Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Princeton Place-ruston during CMS and state inspections, most recent first.
Staff failed to follow continence and incontinence care practices when multiple residents who were dependent on staff for toileting and pericare were found wearing two incontinence briefs at the same time. One cognitively intact resident with multiple chronic conditions, including dementia and diabetes, and another cognitively intact resident with hemiplegia, prior UTI, and prostate cancer were each observed with double briefs despite care plans directing routine checks and changes. A third resident with severe cognitive impairment and bowel and bladder incontinence was also found in two briefs during peri care. CNAs reported they applied two briefs because residents were heavy wetters or did not like their beds getting wet, while LPNs and a CNA supervisor confirmed that CNAs were not supposed to place two briefs on residents.
Dishwasher Chemical Solution Not Maintained at Correct Concentration: The Dietary Manager was unable to verify the presence of sanitizer with the test strip while the dishwasher was in use to clean and sanitize dishes, and stated the chemical solution container connected to the dishwasher was empty and needed replacement. The Administrator confirmed kitchen staff should know when the container needed to be replaced and how to properly test for the correct chemical solution.
A resident with chronic atrial fibrillation, HF, anxiety, blindness, hearing loss, and moderate cognitive impairment was made to stand on a chair/standing scale for weighing even after stating, "I am scared." Two CNAs assisted the resident to stand and did not offer to return him to his wheelchair when he repeated that he was scared. Staff later confirmed the resident usually used a bed scale, and the DON stated the resident should have been weighed in a wheelchair.
A resident was discharged from Medicare Part A services before benefit days were exhausted, but the facility did not provide the required CMS-10123 NOMNC. The SSD confirmed she did not give the notice, was unaware it was required at discharge, and later acknowledged she was responsible for completing and providing it; the Administrator also confirmed the notice was not provided.
Incomplete Smoking Safety Assessment: A resident with diagnoses including CVA-related hemiplegia, nicotine dependence, schizophrenia, bipolar disorder, COPD, and HTN was not accurately assessed for smoking safety. The facility’s quarterly smoking safety evaluation did not determine whether the resident could smoke safely with or without supervision, despite the resident’s care plan calling for ongoing smoking safety assessments and the resident having a BIMS score indicating no cognitive impairment.
A large deep fryer was observed with a buildup of grease on its internal components during a kitchen observation. The Dietary Mgr confirmed the grease buildup inside the fryer.
A CNA witnessed a resident with Alzheimer's being slapped by another resident with neurocognitive disorder but failed to report the incident to the LPN or Administrator, violating the facility's abuse reporting policy. The incident was not known to the LPN or Administrator until the survey.
Improper Use of Double Briefing for Incontinent Residents
Penalty
Summary
The facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and restore continence to the extent possible, and failed to ensure CNAs did not place two briefs on residents. One resident admitted with diagnoses including lymphedema, chronic pain, anxiety, depression, diabetes mellitus, and dementia had an admission MDS showing intact cognition (BIMS 15), was dependent on staff for toileting, and was care planned to be checked and encouraged to use a commode and have briefs changed every two hours and as needed. During an evening observation, this resident was found wearing two briefs. The LPN confirmed CNAs should not place two briefs on the resident. The resident reported that CNAs sometimes put two briefs on her, that she had not reported this to anyone, and that she did not request the CNA to put two briefs on her. A CNA later stated she had placed two briefs on this resident because the resident did not like her bed to get wet, while also acknowledging she was not supposed to do so. Another resident with diagnoses including hemiplegia, hemiparesis, urinary tract infection, and malignant neoplasm of the prostate had a quarterly MDS showing intact cognition (BIMS 15), was dependent on staff for toileting, and care planned for urinary incontinence with use of adult briefs and staff-provided pericare as needed. This resident was also observed wearing two briefs, and the LPN confirmed this should not have occurred. The resident stated he did not ask the CNA to put two briefs on him, while the same CNA reported she had placed two briefs on him because he did not like his bed to get wet and acknowledged she was not supposed to do so. A third resident with diabetes mellitus and vascular dementia, severe cognitive impairment (BIMS 7), bowel and bladder incontinence, and a care plan requiring changing every two hours and as needed was observed during peri care to be wearing two briefs. The CNA who placed the briefs stated she did so because the resident was a heavy wetter and acknowledged she was not supposed to place two briefs on the resident. Another CNA and the LPN confirmed CNAs should not place two briefs on residents.
Dishwasher Chemical Solution Not Maintained at Correct Concentration
Penalty
Summary
The facility failed to ensure the chemical solution for the dishwasher was maintained at the correct concentration. During observation of the kitchen, the Dietary Manager checked the chemical solution concentration in the dishwasher but was unable to establish the presence of the chemicals with the sanitizer test strip in the dishwasher drainage area three times while the dishwasher was being used to clean and sanitize dishes. In an interview, the Dietary Manager stated that the chemical solution container connected to the dishwasher was empty and needed to be replaced. The Administrator later confirmed that kitchen staff should know when the chemical solution container needed to be replaced and how to properly test for the correct chemical solution.
