Paradigm at Woodwind Lakes

In the surveyor’s words

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

• Immediate jeopardy, patternF578Apr 28, 2026

  Based on observation, interview and record review, the facility failed to ensure residents had the right to formulate an advance directive for 4 of 8 Residents (CR#1, Resident #1, Resident #2, Resident #3) reviewed for Advance Directives. - The facility failed to ensure there was a system in place to ensure all residents wishes for advanced directives were implemented and discrepancies regarding DNR wishes were addressed immediately upon admission.- The facility failed to clarify discrepancies in CR #1's wishes of DNR when she admitted on [DATE]. On [DATE] CR #1 was found unresponsive and received CPR from 06:26 AM to 07:04 AM in the facility and until 07:28 AM in the hospital until the POA notified the staff of the DNR wishes and rescue efforts were stopped. CR #1 expired at 07:28 AM. […]

• Immediate jeopardy, patternF600Jul 17, 2023

  Based on observation, interview and record review, the facility failed to ensure the resident's right to be free from neglect for 2 of 13 residents (Resident #1 and Resident #2) reviewed for neglect. -The facility failed to provide adequate supervision for Resident #1 to prevent harm from suicidal ideations and self-injurious behaviors that resulted in him swallowing a battery, having a plan to swallow razors, and being hospitalized . -The facility failed to adequately educate staff on caring for residents with diagnosis of suicidal ideations and self-harming behaviors. […]

• Immediate jeopardy, patternF607Jul 17, 2023

  Based on observation, interview and record review, the facility failed to implement their written policies and procedures to prohibit neglect for 2 of 13 residents (Resident #1 and Resident #2) reviewed for neglect. - The facility failed to implement their policy on Neglect to provide goods and services necessary to avoid physical harm, mental anguish, or mental illness for Resident #1 and Resident #2 and when Resident #1 was admitted to the facility with suicidal ideations and multiple suicide attempts on 2/6/23 and then readmitted to the facility on [DATE] and did not receive comprehensive services to prevent further destructive behaviors. […]

• Immediate jeopardy, patternF656Jul 17, 2023

  Based on observation, 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 1 of 13 residents (Resident #1) reviewed for comprehensive care plan in that The Facility failed to care plan for Resident #1 having suicidal ideations upon admission to the facility on [DATE] and again when he returned on 6/25/23 from the hospital after having swallowing a battery was not care planned or monitored for suicidal ideations. An Immediate Jeopardy (IJ) was identified on 07/01/23 at 2:45 p.m. […]

• Immediate jeopardy, patternF689Jul 17, 2023

  Based on observation, interview, and record review the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 13 residents reviewed for accidents, hazards, and supervision. -The facility failed to provide adequate supervision for Resident #1 to prevent harm from suicidal ideations and self-injurious behaviors that resulted in him swallowing a battery, having a plan to swallow razors, and being hospitalized . […]