Princeton Health & Rehabilitation
Princeton Health & Rehabilitation in Albuquerque, NM — inspection on March 27, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
stated the nurse should have assessed and/or changed R #20's wound dressing sooner than 5:00 am.
the knee),Type II diabetes (a disease in which the body cannot make or properly use insulin),Repeated
the assistance of one staff member for dressing, hygiene, showering/bathing, and bed mobility. R #24 was able to toilet herself with assistance in transferring, and R #24 required the assistance of one staff member when transferring from the bed to a wheelchair. J.
Record review of R #24's nursing progress notes, dated 03/02/26, revealed an alleged abuse incident occurred on 03/02/26 involving R #24 when R #24 stated CNA #5 was rude and refused to help her. R #24 stated CNA #5 told her she can do some care areas herself and without staff assistance. K.
Record review of R #24's abuse questionnaire, dated 03/02/26, revealed an answer of Yes to the question of Have you had any interactions or experiences in which you felt uncomfortable or felt negative while at the facility? In the explanation of what occurred, R #24 stated CNA #5 made her feel like she was not trying with her own recovery. L. On 03/26/26 at 10:03 am, during an interview, the Administrator (ADM) stated facility nursing staff should help residents as required.
The Administrator stated due to the allegations made by R #24 regarding CNA #5 and the nurse, she terminated the employment of both employees. M. On 03/26/26 at 2:36 pm, during an interview, the Director of Nursing (DON) stated encouragement from nursing staff to residents is ok, but it must be encouragement and not making a resident feel bad about needing assistance.
She stated since there were two incidents with residents having a grievance about CNA #5, they decided to terminate the employment of both CNA #5 and the nurse, which led to the allegations of neglect being confirmed.
325045 03/27/2026
Princeton Health & Rehabilitation 500 Louisiana Boulevard NE Albuquerque, NM 87108
reviewed, and revised by a team of health professionals.
record review and interview, the facility failed to ensure staff revised the care plan for 1 (R #5) of 1
substance use (the intake of various substances, including alcohol, tobacco products, and drugs, which can be consumed, inhaled, injected, or otherwise absorbed into the body).
This deficient practice is likely to result in residents' care and needs not being addressed if care plans are not updated.ˆ The findings are: A.
Record review of R #5's face sheet revealed R #5 was originally admitted into the facility on [DATE] with the diagnosis of opioid dependence (physical and behavioral dependence on opioids, prescription or illicit). B.
Record review of R #5's nursing notes revealed the following:Dated 02/01/26: Staff observed R #5 discarding an empty packet of Suboxone (a medication used to treat opioid dependence) in the trash. R #5 denied taking any, and R #5 was not prescribed Suboxone.
Staff notified the on-call provider, who ordered monitoring for adverse reactions.
Nursing staff and security conducted a room search and found no additional contraband (goods that have been imported or exported illegally). C.
Record review of R #5's Care Plan revealed the following:Dated 01/21/26: R #5 resides on a secure unit related to polysubstance abuse disorder (a mental health condition involving the use of two or more substances in a pattern that negatively affects health, functioning, and quality of life).
Interventions: perform safety risk evaluation on admission, as needed, and upon changes in condition.Dated 01/21/26: R #5 at risk for substance use disorder related to polysubstance abuse disorder.
Interventions: monitor for signs or symptoms of substance abuse.R #5's care plan was not updated after the Suboxone incident on 02/01/26. D. On 03/27/26 at 12:23 pm, during an interview, the Director of Nursing (DON) stated she was aware of the 02/01/26 incident in which R #5 was found with an empty Suboxone packet.
She confirmed the facility did not update R #5 ?s care plan following the incident. E. On 03/27/26 at 1:50 pm, during an interview, the Administrator (ADM) stated her expectation was when a new risk or behavior was identified, the facility would discuss it, and nursing would be responsible for updating the care plan.
The ADM stated she would expect R #5's care plan to be updated to address the identified risk.