey of Havens at Princeton was conducted to assess compliance with state regulations for assisted living residences, including personnel records, health and safety, housekeeping, maintenance, and resident health assessments.

The facility was found deficient in maintaining eligibility fitness determinations for staff and the administrator, accurate advance directive documentation, timely annual health assessments including tuberculosis screenings, and adequate housekeeping and maintenance of the physical environment.

Annual environmental inspection conducted to assess compliance with health and safety regulations.

No deficiencies were cited during the inspection. The facility had recommendations from a sanitarian and fire marshal, including 4 noncritical and 2 critical issues noted previously, but none were cited at this inspection.

Annual licensure survey conducted to assess environmental and regulatory compliance of the facility.

The annual environmental survey found no deficiencies at the facility.

The visit was conducted as an annual licensure survey of the facility.

The annual licensure survey found no deficiencies cited during the inspection conducted from August 20-22, 2018.

The inspection was conducted as a complaint investigation based on Complaint ID WV00018992.

No deficiencies were found during the complaint investigation.

Complaint ID WV00018992 was investigated and found to have no deficiencies.

The visit was conducted as an annual licensure survey to assess compliance with regulatory standards.

The facility was found to have no deficiencies during the annual licensure survey conducted from September 18-20, 2017.

The purpose of the visit was to conduct the annual licensure survey of The Havens of Princeton facility.

The inspection found no deficiencies cited during the environmental annual licensure survey.

The visit was conducted as an annual licensure survey focusing on environmental conditions at the facility.

The survey found no deficiencies during the inspection conducted on September 13, 2016.

The visit was conducted as an Annual Licensure Survey of the facility.

The report summarizes the annual licensure survey conducted from August 15-17, 2016, with a census of 49 residents. No specific deficiencies or severity levels are detailed in the provided text.

Annual licensure survey conducted to assess environmental conditions and compliance of the facility.

The facility was found to have no deficiencies during the annual licensure survey conducted on October 20, 2015.

The document is an annual licensure survey conducted to assess the facility's compliance with regulatory requirements.

The report summarizes the annual licensure survey conducted from August 10-12, 2015, with a census of 45 residents. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as a complaint investigation for complaint #WV00012737 from January 5-7, 2015.

The report documents a complaint investigation at Havens at Princeton with a census of 48 residents. No specific deficiencies or findings are detailed in the provided text.

Complaint #WV00012737 investigated from January 5-7, 2015. No substantiation status provided.

The visit was a follow-up survey to verify corrections after the annual licensure survey conducted August 18-21, 2014.

The report summarizes the annual licensure survey and the subsequent follow-up survey, both conducted with a census of 45 residents. Specific deficiencies or findings are not detailed in the provided text.

Annual licensure survey conducted to assess the environment of the facility.

The inspection found no deficiencies related to the environment during the annual licensure survey.

Annual licensure survey conducted August 18-21, 2014 to assess compliance with health and safety regulations, employee training, resident care, and facility maintenance.

The facility failed to protect the physical and mental well-being of one resident (#18) who threatened suicide and was not properly monitored or referred for behavioral health services. Employee training records were incomplete for new hires. Housekeeping and maintenance deficiencies were observed, including damaged carpet and missing bathroom fixtures. The resident's care plan was not updated to reflect significant changes in condition. Documentation and notification of incidents were inadequate.

The inspection was conducted as a complaint investigation at the facility.

The report does not provide detailed findings or deficiencies related to the complaint investigation.

Complaint investigation conducted on April 28, 2014, with a census of 45 residents. No substantiation status or detailed complaint findings are provided.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Only technical assistance was provided.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements.

The report summarizes the annual licensure survey conducted on August 20, 2013, with a census of 46 residents. No specific deficiencies or severity levels are detailed in the provided document.

Annual licensure survey conducted to assess compliance with state regulations for assisted living facilities.

