Inspection Reports for Paramount Senior Living at Cabell Midland

Follow-up to Complaint #36964 conducted from 12/16/2025 to 12/17/2025 to verify correction of previously identified deficiencies.

The deficiency related to failure to provide and maintain training records for new employees prior to unsupervised work was found and corrected. The census at the time was 53 in Assisted Living and 30 in Memory Care. The report also references a prior behavioral health survey from 2004 with multiple safety and housekeeping deficiencies.

Follow-up to Complaint #36964. The deficiency was corrected.

Investigation of Complaint #39957 at Paramount Senior Living at Cabell Midland.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #39957 was investigated on 09/24/25 and found to be unsubstantiated with no deficiencies cited.

Follow-up to Complaint #38243 to verify correction of previously identified deficiencies.

The deficiency identified in the prior complaint investigation was corrected as of the follow-up visit.

Complaint #38243 was the reason for the follow-up visit; the deficiency was corrected.

Follow-up to the annual survey to verify correction of previously identified deficiencies.

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit.

Investigation of Complaint #36964 conducted from 08/11/25 to 08/14/25 at Paramount Senior Living at Cabell Midland.

The complaint was unsubstantiated, but deficiencies were cited including failure to ensure documentation of notification of appropriate parties upon resident death for one of five deceased residents reviewed.

Complaint #36964 was investigated from 08/11/25 to 08/14/25. The complaint was unsubstantiated, but deficiencies were cited related to death notification documentation.

Investigation of Complaint #39815 conducted from 08/11/25 to 08/14/25 at Paramount Senior Living at Cabell Midland.

The complaint was substantiated, and no deficiencies were cited during the investigation.

Complaint #39815 was investigated and substantiated, with no deficiencies cited.

Investigation of Complaint #38243 regarding resident privacy and confidentiality during medical treatment.

The Licensee failed to ensure a resident's right to privacy and confidentiality during blood glucose monitoring and insulin administration, with checks sometimes occurring in the common dining room. The complaint was substantiated and a deficiency was cited.

Investigation of Complaint #38243 dated 04/23/25. Census at time of complaint: Assisted Living - 53, Memory Care - 19. The complaint was substantiated and a deficiency was cited.

Annual survey conducted to assess compliance with health assessment, service plans, housekeeping, and maintenance requirements at the assisted living and memory care facility.

The facility failed to ensure that all residents had documented initial and annual health assessments, service plans, and functional needs assessments in their medical records. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.

Annual environmental inspection of the facility.

The inspection found no deficiencies cited during the annual environmental survey.

Investigation of Complaint #33405 regarding the assisted living and memory care facility.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #33405 was investigated and found to be unsubstantiated with no deficiencies cited.

First follow-up to the annual survey to verify correction of previously cited deficiencies.

The citation from the prior annual survey was cleared during this follow-up visit. The census included 24 residents in Memory Care and 53 in Assisted Living.

The inspection was conducted as an annual survey of the assisted living and memory care facility to assess compliance with health, safety, and care plan regulations.

The survey found deficiencies in individualized care plans for memory care residents, lacking required elements such as family history, specific needs, desired outcomes, and support for independence. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and inadequate cleaning.

The annual inspection was conducted to assess the facility's compliance with health, safety, maintenance, and housekeeping regulations.

The facility failed to maintain the physical environment in good repair, with damaged and weak flooring in the memory care unit and other housekeeping deficiencies noted. The facility acknowledged these issues and provided a plan of correction including repairs and ongoing monitoring.

The inspection was an annual survey conducted to assess compliance with regulatory standards at Paramount Senior Living at Cabell Midland.

The survey found no deficiencies as all cited deficiencies were corrected. The inspection included a 100% sample size and covered environmental follow-up.

Investigation of Complaint #30650 regarding the facility's compliance and safety.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #30650 was investigated from 02/07/24 and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #30752 regarding facility conditions and care.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #30752 was investigated from 02/07/24 and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #29799 at Paramount Senior Living at Cabell Midland.

The complaint was unsubstantiated, and no deficiencies were cited during the investigation.

