The Haven of Paris

In the surveyor’s words

From the most serious findings on record at The Haven of Paris, in the surveyor’s own words.

• Immediate jeopardy, widespreadF689Jan 5, 2024

  Based on observation, interview, and record review, the facility failed to prevent the potential for fire and burn hazards by installing portable space heaters in resident rooms throughout the facility and intentionally labeling working emergency exit doors with signs declaring the doors do not open, are out of order, and should not be used to discourage or prevent use by exit-seeking residents. These failures affect all 74 residents residing in the facility. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 11/28/2023 when facility staff first placed portable space heaters in resident rooms throughout the facility. V1 (Administrator) was notified of the Immediate Jeopardy on 12/29/2023 at 3:43PM. […]

• Immediate jeopardy, isolatedF761Feb 26, 2025

  Based on observation, interview, and record review, the facility failed to store a Schedule II Controlled medication (Morphine Sulfate) in a locked location by leaving the medication on top of the medication cart in plain view, unsupervised, and readily accessible to wandering residents on a dementia care unit. This failure resulted in facility staff observing R1 at the medication cart with the bottle of Morphine placed to R1's lips, when staff removed the bottle, no medication remained in the bottle and then staff later observed R1 unresponsive with a decreased respiration rate followed by staff administering Narcan (an emergency medication that rapidly reverses life-threatening opioid overdoses) and sending R1 to the hospital emergency room for evaluation and treatment. […]

• Immediate jeopardy, isolatedF600Jan 10, 2024

  Based on interview and record review the facility failed to prevent staff to resident mental abuse and failed to immediately suspend alleged perpetrators in order to prevent further staff to resident mental abuse. This failure affects three of four residents (R2, R3, R4) reviewed for abuse. This failure resulted in R2, R3, and R4 being subjected to mental abuse by two Certified Nurses Assistants (CNAs) (V9, V14) engaging in sexual behavior in residents' rooms. The Immediate Jeopardy began on 12/15/23 when V9 CNA and V14 CNA engaged in sexual groping in front of R4. V1 Administrator was notified of the Immediate Jeopardy on 1/09/24 at 2:20 PM. […]

• Actual harm, isolatedF689Dec 17, 2025

  Based on interview and record review the facility failed to ensure sufficient lighting in a resident's bedroom and failed to provide adequate supervision for a restless resident with dementia. These failures resulted in a fall for one (R6) of three residents reviewed for accidents, causing a brain bleed and skin tears to the right shoulder, right hand, and right forearm on the total sample list of 17.Findings include:The facility's Falls and Fall Risk Management Policy, dated March 2018, documents that based on previous evaluations and current data, staff will identify interventions related to a resident's specific risks and causes to prevent falls and to minimize complications from falls. […]

• Actual harm, isolatedF689Nov 13, 2025

  Based on observation, interview and record review, the facility failed to develop and implement interventions and provide supervision to prevent a wandering resident from entering other resident's rooms invading resident privacy, disturbing the environment, taking assistive devices, and making inappropriate comments for five (R1, R5, R6, R7, R8) of five residents reviewed for accidents on a sample list of eight. This failure resulted in R1 falling on two separate occasions when R2 took R1's walker and sustaining a laceration to the knee requiring six sutures, a laceration to the left hand and a hematoma to the scalp. […]