Paradigm At Woodwind Lakes
Paradigm at Woodwind Lakes in Houston, TX — inspection on August 14, 2025.
Found 5 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
was a [AGE] year-old male who was originally admitted to the facility on [DATE] and discharged on 7/3/2025 with the following diagnoses to include but not limited to: Local infection of the skin and subcutaneous tissue, other acute osteomyelitis, left ankle and foot, Type 2 Diabetes mellitus with hyperglycemia, need for assistance with personal care, unspecified lack of coordination, muscle weakness (generalized), unspecified abnormalities of gait and mobility, schizoaffective disorder (mental health disorder), osteomyelitis.
Record review of CR# 142's admission MDS dated [DATE], revealed resident had a BIMS score of 10 indicating resident was moderately impaired.
Record review of facility's Concern report for CR #142 dated 6/9/2025 revealed: Description of concern: Resident walked in his room door was closed seen Laundry aid A going through his things. He tried talking to her but she wouldn't say nothing.
The day went by he didn't leave room after that.
When getting ready for bed he realized money missing from wallet he did go to report to nurse not sure of name.
Investigation/resolution: Laundry aid was in his room.
States employee took $18 total from his room on 6/8.
Resident states 2 other residents knew he had cash.
Record review of facility's Education In-Service Attendance record dated 6/16/25 revealed: Topic: Missing money and abuse coordination when to report, who to report to immediately Present by the former Administrator.
Surveyor attempted to contacted CR #142 on 8/12/2025 at 7:55 AM and 8/14/2025 at 8:16 AM via phone call and texts. CR #142 did not respond or call back. In an interview on 08/14/2025 at 12:50PM with the Laundry Aide she stated she does what she likes to call room rages every day in residents' room.
She gathers dirty laundry in resident's room.
She will also look through residents' drawers and things to see if they were hiding any laundry.
When she goes through the drawers, she'll find towels and other linens and remove it.
She would never accept money from a resident to go get anything as she's seen people get in trouble for that.
She stated she did not take any money.
She was in CR #142's room while resident was not in the room on the date of the incident CR #142 reported. CR #142 did walk in while she was doing her room rage to get laundry and she left with laundry in her hands. In an interview with the Administrator on 08/14/2025 at 1:35 PM the Administrator stated that staff were not to go through residents' drawers without the resident's permission and them being present.
There was not a need for staff to go through the residents' drawers as that was their personal space. In an interview with the Administrator on 08/13/2025 at 9:53 AM the Administrator came in the room and stated she did not find any self-reports for the grievances regarding missing money.
She would need to try and reach out to the previous administrator and find out what her rational was for not reporting.
The normal protocol was to report it and then do a thorough investigation and if it was found that the money was taken to reimburse the resident.
Yes, the grievances should have been reported.
The current administrator is the Abuse coordinator as was the previous Administrator. At time of exit current Administrator did not mention if she had spoken to the previous administrator to get her rationale for not reporting. A phone number for previous administrator was asked for on 8/13/2025 at 8:00 AM and was not provided before exit. On 8/13/2025 at 4:30 PM it was requested from the administrator for their policy regarding reporting.
She stated they follow the provider letter regarding reporting.
This provider letter was not provided to surveyor before exit.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/14/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Paradigm at Woodwind Lakes
7215 Windfern Rd Houston, TX 77040
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited Paradigm at Woodwind Lakes in Houston, TX for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-14.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of Paradigm at Woodwind Lakes.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-12.
During an interview with nurse B on 08/14/2025 at10:47 am.
Nurse B said, she knows the required number of staff needed to transfer a resident based on the resident’s functionality.
She said, you can look at the ADL transfer section in the chart. It will indicate the maximum number of staff required. It will also indicate if there was need for a Hoyer lift or 2 persons assist.
Nurse B stated, if a transfer is done inappropriately, the resident might have skin tear, or an injury to a flexible tissue that connects the bones at a joint.
During an interview with the Administrator on 08/14/2025 the Administrator who stated resident #1’s incident occurred before she was hired.
She said, training was coordinated by the various department heads.
She said inappropriate transfer may result to serious injury.
A record review of the facility’s policies and procedures for transfers/lifts, revised on 01/2024.
The purpose of this policy is to ensure the safety, dignity, and well-being of residents during transfers and lifts within the nursing home facility.
This policy aims to minimize the risk of injury to both residents and staff while promoting efficient and respectful care practices.
Factors affecting transfers/lifts.
Resident: -Medical status -Physical status -Emotional Status -Mental faculties -Communication -Interference
Assessment
Each resident's mobility and transfer needs shall be routinely assessed.
Individualized care plans shall be developed based on the resident's assessment, outlining appropriate transfer techniques, equipment requirements, and staff assistance levels.
Facility ID:
Federal health inspectors cited Paradigm at Woodwind Lakes in Houston, TX for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-14.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of Paradigm at Woodwind Lakes.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-12.
Federal health inspectors cited Paradigm at Woodwind Lakes in Houston, TX for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-08-14.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 5 deficiencies cited during this inspection of Paradigm at Woodwind Lakes.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-12.