Inspection Reports for
Veranda Senior Living at Paramount

.260.05 Housekeeping and maintenance services: the memory care unit had two emergency exit doors blocked with items such as mattresses, bed frames, vacuum cleaners, wheelchairs, walkers, and carpet drying fans; the facility was made aware and rectified the situation.

.405.01 Medical gases: three portable oxygen tanks in the memory care unit oxygen storage room were unsecured and facility staff were unaware of this hazard.

.310.01.f Medication distribution: the facility did not ensure as-needed medications were available to residents, including PRN loratadine and airborne chews for Resident #4 and PRN autoshield duo pen needles, fleet enema, and triamcinolone acetonide ointment for Resident #8; the nurse was unaware these medications were missing.

.330.03.a.ii Resident care records: staff did not document the efficacy of PRN medications, with Resident #6's record missing five efficacy documentations for hydroxyzine in July 2026 and Resident #5's record missing four for lorazepam in August 2026; nurses stated they had not been documenting after staff called for PRN authorizations nor did staff document effectiveness.

.330.04.c.vi. Resident care records: facility staff did not notify the nurse when Resident #4 experienced decreased appetite, lethargy, fever, repeated emesis, shortness of breath, unresponsiveness, and dark tarry stools from 11/9/26 to 11/10/26; the resident was later hospitalized with sepsis.

39-3321.1. Qualifications and requirements of administrator: the facility operated without a licensed administrator from 2/17/25 through 4/28/26; the acting and previous administrator had not renewed his license despite having continuing education units.

.215.08.d. Written Response to Complaint within Thirty Days: the facility did not provide a written response to complainants within 30 days; the complaint log from August to December 2024 documented multiple complaints without responses, and the administrator was unaware of the requirement.

.310.01.c. Medication Distribution System: the facility did not maintain medication refrigerator temperatures between 38 and 45 degrees F; insulin was stored with documented out-of-range temperatures two times in January 2025 and ten times in November and December 2024, with no corrective action taken.

.310.04.e. Psychotropic or Behavior Modifying Medication: residents #5, #8, and #10 had six month psychotropic medication reviews that did not contain updated behavioral data; the nurse and administrator were unaware that behavioral updates were required.

.260.07. Toxic Chemicals: toxic chemicals were stored in unlocked areas accessible to cognitively impaired residents, including an unlocked kitchen gate and an unlocked cupboard with multi-service cleaner and disinfectant, as well as paint within reach in the activities room.

.330.06.a. Behavior Documentation: the facility did not evaluate residents exhibiting maladaptive behaviors; Resident #6 was not evaluated for multiple behaviors including elopement and biting, and Resident #8 exhibited sexual advancements and fighting behaviors without evaluation.

.330.06.b.ii. Behavior Documentation: the facility did not review behavior management plans for effectiveness nor adjust plans to address current behaviors; Resident #6 had ineffective interventions and Resident #8's plan did not address fighting or yelling despite being wheelchair bound.

.625.01. Number of Hours of Training: three of ten staff did not have documentation of 16 hours of orientation nor completed orientation within 30 days of hire; the business office manager confirmed the lack of training.

.630.02. Mental Illness: ten of ten staff did not document mental illness training; the business office manager stated the training had not been completed.