Paradigm at Katy

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-02-18 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-05

Provide and implement an infection prevention and control program.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-11-19 · Tag F0919 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-12-31

Make sure that a working call system is available in each resident's bathroom and bathing area.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2024-05-29 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-06-21

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2024-05-29 · Tag F0698 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-06-21

Provide safe, appropriate dialysis care/services for a resident who requires such services.

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-01-31 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-23

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-01-31 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-23

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2024-11-19 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-12-31

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-12-15 · Tag F0919 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-14

Make sure that a working call system is available in each resident's bathroom and bathing area.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-20 · Tag F0610 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-12

Respond appropriately to all alleged violations.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-20 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-12

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0550 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0656 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-05-01 · Tag F0677 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Provide care and assistance to perform activities of daily living for any resident who is unable.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2025-05-01 · Tag F0679 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Provide activities to meet all resident's needs.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-05-31

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0690 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-05-31

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0693 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0761 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0814 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Dispose of garbage and refuse properly.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-05-01 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-31

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-04 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-04-25

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-11-19 · Tag F0655 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-12-31

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-07-19 · Tag F0835 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-08-05

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-05-29 · Tag F0609 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-06-21

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works