Paramount Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Paramount Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 15, 2025

  Based on interview and record review, it was determined for 2 of 7 sampled residents, that the facility failed to provide each resident with staff supervision to prevent accidents. Specifically, a resident who was on supervised smoking was left unattended in the smoking area, and had accidentally caught on fire, which resulted in burn injuries and the resident expiring at the hospital, along with burn injuries to another resident's hand who was attempting to put the fire out. Resident Identifiers: 1, 2. On [DATE], the surveyor reviewed the facility's investigation involving an incident with Resident 1, dated [DATE], which revealed the following:On [DATE], PRN Physical Therapist (PT) 1 took Resident 1 out to smoke. […]

• Actual harm, isolatedF688May 14, 2024

  Based on observation, interview and record review, for 1 of 38 sampled residents, the facility did not ensure that each resident with limited mobility received appropriate services, equipment and assistance to maintain or improve mobility with the maximal practical independence unless a reduction in mobility was demonstrated unavoidable. Specifically, a resident with limited range of motion to his hand was not being provided range of motion services or devices to prevent further contracture. […]

• Actual harm, isolatedF689May 14, 2024

  Based on observation, interview and record review it was determined, for 5 of 38 sampled residents, that the facility did not ensure that the resident environment remained as free of accident hazards as was possible and that each resident received adequate supervision and assistance devices to prevent accidents. Specifically, a resident's finger was partially amputated after it became impinged in a tilting wheelchair hinge; a resident sustained multiple falls with one resulting in a hip fracture; a resident sustained multiple falls with two falls resulting in head lacerations; two residents transported in the facility vehicle were not properly secured and sustained falls; and a resident sustained a burn while smoking unsupervised. Resident identifiers: 13, 20, 21, 31, 35, and 257. […]

• Actual harm, isolatedF692May 14, 2024

  Based on observation, interview and record review, for 2 of 38 sampled residents, the facility did not ensure residents maintained acceptable parameters of nutritional status. Specifically, resident's tube feedings were not administered as ordered, and a resident was not being positioned appropriately while the tube feeding was administered. Resident identifiers: 26 and 39. Findings include: 1. Resident 26 was admitted to the facility initially on 8/31/21 and readmitted on [DATE] with diagnoses that included alcoholic polyneuropathy, chronic obstructive pulmonary disease, severe protein-calorie malnutrition, major depressive disorder, anxiety disorder, dysphagia, hypo-osmolality and hyponatremia. […]

• No harm, potential for more than minimal, widespreadF809May 14, 2024

  Based on observation and interview, the facility did not provide meals with no more than 14 hours between the substantial evening meal and the breakfast meal the following day. Specifically, breakfast meals were being served more than 30 minutes beyond the posted time, causing more than 14 hours to elapse between the evening meal and the breakfast meal. Resident identifiers: 7, 9, 30 ,31, 49, 51 and 106. Findings include: 1. On 5/6/24 at 8:41 AM, Dietary Aid (DA) 1 and DA 2 were interviewed and stated the meal times for the facility were: Breakfast at 7:20 AM; Lunch at 12:00 PM; and Dinner at 5:30 PM. DA 1 referenced the meal schedule that was posted to the side of the window area where meals were served in the dining room. 30563 2. […]