Complaint #29799 was investigated from 11/28/23 and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #28437 conducted from 07/31/23 to 08/02/23.

The complaint investigation was unsubstantiated with no citations issued. The census at the time was 62 assisted living and 26 memory care residents.

Complaint #28437 was investigated between 07/31/23 and 08/02/23 and found to be unsubstantiated with no citations.

Investigation of Complaint #28698 conducted from 07/31/23 to 08/02/23 to assess the concerns raised.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint #28698 was investigated and found to be unsubstantiated with no deficiencies cited.

Investigation of Complaint #28849 conducted from 07/31/23 11:30 PM to 08/02/23 10:15 AM.

The complaint investigation was unsubstantiated with no new citations issued.

Complaint #28849 was investigated and found unsubstantiated with no new citations.

This was a first follow-up visit to the annual survey to verify correction of previously identified deficiencies.

The deficiencies identified in the prior annual survey were corrected as of the follow-up visit on July 31, 2023.

Annual survey conducted from 05/09/23 to 05/17/23 to assess compliance with state regulations for assisted living and memory care residents.

The facility was found deficient in completing comprehensive social assessments, updating functional needs assessments and service plans, medication administration documentation, and maintaining locked storage for hazardous materials. Housekeeping and maintenance issues were also noted including damaged carpets and missing bathroom fixtures.

This was a follow-up visit to a complaint survey identified by Complaint ID WV00027920 to verify correction of previously cited deficiencies.

The deficiencies identified in the prior complaint survey were corrected as of this follow-up visit.

Complaint ID WV00027920 triggered the initial complaint survey. The follow-up visit confirmed that deficiencies were corrected.

The inspection was conducted as an annual license renewal survey to assess the facility's compliance with state requirements.

The facility was found to be in substantial compliance with state requirements based on review of documentation, staff interviews, observations, and performance testing.

The inspection was conducted in response to Complaint #27833, with entry on 01/30/23 and exit on 02/02/23, to investigate concerns at the facility.

The inspection found no citations were written during the complaint investigation. The census included 60 Assisted Living and 31 Memory Care residents.

Complaint #27833 was investigated from 01/30/23 to 02/02/23; no citations were issued.

The inspection was conducted as a complaint investigation (Complaint #27920) from 01/30/23 to 02/02/23 to evaluate compliance with regulations related to medication administration, nursing care, treatment, and environmental safety at the facility.

The facility was found deficient in ensuring medications and treatments were administered according to applicable laws, maintaining proper nursing visit records, preventing use of prohibited full side rails on beds, and maintaining adequate housekeeping and maintenance. Specific deficiencies included lack of monthly review documentation of medication records by registered nurses, absence of RN visit logs, and presence of a full side rail on a resident's bed.

Complaint #27920 was investigated from 01/30/23 11:15 AM to 02/02/23 11:50 AM. Deficiencies were cited related to medication administration, nursing care, treatment, and environmental conditions.

The inspection was a follow-up to the annual survey to assess compliance with staffing requirements and housekeeping/maintenance standards at Paramount Senior Living at Cabell Midland.

The facility failed to maintain adequate staffing levels on multiple day and night shifts, resulting in shortages that could impact all residents. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.

Annual survey of Paramount Senior Living at Cabell Midland to assess compliance with state regulations for assisted living and memory care units.

The facility was found deficient in multiple areas including staff training, care planning, social assessments, medication monitoring, staffing levels, resident weight monitoring, transfer documentation, and environmental maintenance. Several residents' records lacked timely assessments, care plans, and documentation of monitoring. The facility also failed to maintain adequate housekeeping and repair schedules.

The inspection was conducted as a routine environmental survey to assess the physical facilities, housekeeping, maintenance, and emergency preparedness of the facility.

The facility was found to have deficiencies related to maintenance and housekeeping, including dust accumulation, stained and corroded kitchen tables, and lack of documentation for annual emergency preparedness rehearsals. These findings were verified by staff interviews and observations.

The inspection was conducted as a routine environmental survey of the facility, including Midland Place and Meadow House / Alzheimer's Unit.

