Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Manor Court Of Princeton during CMS and state inspections, most recent first.
A resident’s HCPOA reported to an RN that the resident stated a man had touched her breast during the night, constituting an allegation of sexual abuse. Facility policy required the first nurse aware of alleged abuse to examine the resident, notify the attending physician, and ensure administration immediately contacted local law enforcement in cases of sexual abuse. The RN reported the allegation only to administration and did not notify the physician or police, and the Administrator later confirmed that neither the resident’s physician nor local law enforcement were notified of the allegation.
A resident was prescribed Risperidone for behavioral disturbance related to vascular dementia, but the facility did not document specific target behaviors or provide adequate justification for the medication's use. Staff confirmed the resident did not display harmful behaviors, and behavior tracking showed minimal incidents. After a failed gradual dose reduction, the medication was restarted due to insomnia and tearfulness, but without sufficient documentation or assessment to support this decision.
A resident with a history of diabetes, osteomyelitis, and peripheral vascular disease was admitted with a right heel wound. The care plan inaccurately described the wound as a diabetic ulcer instead of a pressure ulcer, despite confirmation from nursing staff and the DON that the diagnosis was incorrect and required revision.
A resident experienced significant weight loss over several months, dropping from 196 lbs to 171 lbs, without the facility updating the care plan or implementing new interventions. The resident, who had CHF and was on a diuretic, reported decreased appetite and depression, but these issues were not identified or addressed by staff until much later. The facility's weight monitoring system did not trigger an alert, and there was no documentation of physician or family notification or care plan changes.
A resident receiving tube feeding due to conditions such as cerebral infarction and dysphagia was found with dried material on the feeding pump, pole, floor, bed rails, and nightstand over two days. Despite staff presence, the equipment and surrounding area were not cleaned as required by facility policy, and a RN confirmed the debris should not have been there.
A nurse failed to maintain aseptic technique by using IV medication and tubing that had been dropped on the floor and did not perform a physician-ordered saline flush prior to administering IV antibiotics to a resident with a PICC line and multiple serious conditions. The nurse only flushed the line after starting the infusion, contrary to the prescribed protocol.
A resident with a diagnosis of vascular dementia did not have a care plan addressing dementia management, as required by facility policy. The care plan lacked goals and interventions specific to dementia care, and this deficiency was confirmed by the DON.
A resident was receiving daily Cephalexin for frequent UTIs without any documented rationale or justification for the continued antibiotic therapy in the medical record. The DON confirmed the absence of required documentation supporting the ongoing use of the antibiotic, contrary to the facility's Antibiotic Stewardship policy.
The facility failed to maintain a clean and sanitized kitchen floor, with built-up grease, grime, and debris observed during a tour. Despite nightly cleaning protocols, the floor remained dirty, requiring extra effort and abrasive pads to clean.
The facility failed to document a resident's Advanced Directives correctly, leading to a discrepancy between the resident's Face sheet, Physician Order Sheet (POS), and Shift Notes, which listed Full Code status, and the resident's POLST, which documented Do Not Resuscitate (DNR) status. This error was confirmed by an RN, who stated that CPR would have been initiated based on the incorrect Full Code status before checking the POLST.
The facility failed to include the care for an indwelling urinary catheter in the Baseline Care Plan for a resident within 48 hours of admission. The resident had a physician order for a 16F 30cc catheter due to urinary retention, but this information was not reflected in the Baseline Care Plan, despite being documented in the Care Plan Summary.
The facility failed to revise a Comprehensive Care Plan for a resident with a chronic, recurrent Stage 4 pressure wound on the coccyx. Despite the facility's policy requiring timely updates to care plans, the wound was not documented in the resident's care plan until a month after it was identified, leading to a delay in appropriate care planning.
Two CNAs failed to perform hand hygiene and change gloves appropriately while providing catheter care to a resident with an indwelling urinary catheter. The CNAs did not follow the facility's infection control policy, which mandates hand hygiene and proper use of PPE.
The facility failed to obtain weekly weights for a resident with cerebral infarction, dysphagia, and gastrostomy status, as ordered by the physician. The Dietary Manager and a Registered Nurse confirmed that no weights had been recorded since an initial weight, despite the resident being on weekly weights due to tube feedings.
