Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Original Licensing
Deficiencies: 8
Feb 7, 2025
Visit Reason
The inspection was conducted as an initial licensure survey for Table Rock Senior Living at Paramount.
Findings
The facility was found to have multiple deficiencies including failure to provide written responses to complaints within 30 days, improper medication refrigerator temperature maintenance, lack of updated behavioral data in psychotropic medication reviews, unsecured toxic chemicals accessible to cognitively impaired residents, inadequate evaluation and management of resident behaviors, and insufficient staff training documentation.
Deficiencies (8)
| Description |
|---|
| The facility did not provide a written response to complainants within 30 days. |
| The facility did not maintain medication refrigerator temperatures between 38 and 45 degrees F, with documented out-of-range temperatures and no corrective action. |
| Psychotropic medication reviews for residents #5, #8, and #10 lacked updated behavioral data. |
| Toxic chemicals were stored in unlocked areas accessible to cognitively impaired residents. |
| The facility did not evaluate residents exhibiting maladaptive behaviors such as elopement, aggression, and sexual advancements. |
| Behavior management plans were not reviewed or adjusted to ensure effectiveness for residents with behavioral issues. |
| Three of ten staff did not have documentation of 16 hours of orientation training completed within 30 days of hire. |
| Ten of ten staff did not document completion of mental illness training. |
Report Facts
Out-of-range medication refrigerator temperature occurrences: 12
Staff missing orientation training documentation: 3
Staff missing mental illness training documentation: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Heath Braverman | Administrator | Named in relation to unawareness of complaint response requirements and behavioral update requirements |
| Torrey Bollinger | Survey Team Leader | Survey team leader for the initial licensure inspection |
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