Paradigm At The Oak

During an interview on 02/19/2026 at 4:43 PM with CNA F she said she received training on 02/10/2026 on abuse and neglect.

She said abuse can be physical, verbal, sexual and mental.

She said exploiting residents was also abuse.

She said abused should be immediately reported to the facility Administrator.

She said the Administrator was the abuse and neglect coordinator.

During an interview on 02/19/2026 at 4:45 PM with CNA G she said she was trained in abuse and neglect on 02/10/2026.

She said abuse can be physical, mental, or sexual.

She said taking a call light away from a resident was a form of abuse.

She said abuse should be reported to the Administrator because the Administrator was the abuse and neglect coordinator.

Record review of facility policy and procedure on Abuse, Neglect and Exploitation dated October 2024 reflected - Protection: Immediate response: any employee alleged to be involved in an instance(s) of abuse and/or neglect will be interviewed and suspended pending investigation and will not be permitted to return to work unless and until such allegations of abuse/neglect are unsubstantiated or it is determined that no residents are in danger with the employee's return to work.

675971 02/20/2026

Paradigm at the Oak 507 West Ave Schulenburg, TX 78956

During an interview on 02/19/2026 at 4:43 PM with CNA F she said she received training on 02/10/2026 on abuse and neglect.

She said abuse can be physical, verbal, sexual and mental.

She said exploiting residents was also abuse.

She said abused should be immediately reported to the facility Administrator.

She said the Administrator was the abuse and neglect coordinator.

During an interview on 02/19/2026 at 4:45 PM with CNA G she said she was trained in abuse and neglect on 02/10/2026.

She said abuse can be physical, mental, or sexual.

She said taking a call light away from a resident was a form of abuse.

She said abuse should be reported to the Administrator because the Administrator was the abuse and neglect coordinator.

Record review of facility policy and procedure on Abuse, Neglect and Exploitation dated October 2024 reflected report abuse (with or without serious bodily injury) immediately, but not later than two hours after the incident occurs or is suspected.

675971 02/20/2026

Paradigm at the Oak 507 West Ave Schulenburg, TX 78956

During an interview on 02/19/2026 at 4:43 PM with CNA F she said she received training on 02/10/2026 on abuse and neglect.

She said abuse can be physical, verbal, sexual and mental.

She said exploiting residents was also abuse.

She said abused should be immediately reported to the facility Administrator.

She said the Administrator was the abuse and neglect coordinator.

During an interview on 02/19/2026 at 4:45 PM with CNA G she said she was trained in abuse and neglect on 02/10/2026.

She said abuse can be physical, mental, or sexual.

She said taking a call light away from a resident was a form of abuse.

She said abuse should be reported to the Administrator because the Administrator was the abuse and neglect coordinator.

Record review of facility policy and procedure on Abuse, Neglect and Exploitation dated October 2024 reflected the facility will conduct a timely investigation of any alleged abuse or neglect exploitation, mistreatment, injuries of unknown origin, or misappropriation of resident property.

The investigation should include gathering evidence, interviewing witnesses, conducting surveys as indicated, reviewing medical records, and examining any relevant documentation.

The facility will record all investigation findings, interviews, and actions taken.

The facility will assess the evidence gathered to review and determine the extent and nature of the allegations.

Investigative findings will be documented on appropriate state forms as accessible.

675971 02/20/2026

Paradigm at the Oak 507 West Ave Schulenburg, TX 78956

facility was committed to providing a safe, healthy, and comfortable environment for all residents,

This policy applies to facilities that permit smoking (including the use of e-cigarettes/vape pens).

The

upon the findings of the resident's Smoking -Safety Screen.

The Smoking Policy Notification is outlined in the admission Agreement.

Residents who desire to smoke will be assessed using the Smoking- Safety Screen, documented in Point Click Care.

Assessments will be conducted at the time of admission, quarterly, and at the time any condition or behavioral change impacts their ability to smoke safely.

Areas assessed include: cognitive status, visual status, dexterity, can the resident light their own cigarette, does the roommate use oxygen, and adaptive equipment needed.

Staff members maintain all smoking materials as appropriate for the residents.

Staff members will distribute smoking materials to residents at designated smoking times in the designated smoking area.

Smoking and e-cigarette/vape pen use must occur in designated locations that are environmentally separate from resident care areas.

These designated locations should be outdoors, safe, and should be outfitted with required safety equipment including: fire Extinguisher, fire/Smoke Blanket, life Safety Approved Ash Tray life Safety Approved Disposal Can, and signage: No Oxygen Use.

Recommended Resident Infractions (the facility has the autonomy to put an alternate plan of action to prevent further Infractions). 1st Offense - the facility will initiate a Behavioral Contract with the resident that outlines expectations of the smoking policy and procedure, 2nd offense notice of Involuntary/Immediate Discharge.

Discharge procedures are initiated and pursued to completion.

Rationale: endangerment to the health and safety of residents, staff members, and visitors.