Paradigm At First Colony
Inspection Findings
F-Tag F0551
F 0551 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
established. Interview with facility Social Worker on 10/08/2025 at 1:40PM she stated that she had some concerns with the POA documentation due to the APS case against the POA. The Social Worker stated that she was told by the facility Administrator not to send clinical records because of the POA not being valid. Social Worker stated that Residents #1 was alert x 3 at times but may need some redirection. Social Worker said Resident #1was currently being seen by psychological services for anxiety and psychoactive behaviors. Interview with facility Administrator on 10/08/2025 at 2:00PM she stated that the POA was not valid due to Resident #1 having cognitive impairment and dementia. Administrator stated that Resident #1 could not have known what she was signing because of memory issues and the POA coerced Resident #1 into signing the invalid document. Administrator stated the POA signed Resident #1 out and did not disclose where she was taking her and returned to the facility with Durable Power of Attorney paper stating
she was now the POA and would like Resident #1's clinicals to be faxed to another skilled nursing facility.
The Administrator stated, I did not have my Social Worker faxed clinicals due to the POA did not appear to be valid. The Administrator stated the Durable Power of Attorney was not valid because it was notarized by someone that did not know Resident #1 and she looked up the notary and she only sold food. The Administrator stated she did not have to send notary to a corporate attorney due to her feeling the notary was not valid even though it had the seal of the State of Texas along with Notary ID # and expiration date.
The Administrator stated when she asked Resident #1 if she wanted to go to another facility, Resident #1 told her No. Interview with Resident #1 on 10/09/2025 at 10:10AM Resident #1 stated she was ok with moving to another facility because she can never live by herself anymore. Resident # 1 stated she knew her POA and they lived in the same apartment complex and she was her friend. Resident #1 stated she recalls signing a lot of paperwork since she has been in this place and she knows her friend will take care of her.
Resident#1 stated she was not forced into sign POA she wanted her friend and neighbor to help her make good decisions. Resident #1 stated that the president was Trump and she was in a nursing home, it was 2025 and Fall time of the year. Record review of the facility's discharge and transfer policy states as follows:The Facility is committed to ensuring safe discharge dispositions and will make every effort to facilitate a smooth transition of care. In cases of difficult or immediate discharges, the Facility will follow CMS and State guidelines to maintain regulatory compliance and protect resident's rights and well-being.
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If continuation sheet
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.