Paradigm Northwest
Paradigm Northwest in Houston, TX — inspection on August 12, 2025.
Found 2 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
incontinent bowel. Resident #2 was triggered for cognition, incontinence, pressure sore, activities, dehydration, falls, psychosocial well-being, communication and nutrition.
Record review of Resident #2's care plan, initiated 6/06/2025, revealed the care plan did not address cognition, activities and nutrition. In an interview on 8/12/2025 at 2:18 PM, the DON said they did not have a MDS Coordinator.
She said the corporate nurse was helping them and was doing a 100% audit to ensure all triggered areas on the MDS were captured on the care plan.
She said they were going to try and ensure all triggered areas on the MDS were captured on the care plans to ensure residents care needs were addressed.
Record review of the policy and procedures, dated March 2022, Care Plans, Comprehensive Person-Centered read in part .Policy Statement A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident.
Policy Interpretation and Implementation1.
The interdisciplinary team (IDT), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
08/12/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Paradigm Northwest
17600 Cali Dr Houston, TX 77090
SUMMARY STATEMENT OF DEFICIENCIES
During the morning clinical meeting, accidents and incident will be review daily and at-risk meetings for trends with IDT team members brought to monthly QAPI.
The noncompliance was identified as PNC.
The IJ began on 08/11/2025 and ended on 08/12/2025.
The facility had corrected the noncompliance before the survey began.
Facility ID: