Paradigm at Bay City

In the surveyor’s words

From the most serious findings on record at Paradigm at Bay City, in the surveyor’s own words.

• Immediate jeopardy, patternF580Aug 3, 2023

  Based on observation, interview, and record review, the facility failed to notify the physician when there was a significant change of condition for one of four residents (CR #1) reviewed for notification of changes. -The facility failed to notify CR #1's physician when he was found with a bruise on his left arm. CR #1 was bed-bound and depended on staff for care when he was sent to the hospital for issues unrelated to the bruise, revealing CR#1 sustained a left humeral fracture and acute rib fractures. An IJ was identified on 7/29/23. The IJ template was provided to the facility on [DATE] at 6:16 p.m. […]

• Immediate jeopardy, patternF600Aug 3, 2023

  36918 Based on observation, interview, and record review, the facility failed to ensure the residents had the right to be free from neglect for one (CR #1) of four residents reviewed for neglect. -The facility staff (LVN N and LVN D) failed to assess and treat CR #1, who was dependent on staff for all care, when he was discovered with injury of unknown origin that included a bruise on his arm. CR #1 was admitted to the hospital on 7/10/23 with a left humeral fracture and acute rib fractures. -facility failed to ensure CNA E did not provide incontinent care to CR #1 by herself when care required two staff. An IJ was identified on 7/29/23. The IJ template was provided to the facility on [DATE] at 6:16 p.m. […]

• Immediate jeopardy, patternF684Aug 3, 2023

  36918 Based on observation, interview and record review the facility failed, based on the comprehensive assessment, to ensure residents received the care and services in accordance with professional standards of practice for one of four residents (CR #1) reviewed for quality of care. -The facility failed to ensure nursing staff assessed and treated CR #1 when LVN D identified a bruise on his left arm. CR #1 was bed-bound and depended on staff for care when he sent to the hospital for issues unrelated to the bruise, revealing CR#1 sustained a left humeral fracture and multiple acute bilateral rib fractures. An IJ was identified on 7/29/23. The IJ template was provided to the facility on [DATE] at 6:16 p.m. […]

• No harm, potential for more than minimal, widespreadF812Feb 9, 2023

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation in that: The facility failed to ensure: - There were crumbs and food debris on the surfaces of the stove top and the burners, - The burners had food pieces of food stuck to them, - The griddle had food debris, grease splatters and burned on grime on the top surface, - The oven racks had an accumulation of burnt food particles and grease on them, and - There were rust stained in the clean plates holder/warmer by the steam table. - The oven baking pans and pots had burned on grime on the surface, and - Steam tablet with whitish substance on bottom. […]

• No harm, potential for more than minimal, widespreadF925Nov 2, 2021

  Based on observation, interview, and record review the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for 3 of 3 populated hallways (populated rooms 126 - 152 front, middle, and back halls -a U shape of 3 halls) reviewed for effective pest control. The facility failed to ensure resident rooms, hallways, and common areas were free from gnats. These failures could place residents at risk of a reduced quality of life. The findings included: Resident #18 Record Review of Resident #18's face sheet revealed a [AGE] year-old male admitted on [DATE]. His diagnoses were hypertension (high blood pressure), [CONDITION(S)], Dementia, [CONDITION(S)], depression. […]