Paramount Community Living and Rehab Inc

In the surveyor’s words

From the most serious findings on record at Paramount Community Living and Rehab Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 28, 2024

  The facility reported a census of 92 residents. Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions, to the residents of the facility appropriately to prevent the potential for food borne bacteria. Findings included: - During an initial tour of the resident kitchenette, on 03/25/24 at 11:07 AM, the following areas of concern were noted in the kitchen of greenhouse 1202: 1. The inside of the toaster had a heavy build-up of crumbs. 2. The top of the stove had dried-on food debris. 3. A large plastic container of corn chips lacked a lid and there were corn chips on the floor. 4. The deep freeze had food debris on the bottom. 5. The silverware drawer contained wet silverware and food debris. 6. […]

• No harm, potential for more than minimal, widespreadF880Mar 28, 2024

  The facility reported a census of 92 residents with 22 included in the sample. Based on observation, interview, and record review, the facility failed to ensure infection control techniques for Resident (R)9, regarding oxygen (O2) tubing/cannula storage, for R60, related to urinary catheters and perineal care, R242, related to storage of soiled catheter collection device stored next to personal care items of toothbrush and toothpaste, and R78, related to incontinence cares, to prevent the spread of infections in the facility. Findings included: - R9's physician orders revealed the following diagnoses that included chronic obstructive pulmonary disease (COPD-progressive and irreversible condition characterized by diminished lung capacity and difficulty or discomfort in breathing). […]

• No harm, potential for more than minimal, widespreadF881May 9, 2022

  The facility reported a census of 87 residents. Based on record review and interview, the facility failed to ensure nursing staff followed the principles of antibiotic stewardship in a proactive manner to ensure residents received antibiotics in a safe and effective manner to prevent unnecessary side effects of antibiotics and antibiotic resistance. The facility failed to track and trend infections and causative microorganisms throughout the facility and failed to compile antibiotic use data for prescribing practitioners. Findings included: - Review of the Antibiotic Log, revealed the following areas of concerns: April 2021: One unsampled resident with a wound infection treated with an antibiotic for 14 days without location of wound or causative organism. […]

• No harm, potential for more than minimal, patternF812Feb 18, 2026

  The facility reported a census of 91 residents, with one main kitchen and eight kitchenettes. Based on observation, interviews and record review, the facility failed to prepare and serve food in accordance with food safety requirements regarding adequate temperatures and sanitary food storage. Findings included:-Observations in the [NAME] House kitchenettes revealed the following: [NAME] House 1212: On 02/16/26 at 08:39 AM a mustard bottle and two jars of cocktail sauce were opened and undated. [NAME] House 1215: On 02/17/26 at 08:19 AM, Certified Nurse Aide (CNA) HH brought pureed sausage and gravy to the resident. Upon request, CNA HH checked the temperature which measured was 65 degrees Fahrenheit (F). CNA HH took the plate of food and placed it in the microwave. […]

• No harm, potential for more than minimal, patternF550Mar 28, 2024

  - Review of Resident (R) 37's medical record revealed diagnoses that included Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure), anxiety disorder (mental or emotional reaction characterized by apprehension, uncertainty, and irrational fear, chronic kidney disease, congestive heart failure (a condition with low heart output and the body becomes congested with fluid), and osteoarthritis (degenerative changes to one or many joints characterized by swelling and pain). The Admission Minimum Data Set (MDS), dated [DATE], assessed the resident with a Brief Interview for Mental Status (BIMS) score of five, which indicated severe cognitive impairment. The resident required extensive assistance of staff for dressing and personal hygiene. […]