A resident with respiratory conditions was found using an oxygen concentrator with an empty humidifier bottle and without the required 'Oxygen in Use' sign on the door. The resident experienced difficulty breathing due to dry air, and staff confirmed the deficiencies.
The facility failed to document the appropriate use of an antipsychotic medication, identify target behaviors, and include non-pharmacological interventions for a resident. The resident's care plan lacked necessary details, and observations showed no inappropriate behaviors. The DON confirmed the absence of a care plan and lack of knowledge about the resident's behaviors since admission.
The facility failed to ensure Enhanced Barrier Precaution (EBP) signage was posted and PPE was available for two residents with indwelling medical devices and draining wounds. The Infection Control Nurse and Infection Preventionist confirmed the oversight during the survey.
Failure to Notify Physician and Law Enforcement After Allegation of Sexual Abuse
Penalty
Summary
The facility failed to follow its Abuse Prohibition and Reporting policy regarding notification of local law enforcement and the attending physician after an allegation of sexual abuse. The policy dated 11/28/19 states that administration shall immediately contact local law enforcement authorities in situations of sexual abuse by a staff member, another resident, or a visitor, and that the shift nurse who first becomes aware of alleged abuse shall immediately examine the resident and call the resident's attending physician. On 12/27/25 at approximately 1:15 p.m., the facility received a concern involving a resident when the resident’s HCPOA informed the on-duty RN (V6) that the resident reported a man had touched her breast during the night. The Administrator (V1) stated she was notified that same day by V6 of an allegation of sexual abuse by a resident, after V6 was approached by the resident’s HCPOA, who reported the resident said someone had touched her breast in the middle of the night. During interview, V6 confirmed that, after receiving the report from the HCPOA, she did not notify the resident’s physician or the local police department and believed her responsibility was limited to reporting the allegation to administration. The facility’s Regulatory Timeline showed the allegation was received on 12/27/25 and the investigation was completed on 12/29/25. On 1/8/26, V1 verified that the facility did not notify the resident’s physician or the local police department of the reported allegation of sexual abuse.
Failure to Document Justification for Antipsychotic Use and GDR
Penalty
Summary
The facility failed to document an appropriate diagnosis and identify target behaviors to justify the use of an antipsychotic medication for a resident. The resident, who had a diagnosis of vascular dementia with behavioral disturbance, was prescribed Risperidone 0.25 mg at bedtime. The care plan and physician orders referenced the use of Risperidone for behavioral symptoms, but there was no clear documentation of specific target behaviors warranting the medication. Staff interviews confirmed that the resident did not display behaviors such as aggression or harm to self or others, and behavior tracking indicated only two verbal behaviors in the past six months, both occurring before January. The resident's behaviors reportedly improved after moving to a private room, and no recent behaviors were documented that would support ongoing antipsychotic use. Additionally, the facility did not provide appropriate justification for a failed gradual dose reduction (GDR) of Risperidone. The medication was discontinued, but was restarted three days later due to symptoms of insomnia and tearfulness, as documented by the nurse practitioner. However, there was no evidence of a thorough assessment or documentation of behaviors that would necessitate resuming the antipsychotic. The facility's policy requires clear documentation of behaviors, rationale for medication use, and substantiation for unsuccessful GDRs, which was not met in this case.
Care Plan Not Revised to Reflect Accurate Wound Diagnosis
Penalty
Summary
The facility failed to revise and accurately update a resident's care plan to reflect the correct wound condition. A resident with multiple diagnoses, including acute hematogenous osteomyelitis of the right ankle and foot, stage IV pressure ulcer of the right heel, diabetes mellitus, and peripheral vascular disease, was admitted with a wound on the right heel. Nursing staff and the DON confirmed that the care plan incorrectly identified the right heel wound as a diabetic ulcer, when in fact it was a pressure ulcer. The care plan had not been updated to reflect this change, despite the resident having a skin graft and current physician orders related to the wound. The inaccuracy was acknowledged by the DON, who stated the care plan was not correct and needed revision.
