Princeton Medical Lodge

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that the resident environment remained free of accident hazards and each resident received adequate supervision for 1 of 2 residents (Resident #1) reviewed for accidents and hazards. The facility left Resident #1 in a wheelchair unattended on the night of 7/15/26 and early morning on 7/16/26 and failed to check on her during that time. These failures could put residents at risk of frequent accidents and decline in health.

Inspectors wroteBased on interview, record review and observation the facility failed to provide residents with the appropriate treatment and services to maintain or improve his or her ability to carry out the activities of daily living for 1 of 2 residents (Resident #2) reviewed for ADLs. The facility failed to assist Resident #2 for several hours in transferring from her bed to her wheelchair after she requested it on 7/28/26. This failure could place residents at risk of skin breakdowns, falls and affect their dignity and self-esteem.

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure that all drugs and biological were stored in locked compartments in accordance with State and Federal laws for three of eight residents (Resident #74, Resident #62 and Resident #69) reviewed for the storage of drugs and biologicals. The facility failed to ensure Resident # 74, Resident #62 and Resident #69 to have prescription and over the counter medication in a locked compartment. This failure could place residents at risk of medication misuse, administration of incorrect dosage of medications which could result in non-therapeutic treatments or injuries.

Inspectors wroteBased on observations, interviews and record review, the facility failed to store food in accordance with professional standards for food service safety for the facility's only kitchen in that:The facility failed to ensure food items in the kitchen were appropriately covered on 3/10/2026. These failures could affect residents who received their meals from the facility's kitchen, by placing them at risk for food-borne illness, if consumed and food contamination.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who needed respiratory care were provided with such care, consistent with professional standards of practice and the comprehensive person-centered care plan, for one of four residents (Resident #10) reviewed for quality of care. The facility failed to ensure the supplemental oxygen was provided at the physician ordered rate for Resident #10. This failure could place residents who received oxygen therapy at risk of oxygen toxicity.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 22 (Residents #94, Resident #13, and Resident #18) reviewed for comprehensive care plans. 1. The facility failed to include in Resident #94's comprehensive care plan, revised on 12/16/24, her dental needs and interventions to address the problem. 2. The facility failed to include in Resident #13's comprehensive care plan, revised on 10/21/24, her dental needs and interventions to address the problem. 3. The facility failed to include in Resident #18's comprehensive care plan, revised on 11/20/24, her diagnosis of eczema and her rash and interventions required to address the problem. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure in accordance with accepted professional standards and practices, medical records maintained on each resident were accurately documented for 1 of 8 (Resident #18) residents reviewed for accuracy of records. The facility failed to ensure Resident #18's physician examination record from a dermatologist visit on 04/23/2024 was uploaded into the electronic health chart and failed to update her diagnoses to include moderate eczema. These failures could place residents at risk for delay in care or treatment and appropriate interventions. Record review of Resident #18's face sheet, dated printed 01/12/2025, reflected the resident had no dermatologist listed as a care provider and no diagnosis of eczema or other skin conditions. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 22 residents (Resident #2) observed for infection control. 1. The facility failed to place Resident #2 in enhanced barrier precautions who had a dialysis central venous access device and peritoneal catheter (a tube that is placed through the abdomen into the peritoneum used to clean the blood inside your body). 2. The facility failed to ensure CNA A performed hand hygiene during incontinence care for Resident #2. These failures could place residents at risk of transmission of multidrug-resistant organisms.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services for residents who are unable to carry out activities of daily living to maintain good grooming and personal hygiene for two (Resident #90, and Resident #92) of 25 residents reviewed for ADLs. The facility failed to ensure: 1. Resident #90 had her fingernails cleaned and trimmed and her facial hair on her chin trimmed. 2. Resident #92 had his fingernails cleaned and trimmed. These failures could place residents who were dependent on staff for ADL care at risk for loss of dignity, risk for infections, and a decreased quality of life.

Inspectors wroteBased on observations, interviews and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen. 1. The facility failed to cover and date food stored in the refrigerator that should no longer be consumed. 2. The facility failed to discard food stored in the kitchen that was past use by date and should no longer be consumed. These failures could affect Residents who received their meals from the facility's only kitchen, by placing them at risk for food-borne illness if consumed, and food contamination.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for one (Residents #59) of 25 residents reviewed for comprehensive care plans. The facility failed to identify and implement person-centered interventions to prevent further decline of Resident #59's contracture to his left hand. This failure could place residents at risk for decline in range of motion, decreased mobility, pain, decreased quality of life and ability to maintain independence.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for one (Resident #59) of three residents reviewed for range of motion. The facility failed to implement interventions to prevent further decline of Resident #59's contracture to his left hand. This failure could place residents at risk for decline in range of motion, decreased mobility, and worsening of contractures.