A list of the most recent deficiencies for Paradigm at Sweeny. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-14 | 2024-01-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-05-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-20 | 2023-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-24 | 2023-03-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-02 | 2023-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-02 | 2023-02-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-02 | 2023-02-12 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-01-31 | 2023-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-08 | 2021-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-08 | 2021-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-09 | 2021-11-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-09 | 2021-11-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-28 | 2019-07-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-28 | 2019-07-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-28 | 2019-07-18 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-28 | 2019-07-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-28 | 2019-07-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-28 | 2019-07-18 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-06-28 | 2019-07-18 | N |
| Keep all essential equipment working safely. | Health | 2019-06-28 | 2019-07-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-06-28 | 2019-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-07-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-25 | 2019-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-07-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-25 | 2019-07-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-25 | 2019-07-18 | N |
