Paramount Convalescent Hosp.

In the surveyor’s words

From the most serious findings on record at Paramount Convalescent Hosp., in the surveyor’s own words.

• Actual harm, isolatedF688Oct 4, 2024

  Based on observation, interview, and record review, the facility failed to provide services to three of seven sampled residents (Resident 43, 5, and 18) with limited range of motion [(ROM) full movement potential of a joint (where two bones meet)] and mobility (ability to move) by failing to: 1. Obtain baseline (initial measurement taken at an early point and used for comparison over time to monitor changes) ROM measurements of Resident 43's both arms and legs upon admission on 8/12/2023 using the Joint Mobility Assessment ([JMA] brief assessment of a resident's range of motion in both arms and both legs) in accordance with the facility's policy titled, Joint Mobility and Screening and Assessment revised on 1/25/2024. 2. […]

• Actual harm, isolatedF684Mar 1, 2024

  Based on observation, interview and record review, the facility failed to ensure the resident, who underwent an open reduction internal fixation ([ORIF] a surgical procedure that puts pieces of a broken bone into place using screws, plates, sutures, or rods) surgery of the right ankle fracture (break in the bone), did not have the surgical wound infected with exposed surgical hardware (pins, plates, or screws used to help fix a broken bone, torn tendon, or to correct an abnormality in a bone) for one of three sampled residents (Resident 1). The facility failed to: 1. […]

• No harm, potential for more than minimal, widespreadF880Dec 5, 2025

  Based on observation, interview and record review, the facility failed to implement proper infection control practices for all residents in the facility by failing to:1. To ensure Resident 27 was on Enhanced Barrier Precautions (EBP-infection control measure to prevent the spread of germs), for a chronic pressure injury (PI- injury to skin and underlying tissue resulting from prolonged pressure on the skin).2. To ensure hand hygiene was performed prior to checking the residents' lunch meal trays.These failures had the potential to spread germs through cross-contamination (the transfer of bacteria, viruses, microorganisms, or other harmful substances from one surface to another through improper or unsanitary equipment, procedures, or products) to residents, staff and visitors.Findings:1. […]

• No harm, potential for more than minimal, widespreadF880Oct 4, 2024

  Based on observation, interview and record review, the facility failed to observe infection control measures. The facility failed to : a.Ensure Resident 1 and 48's tube feeding ( medical device used to provide nutrition to resident who cannot obtain nutrition by mouth ) and water bags were changed every 24 hours. These failures had the potential to result in cross contamination and place the residents at risk for the spread of infection. b. To practice handwashing during wound care treatment on Resident 18 who had a Stage 4 pressure injury (full-thickness skin and tissue loss with exposed muscle, tendon, ligament, cartilage, or bone) in the sacro coccyx (tail bone) area. c. […]

• No harm, potential for more than minimal, widespreadF812Oct 6, 2023

  Based on observation, interview, and record review, the facility failed to ensure food was stored and distributed under food safety requirements by failing to: 1. Ensure ice machine was maintained in a clean and sanitary way. 2. Ensure canned food stored in dry storage pantry had a received date label. These failures had the potential to cause food borne illness (food poisoning) for 49 out of the 49 residents in the facility. Findings: During an initial kitchen tour on 10/05/2023 at 8:00 a.m. with the Dietary Manager (DM), observed ice machine with brown reddish spots inside the border of the ice machine when wiped with a white paper towel and the inside of the ice machine sliding door was observed with rusty dark spots. […]