Paradigm at Katy

In the surveyor’s words

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

• Immediate jeopardy, patternF880Feb 18, 2025

  Based on observation, interview, and record review, the facility failed to maintain an infection control program designed to prevent the development and transmission of infection for 13 of 28 residents (Resident #1, #2, #3, #4, #5, #6, #8, #9, # 10, #11 #12, #13, and #14) reviewed for infection control. The facility failed to ensure residents (Resident #1, #2, #3, #4, #6, #7 #8, #9, # 10, #11, #12, #13, #14) did not acquire Candida auris (Candida auris is a fungal infection that can cause serious illness) infection at the facility. […]

• Immediate jeopardy, patternF919Nov 19, 2024

  Based on observation, record review, and interview, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside and toilet and bathing facilities for 4 of 4 halls (100 Hall, 200 Hall, 300 Hall, and 400 Hall) reviewed for call light systems. 1. The facility failed to repair or replace the call light system for the entire building after five months when inclement weather caused the system to fail on 05/02/2024 through 10/09/2024. Resident #2, Resident #3, and Resident #4, who were all physically and cognitively capable of using a call light system had no means to call for staff assistance. 2. […]

• Immediate jeopardy, patternF580Jan 31, 2024

  Based on interview and record review, the facility failed to consult with the resident's physician; and notify the resident representative for 1 of 3 residents (CR #1) reviewed for change of condition, in that, The facility staff failed to immediately notify the physician when CR#1 started vomiting up a brown substance repeatedly on [DATE]. The facility failed to notify the physician that CR #1 insulin NPH was discontinued when CR#1 was having high glucose readings for 6 days. CR#1 was sent out to the hospital on [DATE] and died in the hospital on [DATE]. […]

• Immediate jeopardy, patternF684Jan 31, 2024

  Based on observation, interview, and record review, the facility failed to ensure resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 (CR #1) out of 3 residents reviewed for quality of care in that: The facility failed to recognize a change in condition for CR#1 when she began throwing up on [DATE] and some days after, and continuously having extremely high blood glucose levels for 6 days ([DATE] - [DATE]). CR#1 was sent out to the hospital on [DATE] and died in the hospital on [DATE]. […]

• Immediate jeopardy, isolatedF684May 29, 2024

  Based on interview and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, the resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the resident's choices for 2 of 2 residents (CR#1 and CR#2) reviewed for quality of care. 1. The facility failed to ensure emergency medical treatment was provided in a timely manner to CR #1, after he missed 3 to 4 days of dialysis, his doctor gave orders for hospital evaluation and treatment, and the Dialysis Nurse expressed concerns of fluid overload. 2. […]