The survey identified deficiencies related to environmental conditions, specifically citing deficiencies numbered 0445 and 0450.

The visit was conducted to verify correction of previously cited deficiencies at Paramount Senior Living at Cabell Midland.

The inspection found no deficiencies to write, indicating that both previously cited deficiencies had been corrected.

Revisit to an annual inspection to verify correction of previously cited deficiencies.

All 16 deficiencies cited in the prior inspection have been corrected as of the revisit conducted from 06/28/21 to 06/30/21.

The inspection was conducted as a complaint survey triggered by Complaint #25161 to investigate allegations related to failure to report major incidents and inadequate call systems in the memory care unit.

The facility failed to report two major incidents involving resident #59 within the required timeframe and lacked adequate call systems in three memory care rooms. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and unclean sinks.

Complaint #25161 was substantiated. The complaint involved failure to report major incidents and inadequate call systems in the memory care unit.

Annual survey conducted from 03/22/21 to 03/31/21 to assess compliance with state regulations for assisted living facility.

The facility was found deficient in multiple areas including incomplete individualized care plans, inadequate behavioral management documentation, failure to monitor psychotropic medications properly, incomplete social assessments, personnel clearance and tuberculosis screening deficiencies, inadequate infection control practices, missing resident dental preferences, inaccurate resident records, unsafe physical environment, incomplete resident medical assessments, and failure to notify physicians of significant weight changes.

The inspection was conducted as a routine environmental survey to assess compliance with health, safety, housekeeping, laundry, maintenance, and emergency preparedness regulations at the facility.

The facility was found to have multiple deficiencies including failure to post directions for keypad exit locks, improper laundry storage, lack of annual review and rehearsal of the disaster and emergency preparedness plan, missing procedures for missing residents, and absence of an emergency transportation policy. These findings were acknowledged by the Administrator during the exit interview.

The inspection was conducted as an environmental survey of the facility.

The facility had deficiencies identified during the environmental survey, with a total of 154 deficiencies noted.

Follow-up to complaint WV00024870 to verify correction of previously cited deficiencies.

The inspection cleared tags 332 and 335, indicating that the previously identified deficiencies were addressed.

Follow-up to complaint WV00024870.

Follow-up to Complaint WV00024678 at an assisted living facility to verify correction of previously cited deficiencies.

The inspection was conducted as a follow-up visit and the previously cited tag E61 was cleared during this visit.

Follow-up to Complaint WV00024678; the complaint was investigated and the related deficiency was cleared.

The inspection was conducted due to a complaint investigation regarding the failure to notify the licensing agency within 72 hours of an allegation of abuse, exploitation, or neglect involving administration of Melatonin without a physician's order by an LPN.

The licensee, administrator, and registered nurse failed to notify the licensing agency within the required timeframe and failed to forward documentation of the investigation. The LPN involved was terminated. The facility had a census of 53 residents at the time of the inspection.

Complaint # WV00024870 was substantiated. The complaint involved failure to report an allegation of abuse by an LPN who administered Melatonin to a resident without a physician's order. The LPN was terminated and the incident was eventually reported to the appropriate agencies after the investigation.

The visit was conducted as an Infection Control survey to assess compliance with infection control standards.

No deficiencies were identified during the Infection Control survey conducted on January 21, 2021.

The inspection was conducted as a complaint survey (#WV00024667) to investigate allegations at the facility.

Allegations 1, 3, and 5 were substantiated while all other allegations were unsubstantiated. No deficiencies were identified during the survey.

Complaint Survey #WV00024667 with substantiated allegations 1, 3, and 5; all others unsubstantiated.

The inspection was conducted as a complaint investigation related to staffing adequacy and compliance with night shift staffing requirements at the assisted living facility.

The facility failed to ensure adequate night shift staffing with one direct care person per eighteen residents with two or more special care needs. Out of sixty-one night shifts reviewed, only five were adequately staffed with three direct care persons. The complaint was substantiated.

Complaint number 24678 was substantiated regarding inadequate night shift staffing.

The inspection was conducted in response to a complaint investigation, complaint number 24500.

