Paradigm At First Colony
Inspection Findings
F-Tag F0558
F 0558 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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PARADIGM AT FIRST COLONY in MISSOURI CITY, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MISSOURI CITY, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from PARADIGM AT FIRST COLONY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.