Paradigm at Kountze

In the surveyor’s words

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

• Immediate jeopardy, patternF684Jun 14, 2023

  Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for 16 of 16 residents (Resident #s 1, 7, 10, 13, 15, 19, 20, 22, 24, 26, 30, 32, 37, 38, 40, and 43) reviewed for quality of care. The facility did not obtain informed written consents or document verbal consents, including risks, benefits, and potential adverse reactions, prior to IV vitamin and hydration infusions. The facility did not monitor residents, including documenting assessments, for a full 72 - hours, following infusion for adverse reactions. […]

• Immediate jeopardy, isolatedF689Jul 25, 2024

  Based on observation, interview, and record review, the facility failed to ensure an environment that was free of accident hazards for 1 of 43 residents (Resident #24) reviewed for accidents hazards. The facility failed to ensure safety measures were in place after Resident #24 received a second-degree burn (burns that involve the epidermis and part of the lower layer of skin, the dermis. The burn site looks red, blistered, and may be swollen and painful) from hot coffee that required treatment. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 9:33 a.m. […]

• Immediate jeopardy, isolatedF689Mar 8, 2022

  Based on observation, interview and record review, the facility failed to ensure that each resident received adequate supervision for 1 of 3 residents reviewed for supervision. (Resident #1) The facility did not develop and implement interventions to prevent Resident #1, a resident who was cognitively impaired with exit seeking behaviors, from eloping from the facility. Resident #1 was found in a wooded area approximately .25 miles from the facility, adjacent to a busy highway. This failure could place the residents with exit seeking behaviors at risk for injury or death. This failure resulted in an identification of an Immediate Jeopardy (IJ) situation on 03/07/22. […]

• No harm, potential for more than minimal, widespreadF812Jul 25, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. The facility did not ensure: 1. Food items were labeled and dated. 2. Hair restraints were worn. 3. The microwave was clean and free of food debris. 4. The outside of the ice machine was clean. 5. The condiment cart was free from a dark/light substance. 6. The plate domes were stacked without water pooled in between them. 7. [NAME] D's nails were clean and free of a black substance. 8. The iced tea maker cart was free from a brown substance. 9. The trash can used for food waste had a lid. […]

• No harm, potential for more than minimal, widespreadF847Jul 25, 2024

  Based on record review and interviews the facility failed to ensure the arbitration agreement contained all the required elements for 1 of 1 facility reviewed for Arbitration Agreements. The facility did not ensure the arbitration agreement did not contain language that prohibited or discouraged the resident or anyone else (e.g., resident's representative) to communicate with federal, state, or local officials such as federal and state surveyors, other federal or state health department employees, and representative of the Office of the State Long Term Care Ombudsman. […]