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Complaint Investigation

Paradigm At Faith Memorial

Inspection Date: November 17, 2025
Total Violations 1
Facility ID 675321
Location Pasadena, TX
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Inspection Findings

F-Tag F0842

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

medications were given. During interview on 11/17/25 at 9:56 a.m., MA B said they documented after medications were given to a resident in the electronic medical record after each individual resident. MA B said it would be on the resident's MAR if the resident was out on leave. MA B said they thought Resident #1's family had taken him out on the weekend but could not remember what day. During interview on 11/17/25 at 11:36 a.m., the DON said staff were supposed to chart immediately after administration of medications and go to the laptop to document that the medication was given. The DON said the expectation regarding medication administration was for the staff to lay eyes on the resident, follow the rights of medication and were giving medications at the right time to the right person. The DON said she interviewed residents to make sure they were getting the care they were supposed to and observed staff to make sure

they were doing what they were supposed to.During interview on 11/17/25 at 11:56 p.m., the Administrator said that every resident could be affected if staff members were documenting that medications were given but the resident was not present at the facility, and they would question if medications were being given or being given to the right person or right time. During interview on 11/17/25 at 1:28 p.m., the Unit Manager said that once Resident #1 left they did not return to the facility. The Unit Manager said the expectation is that staff chart medications were given right after they were given. Record review of the facility's policy Medication Administration and Management revised 6/2019 revealed The authorized licensed and or certified/permitted medication aide or by state regulatory guidelines staff member documents that the medication is given in the correct slot of MAR, before going to the next patient/resident. and If the resident is not in the room, flag the MAR and follow the guidelines when the patient/resident is located.

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📋 Inspection Summary

Paradigm at Faith Memorial in Pasadena, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 Pasadena, 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 Faith Memorial or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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