The facility was found deficient in multiple areas including failure to conduct timely abuse registry checks prior to hiring, inadequate first aid training for staff, lack of annual Alzheimer's training, failure to maintain inspection reports accessible to residents, failure to obtain required waivers for residents needing nursing care, incomplete resident records, failure to conduct timely tuberculosis screenings, and failure to monitor and document resident weights monthly with physician notification for significant changes. Additionally, housekeeping and maintenance issues were observed.

The inspection was conducted as an annual licensure survey of the facility.

The report notes a repeat deficiency cited during a follow-up survey on October 15, 2012, with a reduced census of 41. Specific deficiencies are not detailed in the provided text.

The visit was conducted as an annual licensure survey to assess compliance with regulatory requirements for the facility.

No deficiencies were cited during the survey, and no technical assistance was given.

The document is an annual licensure survey and follow-up inspection conducted to assess compliance with health and safety regulations and to verify correction of previously cited deficiencies.

The annual licensure survey conducted on September 21, 2011, identified deficiencies including a Class I deficiency that was not corrected due to weather. Follow-up inspections noted plans for corrective action in spring 2012 and eventual correction of deficiencies by August 20, 2012.

The inspection was conducted as an annual licensure survey with a follow-up to verify correction of previously cited deficiencies.

The facility was found deficient in maintaining safe and adequate emergency exits, with none of the thirteen designated emergency exits having sidewalks leading to a safe gathering place. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and unclean areas. The deficiency related to emergency exits was a repeat finding from prior inspections.

The inspection was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The inspection was conducted as an annual licensure survey with a follow-up visit to verify correction of previously cited deficiencies.

The facility was found deficient in maintaining a safe and adequate means of emergency egress, with none of the thirteen designated emergency exits having a sidewalk leading to a safe gathering place. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpet, missing bathroom fixtures, and unclean conditions.

The visit was conducted as an annual licensure survey to assess environmental and physical facility compliance.

The inspection found that the facility failed to provide and maintain a safe and adequate means of exiting the building in the event of an emergency, specifically noting that none of the thirteen designated emergency exits had sidewalks leading to a safe gathering place. Additionally, deficiencies in housekeeping and maintenance were noted in a prior behavioral health survey.

The inspection was conducted as a complaint investigation regarding compliance with fire safety regulations and care for residents classified as impractical.

The facility failed to comply with state fire commission rules by housing two residents who require total assistance to evacuate in a building with an insufficient sprinkler system. The administrator was directed to initiate discharge planning or comply with fire safety rules. Additionally, observations included lack of adequate safety measures and maintenance issues.

Complaint Investigation #WV00006272 conducted on March 15, 2011, substantiated by surveyor Garry Taylor.

The inspection was conducted as a complaint investigation following a complaint identified as #WV00006272.

The complaint investigation was substantiated. A follow-up visit was conducted on April 20, 2011, during which the deficiencies identified were corrected.

Complaint #WV00006272 was substantiated as per the investigation conducted by surveyor Garry Taylor.

Annual licensure survey conducted to assess compliance with regulatory requirements.

No deficiencies or technical assistance were identified during the survey.

The inspection was conducted as an annual licensure survey with a follow-up visit to assess compliance with nursing care documentation requirements.

The facility was found deficient in documenting weekly nursing assessments for residents with nursing care needs, particularly regarding insulin-dependent diabetic residents. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and unclean areas.

The annual licensure survey was conducted to assess compliance with state regulations and resident rights at Havens at Princeton.

The survey found deficiencies related to failure to respond promptly to resident complaints, inadequate housekeeping and maintenance, and inconsistent nursing documentation for residents with nursing care needs.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted from July 26-28, 2010, with a census of 42 residents. A follow-up survey was conducted on September 9 and October 12, 2010, to verify correction of deficiencies, which were found to be corrected.

The visit was a follow-up survey to verify correction of deficiencies identified during the annual licensure survey conducted on September 2, 2009.

The follow-up survey found that the previously cited deficiencies had been corrected.

Annual licensure survey conducted to assess compliance with environmental and fire safety regulations at Havens at Princeton.