The complaint was found to be unsubstantiated after the inspection visit conducted on September 21, 2020.

Complaint number 24500 was investigated and found to be unsubstantiated.

The inspection was conducted in response to a complaint identified by Complaint ID WV00024176.

No deficiencies were cited during the inspection, and the complaint was determined to be unsubstantiated.

Complaint ID WV00024176 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted in response to a complaint identified by Complaint ID WV00024147.

No deficiencies were cited during the complaint investigation conducted from July 7 to July 9, 2020, at Paramount Senior Living at Cabell Midland.

Complaint ID WV00024147 was investigated and found to have no deficiencies cited.

The inspection was conducted in response to complaint #23508 to investigate the issues raised.

The complaint citations were cleared during the inspection. No specific deficiencies or severity levels are detailed in the report.

Complaint #23508 was investigated and citations related to it were cleared.

Follow-up visit to address a complaint identified as #23441.

The deficiency cited in the previous complaint investigation was cleared during this follow-up inspection.

Follow Up to Complaint: #23441. Deficiency cleared.

The inspection was a behavioral health survey conducted to assess the safety and appropriateness of the environment for adolescent consumers.

The survey found that the center did not implement programs in a safe and appropriate environment, noting unsecured outside doors and lack of awake staff supervision on weekend nights. A plan to provide awake-night supervision during weekend shifts was scheduled for implementation by July 1, 2004.

Initial licensure survey conducted for Paramount Senior Living Assisted Living and Paramount Senior Living Altz.Unit to assess environmental and regulatory compliance.

No deficiencies were found during the initial licensure survey for both the Assisted Living and Altz.Unit facilities. Environmental conditions, fire marshal report, sprinkler type, and sanitation reports were reviewed and found satisfactory.

The inspection was conducted as a complaint investigation related to concerns about neglect and failure to carry out physician's orders for Resident #128.

The facility failed to ensure timely and accurate execution of physician's orders for Resident #128, including delayed KUB x-ray and incomplete blood pressure monitoring. Additionally, inadequate housekeeping and maintenance issues were observed in the adolescent consumer residence.

Complaint ID: WV00023508. The complaint was substantiated regarding neglect and failure to follow physician's orders for Resident #128.

The inspection was conducted in response to a substantiated complaint (ID: WV00023359) regarding the facility's failure to treat the decisions of a resident's legal representative as the decisions of the resident, specifically related to a fall incident involving Resident #128.

The facility failed to honor the Medical Power of Attorney's decision not to send Resident #128 to the hospital after a fall with a head injury, contrary to the facility's policy which mandated immediate hospital evaluation for head injuries. Additionally, the facility had deficiencies in housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and unclean sinks.

Complaint ID WV00023359 was substantiated with related deficiency regarding failure to honor the resident's MPOA decision not to send the resident to the emergency room after a fall with head injury.

The inspection was conducted in response to a complaint identified by Complaint ID WV00023510.

No deficiencies were cited during the inspection, and the complaint was determined to be unsubstantiated.

Complaint ID WV00023510 was investigated and found to be unsubstantiated.

The inspection was conducted as a complaint investigation related to medication and treatment practices, specifically concerning infection control and supply management in the facility.

The facility failed to ensure staff provided care and services using appropriate infection control techniques, with staff taking supplies from one resident room to another. The supply distribution process was inefficient, especially on weekends, and there was no additional supply location in the Assisted Living building. The complaint was substantiated.

Complaint ID: WV00023441. The complaint was substantiated based on observations and interviews regarding improper infection control and supply management.

The inspection was conducted in response to a complaint identified by Complaint ID WV00023216.

The inspection found no deficiencies cited during the visit conducted from November 11-13, 2019.

Complaint ID WV00023216 was investigated and no deficiencies were cited, indicating the complaint was not substantiated.

The inspection was conducted in response to a complaint identified by Complaint ID WV00023364.

No deficiencies were cited during the inspection, and the complaint was found to be unsubstantiated.

Complaint ID WV00023364 was investigated and found to be unsubstantiated.