Failure to Address Significant Weight Loss in a Resident
Penalty
Summary
The facility failed to address and implement care plan interventions for a resident who experienced significant, ongoing weight loss. Despite the facility's policy requiring physician notification and care plan updates for significant weight changes, the resident's care plan did not address the weight loss. The resident's weight decreased from 196 lbs to 171 lbs over approximately six months, representing a 12.76% loss. The registered dietician documented the weight loss and noted that the resident's diet was regular, with variable meal intake, and that the weight loss could be related to fluid shifts due to diuretic use and a diagnosis of congestive heart failure. However, the only recommendations made were to continue the current diet and monitor weight, with no new interventions implemented. The resident reported feeling depressed and not eating much, but this decrease in appetite and mood was not identified or addressed by the facility until it was brought to the attention of the Director of Nursing, who confirmed being unaware of these issues. The facility's weight monitoring system did not trigger an alert for significant weight loss, and there was no documentation of physician or family notification, nor any evidence of care plan updates or new interventions to address the resident's ongoing weight loss.
Failure to Maintain Cleanliness of Tube Feeding Equipment
Penalty
Summary
Facility staff failed to maintain the cleanliness of tube feeding equipment for a resident with a gastronomy tube. The resident, who had diagnoses including cerebral infarction, hemiplegia, hemiparesis, and dysphagia, was receiving continuous tube feeding as ordered by the physician. Observations on two consecutive days revealed tan, dried material present on the feeding pump, pump pole, floor beneath the feeding pole, bed rails, and a nearby nightstand. This debris remained in place throughout the day, despite staff being present in the resident's room multiple times. The facility's policy required non-disposable tube feeding equipment to be wiped down daily and as needed with an approved disinfectant to maintain cleanliness, with licensed staff responsible for this task. However, the observed failure to clean the equipment and surrounding area was confirmed by a registered nurse, who acknowledged that the debris should not have been present. The deficiency was identified through direct observation, interview, and record review.
Failure to Follow Aseptic Technique and Physician Orders During IV Medication Administration
Penalty
Summary
A registered nurse failed to follow aseptic technique during the administration of intravenous medication to a resident with multiple serious diagnoses, including leukemia, malignant neoplasms, and infections requiring a PICC line for IV antibiotic therapy. The nurse dropped the IV bag and tubing on the floor before entering the resident's room, then picked them up and proceeded to use them for the medication administration without replacing them. The nurse donned appropriate personal protective equipment and swabbed the PICC port with alcohol before connecting the tubing and starting the infusion. Additionally, the nurse did not perform a physician-ordered saline flush of the PICC line prior to administering the IV medication, as required by the resident's orders. The flush was only performed after the medication had begun infusing, contrary to the specified protocol. These actions were observed and confirmed by the nurse, representing a failure to adhere to both infection control and medication administration policies.
Lack of Dementia-Specific Care Plan for Resident with Vascular Dementia
Penalty
Summary
The facility failed to develop and implement a care plan specific to the management of dementia for a resident diagnosed with vascular dementia. According to the facility's care plan policy, each resident is to have a comprehensive, person-centered care plan that addresses their medical, nursing, mental, and psychosocial needs, including measurable objectives and timeframes. Record review showed that the resident's current care plan did not include any goals or interventions related to dementia care, despite the resident's documented diagnosis. This omission was confirmed by the Director of Nursing during an interview.
Lack of Documentation for Continued Antibiotic Use
Penalty
Summary
The facility failed to document a rationale for the continued use of antibiotic therapy for one resident who was receiving Cephalexin 250 milligrams daily as a prophylactic antibiotic for frequent urinary tract infections (UTIs). The resident's physician order sheet indicated a diagnosis of long-term use of antibiotics, but the medical record lacked any documentation or explanation justifying the ongoing antibiotic treatment. During an interview, the Director of Nursing confirmed that there was no documentation or rationale present in the resident's record to support the continued use of the antibiotic, as required by the facility's Antibiotic Stewardship policy.