The facility failed to comply with the West Virginia State Fire Code and the National Fire Protection Association Life Safety Code, particularly regarding housing impractical residents without approved exits and lack of documented fire drills. Additionally, deficiencies in housekeeping and maintenance were noted from a prior behavioral health survey.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

No deficiencies were found during the survey. Technical assistance was provided to the facility.

This was a second follow-up survey conducted to verify correction of deficiencies identified in previous inspections, including the annual licensure survey and the first follow-up.

The document summarizes the annual licensure survey conducted in November 2008 with a census of 44, followed by a first follow-up in February 2009 with a census of 44, and a second follow-up on April 21, 2009 with a census of 43. No specific deficiencies or findings are detailed in this report.

Annual licensure survey conducted to assess compliance with health and safety regulations, employee training, resident care, and documentation requirements.

The facility was found deficient in multiple areas including failure to report major incidents timely, inadequate employee orientation and ongoing training especially related to specialty care needs, incomplete or outdated resident assessments and service plans, medication administration errors, and insufficient monitoring and documentation of residents' conditions following incidents or illness onset. Housekeeping and maintenance issues were also noted.

Annual licensure survey conducted to assess compliance with health and safety regulations, resident care standards, and facility operations.

The facility was found deficient in multiple areas including failure to protect residents from abuse, inadequate housekeeping and maintenance, failure to report major incidents timely, insufficient employee training, failure to seek immediate treatment for residents at risk of harm, incomplete and outdated resident assessments and service plans, failure to reassess residents' ability to self-administer medications after condition changes, inadequate monitoring of residents after accidents or illness onset, failure to provide therapeutic diets as ordered, and failure to monitor and report significant weight changes.

The inspection was conducted as an annual licensure survey to assess the environment and compliance of the facility.

No deficiencies or technical assistance were identified during the annual licensure survey conducted on October 21, 2008.

Annual licensure survey conducted from September 11-13, 2007 to assess compliance with licensing standards and regulations.

The facility was found deficient in multiple areas including employee training on therapeutic diets, failure to maintain legal authority documents for residents' representatives, inadequate response to resident complaints, and failure to ensure proper housekeeping and maintenance. Dietary services did not comply with physician orders for modified diets, and food preparation training was lacking.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

The report indicates that deficiencies were identified during the annual licensure survey conducted September 11-13, 2007, and a follow-up survey on December 10, 2007, confirmed that deficiencies were corrected with technical assistance provided.

The visit was conducted as an annual licensure survey including an environmental survey of the facility.

The report documents the annual licensure survey with a census of 41 residents. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as an annual licensure and environmental survey of the facility to assess compliance with health, safety, and maintenance regulations.

The survey identified deficiencies related to maintenance and safety, including unsafe oxygen tank filling practices in resident rooms, and various housekeeping and environmental issues such as damaged carpet, missing bathroom fixtures, and inadequate supervision in prior behavioral health surveys.

The inspection was conducted as an annual licensure survey including an environmental survey to assess compliance with regulatory requirements.

The report documents the annual licensure survey and a follow-up survey where deficiencies were corrected. The follow-up survey was conducted to verify correction of previously identified deficiencies.

Annual licensure survey conducted to assess compliance with health, safety, administrative, employee training, dietary services, and resident rights regulations.

The facility was found deficient in multiple areas including failure to ensure adequate housekeeping and maintenance, incomplete employee background checks prior to hiring, inadequate employee orientation and training, failure to provide required Alzheimer's disease training, failure to respond to resident complaints in writing within required timeframes, and failure to ensure residents receive three freshly prepared meals daily with appropriate menu variety and resident participation in menu planning.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

The annual licensure survey and subsequent follow-up found deficiencies which were corrected. Technical assistance was provided during the follow-up visit.

The inspection was conducted as a complaint investigation triggered by an incident involving the burning of a pop tart in a microwave by a resident, resulting in smoke and evacuation of residents.

The licensee failed to report major incidents as required, and there was inadequate staffing on night shifts, with only one employee present at times to supervise 40 residents, raising safety concerns. Additionally, housekeeping and maintenance deficiencies were noted from a prior survey.