Annual licensure survey conducted to assess the environmental conditions and compliance of the facility.

The annual environmental survey found no deficiencies cited at the time of inspection.

The inspection was conducted as a complaint investigation based on Complaint ID WV00021664.

No deficiencies were cited during the complaint investigation conducted on December 13, 2018.

Complaint ID WV00021664 was investigated and found to have no deficiencies cited.

The inspection was conducted as a complaint investigation based on Complaint ID WV00021232.

No deficiencies were cited during this complaint investigation.

Complaint ID WV00021232 was investigated and found to have no deficiencies cited.

The inspection was conducted as a Change of Ownership (CHOW) survey for the facility.

No deficiencies were cited during this Change of Ownership survey conducted from April 16-19, 2018.

The visit was conducted as a Change of Ownership (CHOW) environmental survey for the facility.

No deficiencies were cited during this Change of Ownership survey conducted on April 16, 2018.

The inspection was conducted in response to a complaint identified by Complaint ID WV00019634.

No deficiencies were cited during this complaint investigation inspection.

Complaint ID WV00019634 was investigated and found to have no deficiencies cited.

The inspection was conducted as a complaint investigation based on Complaint ID WV00018845.

No deficiencies were cited during the complaint investigation conducted on October 2-3, 2017.

Complaint ID WV00018845 was investigated and found to have no deficiencies cited.

The inspection was conducted as a complaint investigation based on complaint number WV00018644.

No deficiencies were cited during this complaint investigation.

Complaint #: WV00018644. No deficiencies cited.

The visit was conducted as an annual licensure survey of the facility.

The inspection found no deficiencies during the annual licensure survey conducted from July 10-13, 2017.

The inspection was conducted as a complaint investigation based on Complaint ID WV00018180 during June 14-15, 2017.

No deficiencies were identified during the complaint investigation conducted at the facility.

Complaint ID WV00018180 was investigated and found to have no deficiencies.

The visit was conducted as an annual licensure survey to assess environmental conditions and compliance with regulatory standards.

No deficiencies were cited during the survey, and no technical assistance was provided. The facility was found to be in compliance with environmental standards.

The inspection was conducted as a complaint investigation based on complaint number WV00017539.

No deficiencies were found during the complaint investigation.

Complaint Number WV00017539 was investigated and found to have no deficiencies.

The inspection was conducted as a complaint investigation from January 9-13, 2017, related to Complaint ID WV00017068.

No deficiencies were found during the complaint investigation.

Complaint investigation related to Complaint ID WV00017068 with no deficiencies found.

The visit was a follow-up survey conducted to verify corrections after the annual licensure survey conducted earlier in June 2016.

The report summarizes the annual licensure survey conducted June 6-9, 2016, and the follow-up survey on August 2, 2016, both with a census of 68. Specific deficiencies or findings are not detailed in the provided text.

The visit was conducted as an annual licensure survey including an environmental survey to assess compliance with regulatory requirements.

The facility was found deficient in disaster and emergency preparedness, specifically failing to review and update the emergency preparedness plan annually and failing to rehearse the plan with all staff and document the rehearsal. Deficiencies were also noted related to housekeeping and maintenance issues.

The visit was conducted as an annual licensure survey including an environmental survey to assess compliance with regulatory requirements.

The survey identified deficiencies coded as (0247) and (0249). A follow-up survey conducted on 07/14/2016 confirmed that all citations had been corrected and no technical assistance was given.

The visit was conducted as an annual licensure survey to assess compliance with health and safety regulations, personnel screening, and housekeeping standards at the assisted living and Alzheimer's units.

The inspection found deficiencies in timely submission of central abuse registry screenings for multiple employees, failure to complete annual tuberculosis screenings for several employees, and inadequate housekeeping and maintenance issues such as damaged carpets, missing bathroom fixtures, and unclean sinks.

The inspection was conducted as a complaint investigation regarding allegations of neglect and failure to follow resident service plans at the assisted living residence.

The investigation found that the facility failed to ensure no resident was neglected, specifically Resident #17, and that staff did not consistently follow the resident's service plan. Additionally, housekeeping and maintenance deficiencies were observed, including damaged carpets, missing bathroom fixtures, and unclean areas.

