Facility profile · CCN 455812
Paradigm At First Colony
41 federal citations on record , including 8 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $211,113.
Record summary
Federal record · Q1 202641
Total citations
40
Last 3 years
8
Actual harm+
3
Federal penalties
$211,113
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
41 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 1, 2025 | F551 | Give the resident's representative the ability to exercise the resident's rights. | D | Complaint |
| Nov 14, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Sep 8, 2025 | F610 | Respond appropriately to all alleged violations. | E | Complaint |
| Jun 1, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 27, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint |
| Nov 27, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint |
| Nov 19, 2024 | F732 | Post nurse staffing information every day. | C | Complaint |
| Nov 19, 2024 | F583 | Keep residents' personal and medical records private and confidential. | C | Complaint |
| Oct 24, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Oct 24, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | K | Complaint |
| Oct 24, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Oct 24, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Oct 24, 2024 | F814 | Dispose of garbage and refuse properly. | C | Standard |
| Oct 24, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 24, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Oct 24, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Oct 24, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Oct 24, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Oct 24, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Oct 24, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Oct 24, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Aug 21, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Jul 25, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Jul 25, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Feb 8, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Feb 8, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Nov 2, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Nov 2, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 8, 2023 | F814 | Dispose of garbage and refuse properly. | D | Complaint |
| Sep 8, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint |
| Sep 8, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint |
| Sep 8, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| Sep 8, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Sep 8, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Aug 15, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 15, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint |
| Aug 15, 2023 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Aug 15, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint |
| Aug 15, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Jul 18, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 11, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $211,113 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 27, 2024 | Fine | $19,838 | — |
| Oct 24, 2024 | Fine | $44,721 | — |
| Aug 15, 2023 | Fine | $146,554 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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