Failure to Maintain Clean and Sanitized Kitchen Floor
Penalty
Summary
The facility failed to provide a clean and sanitized floor in the kitchen, potentially affecting all 99 residents who receive food from the kitchen. During a tour of the kitchen, built-up brown/black discolored grease, grime, and debris were observed on the floor in front of both sides of the food preparation table, stove, and other areas. The Dietary Manager acknowledged that the floor had been cleaned that morning but still appeared dirty. A posted kitchen sign indicated that floors should be swept and mopped nightly. The following day, the floor was free of grime and debris, but stains remained where the build-up had been. The Custodian/Floors stated that they had to spend extra time and use a more abrasive pad to remove the built-up grease and grime.
Failure to Document Advanced Directives Correctly
Penalty
Summary
The facility failed to ensure that Advanced Directives were documented correctly in the resident's clinical record for one resident. The resident's Face sheet, Physician Order Sheet (POS), and Shift Notes all documented the resident as Full Code, while the resident's Practitioner Orders for Life-Sustaining Treatment (POLST) documented Do Not Resuscitate (DNR) status. This discrepancy was confirmed by a Registered Nurse (RN), who stated that in the event of a code, they would initially follow the Full Code status listed on the report sheet and Face sheet before checking the POLST. The RN acknowledged that if the resident had coded, CPR would have been initiated based on the incorrect Full Code status, only to be stopped upon later review of the POLST indicating DNR status.
Failure to Include Indwelling Catheter Care in Baseline Care Plan
Penalty
Summary
The facility failed to include the care for an indwelling urinary catheter in the Baseline Care Plan for one resident within 48 hours of admission. The resident, who was observed lying in bed with an indwelling catheter draining clear amber urine, had been admitted to the facility, transferred to the hospital, and then returned with the catheter in place. The resident's Physician Order Sheet included an order for a 16F 30cc catheter with a diagnosis of urinary retention, but this information was not reflected in the Baseline Care Plan. The Care Plan Coordinator acknowledged that catheters were not included in the template that nurses could pull up, but confirmed that it should have been part of the Baseline Care Plan. The Care Plan Summary, which was printed during the review, documented the presence of the catheter and the associated physician and nursing orders. However, this critical information was missing from the Baseline Care Plan, indicating a lapse in the facility's adherence to its own Care Plan Policy, which mandates the inclusion of all necessary healthcare information within 48 hours of a resident's admission.
Failure to Revise Comprehensive Care Plan for Resident with Chronic Wound
Penalty
Summary
The facility failed to revise a Comprehensive Care Plan for one resident (R7) of 21 residents reviewed for Care Plan revision in a sample of 40. The facility's Care Plan Policy mandates the development and implementation of a Comprehensive Person-Centered Care Plan that includes measurable objectives and timeframes to meet a resident's needs as identified in the comprehensive assessment. Despite this policy, R7's care plan did not document the presence of a wound on her coccyx, which was identified on 4/26/24 and required specific wound care treatment. The wound was described as a Stage 4 pressure wound with specific dimensions and treatment orders, but this information was not incorporated into R7's care plan in a timely manner. On 5/29/24, an observation of R7's coccyx area confirmed the presence of a small opening, and the LPN providing wound care treatment noted that R7's wound was chronic and recurrent. The RN/MDS/Care Plan Coordinator acknowledged that the wound issue should have been included in R7's care plan and admitted to being unaware of the wound's recurrence until that day. The RN subsequently added the wound information to the care plan, but this delay in updating the care plan represents a failure to adhere to the facility's policy and ensure comprehensive care for the resident.
Infection Control Lapse During Catheter Care
Penalty
Summary
The facility failed to adhere to proper infection control practices during the care of a resident with an indwelling urinary catheter. Specifically, two CNAs did not perform hand hygiene or change gloves appropriately while providing catheter care. The CNAs were observed lowering the resident's shorts and soiled incontinence brief, cleansing the meatus and catheter tubing, and then changing gloves without performing hand hygiene. They continued to touch the resident's bare skin and handle the soiled incontinence brief without changing gloves or sanitizing their hands in between these actions. The resident involved had a diagnosis of urinary retention and was using a 16F 30cc indwelling catheter. The CNAs' failure to follow proper infection control protocols was confirmed by their own admissions and the Director of Nursing's expectations for hand hygiene and glove changes. The facility's infection control policy mandates hand hygiene and proper use of PPE, including changing gloves after direct contact with a resident's secretions or excretions, which was not followed in this instance.
