Paradigm At First Colony
PARADIGM AT FIRST COLONY in MISSOURI CITY, TX — inspection on November 14, 2025.
Found 1 citation. 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
interview and observation on 11/12/25 with Resident #2, his call light was observed to be behind his bed and behind a nightstand, twisted up amongst other cords that were plugged into the wall. He stated he used his voice to yell for help, because oftentimes his call light was not on his bed. He stated he did not get out of bed often, but he used the restroom and looked around when he could. In an interview on 11/12/25 at 2:50 PM with RN A, she stated Resident #2 often called for help with his voice.
She stated it would be easier on the resident if he were to use his call light.
She stated she was unsure why the call light was behind the bed and it was the nurses' responsibility to ensure call lights were within reach.
She stated it was important for a resident's call light to be within reach because sometimes it was hard to understand residents and ultimately the call light was to alert someone to go provide assistance to the resident(s).In an interview on 11/14/25 at 8:50 AM, the DON stated her expectation for call lights was that they were to always be within the residents' reach.
She stated staff were trained on call light placement.
She stated Resident #2 had a lot of behaviors, but she had not heard any about call lights.
She stated Resident #1 did her own thing and would sometimes throw her call light down. In an interview on 11/14/25 at 9:45 AM, the ADM stated it was her expectation that all residents' call lights were within reach, and it was all staff's responsibility for ensuring call light placement and any staff could answer call lights to see what residents needed and to ensure safety.
She stated if a resident was non-compliant or lacked the mental capacity for use of a call light, staff should still ensure the call light was in place.
She stated they should care plan systemic issues they saw so staff would be aware.
Record review of the facility's policy titled Call Lights, dated 12/23, reflected The facility will provide a call light system that is accessible, functional, and responsive to meet the needs of the residents.
Call lights will be placed within reach of the resident's bed or sitting area in the resident's room.
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