Inspection Reports for
Paramount House Senior Living

The inspection found deficiencies related to staff training records, including lack of evidence for initial orientation, dementia training, and first aid training. Resident files were missing or had incomplete signed consents for emergency medical treatment and emergency contact information. Medicines were observed to be stored securely, and the facility conducts quarterly disaster drills.

The complaint was substantiated regarding the facility's failure to report an unusual incident within the required timeframe. The theft allegations were unsubstantiated due to lack of evidence and the resident's medical history of Mild Cognitive Impairment.

The investigation found that although the resident suspected theft by a staff member, there was insufficient evidence to substantiate the theft allegations. However, it was substantiated that the facility failed to submit an Unusual Incident Report within seven days as required by regulations, resulting in a deficiency citation.

The complaint was substantiated based on staff and resident interviews, record reviews, and observations. Medication Technicians administered insulin injections without proper qualifications, and documentation discrepancies were noted in MARs.

The investigation substantiated that Medication Technicians, who are not licensed nurses, administered insulin injections to residents, which is outside their approved scope of practice. Documentation errors were also found in the Medication Administration Records (MARs).

The complaint was substantiated regarding delayed or absent response to resident call buttons. Other allegations about care needs, dignity, respect, and staffing levels were unsubstantiated. A repeat citation and civil penalty were issued for insufficient staffing under CCR 87411(a).

The investigation substantiated the allegation that staff do not answer call lights timely, with average response times exceeding facility goals and instances of care being delayed or not provided after call lights were turned off. Allegations regarding unmet care needs, lack of dignity and respect, and insufficient staffing were found to be unsubstantiated based on interviews, observations, and record reviews.

The complaint was substantiated. The allegation involved staff providing care beyond the scope of the license, specifically a caregiver performing fecal impaction removal, suppository insertion, and medicated cream administration without proper training.

The allegation was substantiated based on document review, interviews, and observations. It was found that a caregiver provided suppository and ointment care without skilled professional training, posing a potential health and safety risk to residents.

The complaint investigation was substantiated with findings that staff did not ensure adequate bathing services, timely response to call buttons, and proper management of mal odors related to catheter care. Repeat violations were noted with civil penalties of $250 each assessed for bathing and call response deficiencies. Other allegations were unsubstantiated due to lack of evidence.

The investigation substantiated that staff did not provide adequate bathing services as required, with documented evidence showing fewer baths than agreed. Staff also failed to respond timely to call button requests, with numerous instances of delays exceeding 15 minutes. Additionally, mal odors related to catheter care were observed in resident rooms. Other allegations regarding dental hygiene assistance, catheter care plan adherence, clean dry clothing, and communication abilities were found unsubstantiated.

The facility was found to be clean, well-maintained, and compliant with safety and dietary regulations. Two technical violations were issued related to unsecured cleaning supply storage and incomplete staff training documentation. No deficiencies were cited during the visit.

The complaint was substantiated based on evidence including interviews, observations, and record reviews. Residents experienced extended wait times for call button responses, with one resident waiting 15 minutes or more 91 times over 4 months, including waits over 30 and 60 minutes. Bathing care was less than contracted, with one resident receiving approximately 1 bath per week instead of 2.

The investigation substantiated the allegations that staff failed to respond timely to residents' call buttons and did not meet bathing needs as agreed in residents' contracts. Documentation showed multiple instances of delayed staff response and fewer baths provided than contracted.

The complaint investigation was substantiated for allegations that the facility did not ensure a safe environment and was not kept clean, safe and sanitary. The allegation that staff were not providing adequate care and supervision was unsubstantiated.

The complaint that staff were not providing adequate care and supervision was found to be unsubstantiated due to lack of corroborating evidence. However, allegations that the facility did not ensure a safe environment and was not kept clean, safe and sanitary were substantiated. Specifically, several unhoused individuals gained access to the facility posing an immediate safety risk, and a resident's bedside commode was not properly disposed of in a timely manner, posing health and safety risks.

The visit was complaint-related, addressing violations found during complaint investigation number 21-AS-20231129102127. The deficiency was substantiated as the facility failed to provide adequate supervision and proper room checks for resident R1.

The Licensing Program Analyst found that on 11/22/2023, a resident (R1) was left unattended and soiled in their wheelchair for several hours, despite care plan requirements for two-person assist transfers and two-hour room checks. The facility was unable to prove adequate supervision and proper room checks were conducted for R1.

The facility was found to be clean, well-maintained, and compliant with safety and health regulations. Several technical violations were issued related to unsecured laundry room access, incomplete medication record entry, and staff training deficiencies. No deficiencies were cited during the visit.

The complaint investigation was substantiated. Allegations included improper oxygen administration, neglect/lack of supervision, and physical plant issues. The oxygen tank was found not turned on during transport, call bell response times were excessively delayed, and a rat trap was found in a resident's closet.

The investigation substantiated that oxygen equipment was not properly used as a resident's oxygen tank was not turned on during transportation. There were multiple instances of delayed response to call bells indicating neglect/lack of supervision. Additionally, a rat trap was found in a resident's closet, indicating physical plant maintenance issues.

The visit was complaint-related due to an incident where Resident R1 eloped from the facility without staff knowledge. The complaint was substantiated by the findings.