Resident Made to Stand for Weighing Despite Fear
Penalty
Summary
The facility failed to treat a resident with respect and dignity and to care for the resident in a manner and environment that promotes or enhances quality of life when staff did not give the resident the opportunity to be weighed in a wheelchair instead of standing. Resident #47 was admitted on 08/28/2025 and had diagnoses including chronic atrial fibrillation, heart failure, anxiety, hypokalemia, hypertension, enlarged prostate, hyperlipidemia, and edema. The resident was also blind, hard of hearing, and had a BIMS score of 10, indicating moderate cognitive impairment for daily decision making. On 09/08/2025 at 10:25 a.m., the resident was observed sitting in a wheelchair by the chair/standing scale with two CNAs present. When instructed to stand and get on the scale, the resident stated, "I am scared." The CNAs assisted the resident to a standing position, and when the resident again stated he was scared, they did not offer to let him sit back down in the wheelchair. Interviews later confirmed staff usually used a bed scale for the resident, that the resident did not like being weighed with the bed lift scale, and that the DON confirmed staff should not have made the resident stand to weigh when he said he was scared and should have weighed him in a wheelchair.
Failure to Provide NOMNC at Medicare Part A Discharge
Penalty
Summary
The facility failed to provide CMS form 10123, the Notice of Medicare Non-Coverage (NOMNC), for 1 resident reviewed for SNF beneficiary notification. The report states that the facility initiated Resident #46’s discharge from Medicare Part A services when benefit days were not exhausted, and the resident was discharged from Medicare Part A services on 03/13/2025. A review of the resident’s record showed that a NOMNC was not provided to the resident at the time of discharge from services. Facility policy instructions for the NOMNC stated that providers must deliver the notice to all beneficiaries eligible for the expedited determination process, even if the beneficiary agrees with the termination of services. During interviews on 09/09/2025, the Social Services Director confirmed she did not provide the NOMNC to Resident #46 and stated she was not aware the resident should have received the notice at discharge. In a later interview the same day, she acknowledged responsibility for completing and providing the NOMNC and stated she should have completed and provided it to Resident #46. On 09/10/2025, the Administrator confirmed the NOMNC was not provided and should have been.
Incomplete Smoking Safety Assessment
Penalty
Summary
The facility failed to ensure that each resident received an accurate smoking assessment that reflected the resident’s status at the time of the assessment for one resident reviewed for smoking. The facility’s Smoking Policy required residents who smoke to be evaluated on admission and re-evaluated quarterly, upon significant physical or cognitive change, and as determined by staff, including an assessment of the resident’s ability to smoke safely with or without supervision. Resident #2 was admitted with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, nicotine dependence, cerebral infarction, schizophrenia, bipolar disorder, hypertension, chronic obstructive pulmonary disease, and osteoarthritis of the right shoulder. The resident’s quarterly MDS showed a BIMS score of 15, indicating no cognitive impairment. Review of the resident’s current care plan showed tobacco use interventions, including quarterly and as-needed smoking safety assessments. However, the Smoking Safety Evaluation dated 07/28/2025 did not determine whether the resident had the ability to smoke safely with or without supervision. An LPN/MDS nurse, the Administrator, and the DON each confirmed that the evaluation failed to identify the resident’s ability to smoke safely as required by the facility policy.
Deep Fryer Not Maintained in Safe Operating Condition
Penalty
Summary
The facility failed to maintain mechanical equipment in safe operating condition when a large deep fryer was observed with a buildup of grease on its internal components. During the kitchen observation, the grease buildup was noted inside the fryer, and the Dietary Manager confirmed that the internal components of the deep fryer contained grease buildup.
Failure to Report Alleged Physical Abuse Incident
Penalty
Summary
The facility failed to ensure that an alleged incident of physical abuse was reported immediately to the Administrator, as required by their Abuse Reporting Policy. The incident involved a resident with Alzheimer's disease and severe cognitive impairment, who was allegedly slapped by another resident with major neurocognitive disorder and mood disturbance. The incident was witnessed by a Certified Nursing Assistant (CNA), who did not report the event to the nurse on duty or the Administrator, despite having been trained on abuse and neglect reporting. The CNA observed the incident from approximately 40 yards away and was unaware of what led to the altercation. The Licensed Practical Nurse (LPN) on duty at the time was not informed of the incident, and the Administrator was also unaware until the survey. Interviews with the involved staff confirmed the failure to report the incident, which is a violation of the facility's policy that mandates immediate reporting of any suspected abuse to the Administrator and Director of Nurses.
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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.
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Nursing homes near Ruston
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ruston Nursing And Rehabilitation Center, Llc | 4.2 mi | ★★★★★ | 1 | 0 |
| Alpine Skilled Nursing And Rehabilitation | 10.9 mi | ★★★★★ | 6 | 0 |
| Leslie Lakes Retirement Center | 16.6 mi | ★★★★★ | 10 | 0 |
| Willow Ridge Nursing And Rehabilitation Center,llc | 16.6 mi | ★★★★★ | 3 | 0 |
| Bernice Nursing And Rehabilitation Center, Llc | 20.2 mi | ★★★★★ | 3 | 0 |
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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.