Paradigm at First Colony

In the surveyor’s words

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

• Immediate jeopardy, patternF684Nov 27, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive care plan, and the residents' choices based on the comprehensive assessment of resident for 1 (CR#1) of 18 residents reviewed for anticoagulants. -The facility delayed sending CR #1 to a higher level of care on 11/21/2024 when CR #1 experienced an unwitnessed fall with a head injury (swelling to right cheek). CR #1 was receiving the medication Eliquis (blood thinner). -CR #1 was diagnosed with an Acute Subdural Hematoma with mass effect An Immediate Jeopardy (IJ) was identified on 11/23/2024 at 4:24PM. […]

• Immediate jeopardy, patternF689Nov 27, 2024

  Based on interview and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accident for 1 (CR #1) of 18 residents reviewed for accidents in that: - The facility failed to provide CR#1, who was on an anticoagulant medication, adequate supervision and interventions to prevent falls on 11/13/24, 11/14/24, 11/17/24, and 11/21/24 causing head injury and hospitalization . -The falls were unwitnessed, CR #1 had dementia and did not remember to use their call light when they needed assistance. Cr #1 was admitted to the hospital with diagnosis of Acute Subdural Hematoma with mass effect left craniotomy evacuation. An IJ was identified on 11/25/2024. […]

• Immediate jeopardy, patternF694Oct 24, 2024

  48923 Based on observation, interview and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 1 (Resident #37) residents reviewed for intravenous fluids. - The facility failed to ensure Resident #37 had physician orders and care plan in place for monitoring and dressing change of Resident #37's PICC line (Peripherally Inserted Central Catheter, a tube inserted through a vein in the arm which passes to the larger veins near the heart and used to deliver medications, liquid nutrition or other treatments) from when Resident #37 was readmitted from the hospital with a PICC line on… […]

• Immediate jeopardy, patternF600Aug 15, 2023

  Based on interview and record review, the facility failed to ensure the resident's right to be free from neglect for 8 of residents (CR#1, CR#2, Residents #3, #4, #5, #6, #7 and CR#8) of 9 reviewed for neglect. The facility failed to oversee the implementation of resident care policies and failed to ensure residents received appropriate wound care and CPR and were free of accidents and injuries. The facility Administration failed to thoroughly and accurately investigate the incident of CR#8 being found unresponsive with a laceration, requiring emergency services, and passing away at the facility, therefore, not identifying and correcting the CPR failures. The facility failed to ensure the administration and nursing staff were educated on CPR. […]

• Immediate jeopardy, patternF656Aug 15, 2023

  Based on interview and record review the facility failed to implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment plan of care for 2 of 9 residents (CR#1 and CR#8) reviewed for comprehensive care plans in that The facility failed to implement CR #1's comprehensive person-centered Care Plan for pain to provide pressure reducing and positioning devices (air mattress) and CR#1 did develop 3 pressure sores on [DATE]. […]