Complaint Investigation #WV00002655 conducted April 11-12, 2006. The complaint was substantiated based on findings that the licensee failed to report a major incident involving a resident burning a pop tart in a microwave on April 1, 2006, and failed to maintain adequate night staffing.

The inspection was conducted as a complaint investigation at Havens at Princeton on April 11-12, 2006.

The report documents a complaint investigation followed by a complaint follow-up visit where deficiencies were corrected. The census increased slightly from 40 to 41 between visits.

Complaint investigation #WV00002655 conducted April 11-12, 2006, followed by a complaint follow-up on May 18, 2006, with deficiencies corrected.

The inspection was conducted as an annual licensure survey to assess environmental and regulatory compliance at the facility.

The report summarizes the annual licensure survey findings related to environmental conditions at the facility. No specific deficiencies or severity levels are detailed in the provided document.

Annual licensure survey conducted from August 31 to September 1, 2005, to assess compliance with state regulations and licensing standards for the facility.

The inspection identified multiple deficiencies including inadequate employee training on resident rights and abuse reporting, failure to perform and document nursing assessments and update service plans for residents with nursing needs, and inadequate housekeeping and maintenance in the facility environment.

The inspection was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from August 31 to September 1, 2005, with a census of 38 residents. A follow-up survey was conducted on November 9, 2005, with a census of 41, during which deficiencies were corrected.

This document is a plan of correction submitted following a 2nd follow-up survey conducted on January 18, 2005, to address previously identified deficiencies and verify their correction.

The report notes that deficiencies identified in prior surveys, including a change of ownership survey and a first follow-up survey, have been corrected. The deficiencies involved employee files, resident records, and resident interviews.

This was a 1st Follow-up Survey conducted to verify correction of previous deficiencies identified during the Change of Ownership Survey conducted September 27-29, 2004.

The facility was found to have repeat deficiencies related to failure to ensure adequate housekeeping and maintenance, failure to properly check the nurse aide abuse registry prior to hiring employees, and failure to provide updated resident admission contracts including required provisions such as liability insurance coverage and cost disclosures.

This is a follow-up visit to an environmental survey conducted on September 27, 2004, to verify correction of previously identified deficiencies.

The report summarizes the initial environmental survey and the follow-up visit, noting the census at each time and that the follow-up survey report was completed after additional information was submitted and approved.

Change of Ownership Survey conducted from September 27-29, 2004 to assess compliance with licensure and regulatory requirements.

The facility was found deficient in multiple areas including failure to maintain adequate housekeeping and maintenance, incomplete employee training records, failure to submit required abuse registry screenings prior to hiring, incomplete resident service plans, failure to update service plans with significant changes, inadequate nursing documentation, and failure to maintain a registered nurse visit log. Several physical environment issues were noted such as damaged carpet, missing bathroom fixtures, and unsecured doors.

The inspection was conducted as an environmental survey to assess compliance with health, safety, disaster preparedness, and physical facility regulations.

The facility was found deficient in disaster and emergency preparedness, housekeeping and maintenance, physical cleanliness, and safe storage of toxic materials. Specific issues included lack of a written alternate shelter agreement, failure to conduct annual disaster drills, inadequate housekeeping resulting in soiled carpets and unclean bathrooms, and toxic materials accessible to confused residents.

The inspection was conducted as a behavioral health survey to evaluate the safety and appropriateness of the environment for adolescent consumers.

The survey found that the center did not provide a safe environment, noting that some outside doors in adolescent girls' bedrooms and the TV room did not have alarms or locks, and that staff were not awake on weekend nights to monitor consumers.

Annual Survey conducted at The Havens of Princeton on November 20, 2003.

The survey identified deficiencies including lack of documentation for an employee's annual TB screening, missing annual health assessment and medication regimen review for a resident, and inadequate documentation after incidents for residents with cognitive impairments. Additionally, housekeeping and maintenance issues were noted such as damaged carpet, missing bathroom fixtures, and cleanliness concerns.