The inspection found that the facility failed to implement adequate safety measures to prevent Resident R1, who is unable to leave unassisted, from eloping. Deficiencies were cited related to care of persons with dementia and safety measures addressing wandering behaviors.

Complaint was substantiated. The allegation was that staff did not distribute residents' medications as prescribed, which was confirmed during the investigation.

The investigation substantiated that agency staff failed to administer medications to residents on February 1 and February 3, 2023, presenting a health, safety, and personal rights risk. Civil penalties were assessed and a Plan of Correction was required.

The complaint was substantiated. The allegation was that the facility failed to ensure sufficient staffing necessary to provide care and supervision to residents. The investigation confirmed insufficient staffing and an incident where medication was not dispensed due to lack of staff.

The investigation substantiated the complaint, confirming through interviews, document reviews, and an incident report that there were instances of insufficient staffing, including a specific incident on September 5, 2022, where staff was not present to dispense medication from 1600 to 2200 hours, posing an immediate health, safety, and personal rights risk to residents.

The visit was complaint-related, focusing on whether the facility updated resident care plans appropriately. The report does not explicitly state substantiation status.

The Licensing Program Analyst observed that a Resident's Needs and Services Plan was not appropriately updated to match the Physician's Report on file, indicating a failure to update care plans as needed. Additionally, a resident was observed having frequent and loud vocalizations, and discussions were held regarding the facility's response to their care needs.

The complaint investigation was related to suspected abuse of resident R1 reported late by the facility and inadequate staff training. The complaint was substantiated by findings of delayed reporting and incomplete staff training documentation.

The investigation found that the facility failed to report suspected abuse in a timely manner and did not conduct an investigation as required. Additionally, staff members S1 and S2 lacked all required training hours and documentation as mandated by the Health & Safety Code.

The complaint investigation was substantiated regarding the facility not providing medication as prescribed. The allegation that the facility was not meeting residents' needs was unsubstantiated.

The allegation that the facility was not providing medication as prescribed was substantiated, as the facility failed to administer medication as ordered for three days before obtaining a new physician order. The allegation that the facility was not meeting residents' needs was unsubstantiated based on file review and interviews.

The complaint was substantiated based on interviews and review of staff records. The allegation that staff were not adequately trained, specifically medication technicians lacking proper training, was found valid by a preponderance of the evidence standard.

The investigation found that the facility was unable to provide verification that all required training had been completed for 5 out of 5 staff reviewed, substantiating the allegation that staff were not adequately trained. This posed an immediate health, safety, or personal rights risk to persons in care.

The visit was triggered by a self-reported incident on 07/01/2021 involving neglect by staff (S1). The incident was substantiated, and the responsible staff member was terminated the same day.

The investigation confirmed that staff neglected to assist a resident with incontinence care, violating the resident's personal rights. A deficiency was cited under Personal Rights (LIC 809-D).

The complaint alleged that staff did not provide assistance in meeting a resident's need for a medical appointment with a physician. The allegation was substantiated after investigation, including interviews with the resident's healthcare provider and facility staff, confirming a 'no show' by facility staff for the scheduled video appointment.

The investigation found that the facility did not have any record of the resident's scheduled medical appointment or documentation of rescheduling the missed appointment. The allegation that staff failed to assist the resident with the medical appointment was substantiated based on interviews and record reviews.

The complaint investigation was substantiated for allegations that staff did not follow physician's orders regarding medication administration and that a resident was not accorded dignity due to delayed changing of continence care products. The allegation that staff did not ensure timely reporting of changes in resident condition to a physician was unsubstantiated.

The investigation substantiated that staff did not follow physician's orders by administering a laxative medication against a discontinuation order and that a resident was left in soiled continence care products for several hours, violating dignity standards. Another allegation regarding timely reporting of changes in resident condition to a physician was unsubstantiated.

The complaint investigation was substantiated for staff mismanaging medications, specifically a missing narcotic medication by staff S1. Other allegations regarding medication errors, inappropriate staff behavior, and resident care were found unsubstantiated.

The complaint investigation found that staff S1 was responsible for a missing narcotic medication for resident R1 during a medication audit. Two additional medication errors were noted for other staff, but the facility lacked documentation of corrective actions. Other allegations including residents being given another resident's medication, staff speaking inappropriately, staff hitting residents, and residents not being changed timely were found to be unsubstantiated due to conflicting information and lack of corroborating evidence.

The complaint investigation was substantiated for allegations that staff had access to discontinued medication and that incident reports were not submitted timely. Other allegations including questionable death, staff handling destroyed medications, roughness with residents, and inappropriate comments were unsubstantiated.

The investigation substantiated that staff had access to discontinued medication stored unsecured and that incident reports were not submitted in a timely manner. Other allegations including questionable death, staff handling destroyed medications, rough treatment of residents, and inappropriate comments were found to be unsubstantiated.

Complaint control number 21-AS-20201019132325. The complaint was substantiated regarding insufficient staffing but unsubstantiated regarding inadequate services to residents.

The investigation substantiated the allegation that the facility was short staffed on multiple dates between 2020-10-11 and 2020-10-24, posing an immediate health and safety risk. The allegation that the facility was not providing adequate services to residents was found to be unsubstantiated due to conflicting information.