The complaint investigation was substantiated for neglect of Resident #17 and failure to follow the resident's service plan.

The inspection was conducted as a complaint investigation from September 28-30, 2015, with a follow-up visit on December 4, 2015.

The report documents deficiencies identified during the complaint investigation and follow-up visits, including safety concerns related to the facility environment and staffing.

Complaint investigation conducted from September 28-30, 2015, with a follow-up on December 4, 2015. Census during complaint investigation was 63 and 66 during follow-up.

The inspection was conducted as a Change of Ownership (CHOW) survey focusing on environmental conditions at the facility.

No deficiencies were cited during this environmental survey, and no technical assistance was provided.

Annual inspection conducted from August 10-13, 2015 to assess compliance with regulatory standards at Paramount Senior Living at Cabell Midland.

No deficiencies were identified during this inspection.

The visit was conducted as an annual licensure survey focusing on environmental conditions at the facility.

No deficiencies or technical assistance needs were identified during the survey.

The inspection was conducted as a complaint investigation on October 27-28, 2014 at Paramount Senior Living at Cabell Midland.

The report does not provide specific findings or deficiencies related to the complaint investigation.

Complaint investigation conducted on October 27-28, 2014 with a census of 62 residents. No substantiation status or detailed complaint findings are provided.

The visit was a follow-up survey conducted to verify correction of previous deficiencies at Paramount Senior Living at Cabell Midland.

The report does not provide detailed findings or deficiencies but indicates it is a follow-up survey with census noted as 63.

The inspection was conducted as a complaint investigation at Paramount Senior Living at Cabell Midland.

The report documents a complaint investigation with no specific deficiencies or severity levels detailed in the provided text.

Complaint investigation WV00011493 conducted on June 12, 2014, at a facility census of 64 assisted living residents and 29 memory unit residents.

The visit was conducted as an annual licensure survey of the facility to assess compliance with health care standards and regulatory requirements.

The inspection found deficient practices related to medication administration, specifically pre-pouring medications which posed infection control risks and potential medication errors. Additionally, housekeeping and maintenance issues were noted, including damaged carpets, missing bathroom fixtures, and general cleanliness concerns.

The document is an annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

The annual licensure survey found no deficiencies at the facility during the inspection.

The visit was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted from May 27-30, 2014, with a census of 64 residents. No specific deficiencies or severity levels are detailed in the provided text.

The inspection was conducted as an Annual Licensure Survey to assess compliance with health and safety regulations, including hot water temperature controls and facility maintenance.

The facility failed to protect residents from potential scalding due to hot water temperatures exceeding safe limits in multiple resident bathrooms. Additionally, housekeeping and maintenance deficiencies were noted, including damaged carpets, missing bathroom fixtures, and unclean sinks.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey, and technical assistance was provided.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Technical assistance was provided to the facility.

The visit was conducted as an annual licensure survey of the facility.

No deficiencies were cited during the survey. Only technical assistance was provided.

The inspection was conducted as a complaint investigation related to allegations of verbal, emotional, and physical abuse of Resident #16 by a family member, as well as concerns about inadequate reporting of abuse/neglect and housekeeping/maintenance issues.

The investigation found that the facility failed to protect the physical and mental well-being of Resident #16, with documented incidents of abuse by a family member and inadequate reporting to Adult Protective Services. Additionally, the facility failed to maintain adequate housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and unclean areas.

The complaint investigation (#WV00006617) was conducted from August 22 to September 2, 2011, regarding multiple incidents of verbal, emotional, and physical abuse of Resident #16 by her sister. Staff and family members witnessed the sister yelling, being argumentative, and causing distress to the resident. The facility failed to report these incidents timely to Adult Protective Services, with reports delayed until August 18, 2011, and completed by the administrator rather than the witnessing staff.

The inspection was conducted as a complaint investigation from August 22 to September 2, 2011, at Paramount Senior Living at Cabell Midland.