Failure to Obtain Weekly Weights as Ordered
Penalty
Summary
The facility failed to obtain weekly weights as ordered by the physician for a resident with diagnoses including cerebral infarction, dysphagia, and gastrostomy status. The facility's Weight Monitoring Policy requires weekly and monthly weights to be recorded in the resident's electronic medical record. The resident's physician orders included weekly weights, but the Vitals Weight Summary showed no weights recorded after an initial weight on 5/8/24. The Dietary Manager was unaware of the weekly weight order and confirmed that no further weights had been documented. A Registered Nurse also verified that the resident had not been weighed since 5/8/24, despite being on weekly weights due to tube feedings.
Failure to Maintain Oxygen Humidifier and Post Required Signage
Penalty
Summary
The facility failed to ensure a resident's oxygen humidifier bottle was not empty while in use. The resident, who has diagnoses including Shortness of Breath, Other Pulmonary Embolism without Acute Cor Pulmonale, Panlobular Emphysema, and Acute Respiratory Failure with Hypoxia, was observed using an oxygen concentrator with an empty, undated humidifier bottle. The resident reported difficulty breathing due to dry air and informed a CNA, who then alerted a nurse. The nurse confirmed the humidifier bottle was empty and replaced it. Additionally, the resident's room did not have an 'Oxygen in Use' sign posted at the door as required by the facility's policy. On subsequent observations, the resident was again found using oxygen without the required 'Oxygen in Use' sign on the door. Staff confirmed the absence of the sign and acknowledged that it should have been posted. The facility's failure to maintain the humidifier bottle and post the necessary signage represents a deficiency in providing safe and appropriate respiratory care for the resident.
Failure to Document and Monitor Antipsychotic Medication Use
Penalty
Summary
The facility failed to provide an appropriate indication for the use of an antipsychotic medication, failed to identify target behaviors, and failed to identify non-pharmacological interventions for one resident. The facility's policy requires documentation of behaviors and conditions necessitating the use of psychopharmacological medications, as well as the medication's response and potential adverse consequences. The resident's physician's orders indicated the use of Risperidone for Vascular Dementia with Other Behavioral Disturbance, but behavior monitoring records did not specify behaviors to be monitored. Additionally, the resident's care plan did not include the administration of the antipsychotic medication, goals, side effects, or interventions. Observations of the resident showed no inappropriate, disruptive, or psychotic behaviors, and the Director of Nursing confirmed the absence of a care plan and lack of knowledge regarding the resident's behaviors since admission.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure Enhanced Barrier Precaution (EBP) signage was posted and Personal Protective Equipment (PPE) was available for two residents reviewed for infection control. One resident had an indwelling urinary catheter and a midline intravenous catheter but did not have EBP signage or an infectious linen trash bin in the room. The Infection Control Nurse confirmed that the resident should have been under Enhanced Barrier Precautions upon returning from the hospital but was not. This oversight was observed during a survey on two separate dates. Another resident with an ileostomy and multiple fistulas also did not have EBP signage posted outside the room, nor was there quick access to gowns before entering the room. The resident's condition included chronic drainage from the fistula sites, which required regular ostomy bag changes. The Infection Preventionist acknowledged that the resident should have been placed under Enhanced Barrier Precautions due to the draining wounds but was not initially considered for EBP. This deficiency was confirmed through interviews with nursing staff and direct observation during the survey.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 31 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Princeton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Goldwater Care Princeton | 0.6 mi | ★★★★★ | 5 | 0 |
| Goldwater Care Spring Valley | 13.4 mi | ★★★★★ | 1 | 0 |
| Allure Of Walnut | 14.4 mi | ★★★★★ | 0 | 0 |
| Manor Court Of Peru | 17.2 mi | ★★★★★ | 11 | 1 |
| Allure Of Peru | 17.3 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Manor Court Of Princeton.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.