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Complaint Investigation

Paradigm At Stevens

September 6, 2025 · Yoakum, TX · 204 Walter St
Citations 2
CMS Rating 1/5
Beds 106
Provider ID 455544
Healthcare Facility
Paradigm At Stevens
Yoakum, TX  ·  View full profile →
Inspection Summary

Paradigm at Stevens in Yoakum, TX — inspection on September 6, 2025.

Found 2 citations. 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.

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Inspection Findings

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

resident other than discomfort. In an observation and interview on 9/6/2025 at 2:52 PM, the Maint.

Dir. was observed on a ladder working in the ceiling in the hallway in front of the room shared by Residents #1 and #2. He stated he was not aware of any issues with the air conditioning in that hallway, and the air conditioning unit had been replaced earlier in the year. He then said the staff had notified him previously that some of the rooms in the same hallway were hot, but he found no issues when he checked the temperatures of the rooms. He stated he came to the facility that day after being notified by the ADON that the room was hot, and he found that an area of the air conditioning duct was dislodged, but he had been able to repair it. In an observation and interview on 9/6/2025 at 2:59 PM, Residents #1 and #2 were observed to have been relocated to a room across the hall from their original, shared room.

The temperature in the room was measured at 72.9 degrees F near Resident #2's bed and 64.5 degrees F next to the air conditioning vent above the doorway.

Residents #1 and #2 both stated they felt better and more comfortable, and they were satisfied with the temperature of the room. In an interview with the Admin. on 9/6/2025 at 3:25 PM, she stated she was unaware of the ongoing discomfort of Residents #1 and #2 with the temperature in the room.

She was not sure how the residents obtained the fans in their room.

She stated the potential harm to residents who had an uncomfortable temperature in their rooms was discomfort.

Record review of the facility policy titled Dignity: Residents' Right for revised 6/2019, reflected the following: 7) Create a home-like environment for the resident that includes .e. proper temperature and ventilation.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/06/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Paradigm at Stevens

204 Walter St Yoakum, TX 77995

SUMMARY STATEMENT OF DEFICIENCIES

The facility failed to ensure Resident #1's personal refrigerator was maintained at proper temperature and the food was dated and labeled appropriately for September 2025.

This failure could lead to food-borne illness and decreased quality life of residents.

Findings included:

Record review of Resident #1's face sheet dated 9/6/2025 reflected a [AGE] year-old female admitted to the facility on [DATE].

Relevant diagnoses included schizophrenia (a mental health disorder in which a person has difficulty distinguishing their own thoughts/delusions from reality), depression, and generalized anxiety disorder.

Record review of Resident #1's admission MDS, submitted 8/14/2025, reflected a BIMS score of 15, indicating intact cognition. In an observation and interview on 9/6/2025 at 9:55 AM, Resident #1 was observed to have a small, personal refrigerator in her room containing several items of fruit, open containers of ketchup and mayonnaise, and a partially empty container of lunch meat.

All items felt warm to the touch.

The temperature of the refrigerator was recorded as 75.3 degrees F. Resident #1 stated someone used to check the temperature of the refrigerator, but it had not been checked lately and did not contain a thermometer.

She stated her family had visited recently and provided groceries.

She denied any gastro-intestinal illness related to food intake. In an observation and interview on 9/6/2025 at 1:17 PM, the ADON stated the night nursing staff was responsible for monitoring the temperature logs of residents' personal refrigerators. A binder containing the temperature logs was observed, but it did not contain a temperature log of Resident #1's refrigerator for September 2025.

She was unsure of the facility's policy regarding labeling and dating the food contained in residents' personal fridges.

She said the staff will clean the personal refrigerators approximately once a week to ensure there is no expired food inside. In an interview with the Admin on 9/6/2025 at 3:25 PM, she stated she was the person responsible for the temperature log of Resident #1's personal refrigerator as she was the Resident Ambassador for the room.

She stated she had not performed a check of Resident #1's refrigerator temperature in September.

She was unsure what the proper range was for food storage.

She was unsure of the facility policy regarding food labeling/dating for personal food.

She reported the potential harm to residents of having improperly stored food was sickness.

Record review of the facility policy titled Resident Refrigerators revised 9/2024, reflected the following: All food items must be labeled with the resident's name and date of placement.Perishable items must be discarded after 3 days unless otherwise directed by dietary services.Temperature must be maintained at or below 41 degrees F.

Facility ID:

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 Yoakum, 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 Stevens or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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