Paradigm at Faith Memorial

In the surveyor’s words

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

• Immediate jeopardy, patternF684May 4, 2023

  Based on observation, record review and interview the facility staff failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices for 3 of 15 residents (Resident #1, Resident #4 and Resident #9) reviewed for quality of care. -The facility failed to follow up with physician for Resident #1's legs that were observed to be swollen, red, flaky with drainage. -The facility failed to accurately assess Resident #1's skin weekly as ordered by the physician. -The facility failed to establish wound care services for Resident #1 as ordered. -The facility failed to provide Resident #1 with pain medication as needed, per physician orders. […]

• Immediate jeopardy, patternF686May 4, 2023

  Based on observation, interview and record review, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection for 9 of 15 residents (Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #10, Resident #13) reviewed for pressure ulcers. 1. The facility failed to provide wound care for all Residents with wounds according to their physician orders from March and April 2023 and resulting in new pressure ulcers, worsening of existing wounds, and infected wounds for Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, Resident #7, Resident #8, Resident #10, and Resident #13. 2. […]

• Immediate jeopardy, isolatedF689Feb 20, 2025

  Based on observation, interview, and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 out of 21 residents (Resident #1) reviewed for adequate supervision. The facility failed to provide adequate supervision to Resident #1 who had a diagnosis of vascular dementia and eloped from the facility to a tire shop two blocks away from the facility for at least an hour. Resident #1 was severey cognitively impaired, which put her at increased risk of injury. An IJ for Past Non-Compliance was called on 2/20/25 at 3:18pm with the facility Administrator and DON. The noncompliance was identified as Past Non-Compliant. The IJ began on 12/2/24 and ended on 12/5/24. […]

• Immediate jeopardy, isolatedF684Jul 29, 2024

  Based on interview, and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #1) of five residents reviewed for quality of care. The facility failed to utilize emergency transport after Resident #1 had an unwitnessed fall which resulted in a subdural hematoma and 2.5-hour delay in care. Resident #1 was sent to the hospital and placed in the ICU. An Immediate Jeopardy (IJ) situation was identified on 7/26/24 at 6:10 PM. […]

• No harm, potential for more than minimal, widespreadF727Feb 11, 2025

  Based on interviews and record review, the facility failed to utilize the services of a registered nurse for at least eight consecutive hours per day, seven days per week for 4 days out of 30 days (9/1/24 (Sunday), 9/14/24 (Saturday), 9/15/24 (Sunday), and 9/29/24() reviewed for nursing services. The facility failed to ensure a registered nurse was scheduled for eight consecutive hours per day, seven days per week on the following dates: 9/1/24 (Sunday), 9/14/24 (Saturday), 9/15/24 (Sunday), and 9/29/24 (Sunday). This deficient practice could place residents at risk of not receiving adequate care by not having staff available with the ability to perform assessments as needed. Findings included: Interview with the DON on 2/11/25 at 2:14 p.m. […]