The report documents a complaint investigation followed by a complaint follow-up visit, with deficiencies noted initially and later corrected as of October 26, 2011.

Complaint Investigation #WV00006617 conducted August 22 - September 2, 2011, with a follow-up on October 26, 2011. Deficiencies identified during the complaint investigation were corrected by the follow-up visit.

Annual licensure survey conducted to assess compliance with regulatory requirements for the facility.

No deficiencies or technical assistance were identified during the survey.

The visit was conducted as an annual licensure survey to assess compliance with state regulations for the facility.

The inspection identified multiple deficiencies including incomplete and inaccurate resident contracts, failure to resolve resident complaints promptly with proper documentation, inadequate housekeeping and maintenance issues, and failure to ensure therapeutic diets were provided as ordered by physicians. Additionally, supervision during meal times for confused residents was found lacking.

The complaint investigation revealed eight complaints filed in the past twelve months with issues including lack of timely written responses and documentation. Specific complaints involved residents #51, #22, #39, #58, #53, and #44. Some complaints lacked evidence of follow-up or notification to complainants.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with regulatory requirements.

The report documents the annual licensure survey conducted May 9-12, 2011, with a follow-up survey on June 28, 2011, noting that deficiencies were corrected and technical assistance was given.

The visit was conducted as an annual licensure survey of the facility.

The survey found no deficiencies or technical assistance needs at the facility.

The visit was conducted as an annual licensure survey of the facility.

The report documents the annual licensure survey conducted on April 19-20, 2010, at Paramount Senior Living at Cabell Midland with a census of 65 residents. No specific deficiencies or severity levels are detailed in the provided page.

The visit was conducted as an annual licensure survey to assess the environment and compliance of the facility.

No deficiencies were found during the survey. Only technical assistance was provided.

Annual licensure survey conducted from May 11-13, 2009 to assess compliance with regulatory requirements.

No deficiencies were found during the survey. Technical assistance was provided to the facility.

The inspection was conducted as an annual licensure survey of the facility to assess compliance with health and safety regulations and medication administration standards.

The survey identified deficiencies related to inadequate housekeeping and maintenance, including damaged carpets, missing bathroom fixtures, and unclean areas. Additionally, there were medication administration deficiencies involving failure to administer sliding scale insulin as ordered and incomplete documentation in resident records.

The inspection was conducted as an annual licensure survey of Paramount Senior Living at Cabell Midland to assess compliance with health care standards and licensing regulations.

The survey identified multiple deficiencies including inadequate housekeeping and maintenance, inconsistent medication administration and documentation, failure to perform timely nursing assessments after significant changes in resident conditions, and incomplete weekly nursing progress notes for residents with diabetes and wound care needs.

The inspection was conducted as an annual licensure survey of the facility.

The report summarizes the annual licensure survey conducted from June 23-25, 2008, with a census of 65 residents. A follow-up survey was also conducted later to verify corrections.

The visit was conducted as an annual licensure survey to assess the environment and compliance of the facility.

The survey found no deficiencies or technical assistance needs during the annual licensure inspection.

Initial licensure survey conducted to assess compliance for licensing of the facility.

No deficiencies were found during the initial licensure survey. Technical assistance was provided to the facility.

The visit was conducted as an initial licensure survey for Paramount Senior Living at Cabell Midland.

No deficiencies were found during the initial licensure survey. Technical assistance was provided.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The center failed to implement programs in a safe and appropriate environment, specifically noting unsecured outside doors in adolescent girls' bedrooms and lack of awake staff supervision on weekend nights.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The center failed to provide a safe environment as evidenced by unsecured outside doors in adolescent girls' bedrooms and the TV room, and lack of awake staff supervision on weekend nights.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The center failed to provide a safe environment as adolescent girls' bedrooms had outside doors without alarms, and staff were not awake on weekend nights to monitor consumers. A plan of correction was proposed to provide awake-night supervision during weekend shifts by July 1, 2004.

The visit was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The survey found that the center did not implement programs in a safe environment appropriate for the consumers' needs, specifically noting unsecured outside doors and lack of awake staff supervision on weekend nights.