Paradigm at First Colony

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-11-27 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-12-04

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 K — IMMEDIATE JEOPARDY

Survey 2024-11-27 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-12-04

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

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 2024-10-24 · Tag F0694 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-10-31

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

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 2023-08-15 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-22

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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 2023-08-15 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-09-15

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: 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 2023-08-15 · Tag F0678 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-22

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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 2023-08-15 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-22

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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 2023-08-15 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-22

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

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 D — Potential for harm

Survey 2026-03-18 · Tag F0677 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-03-25 · Under dispute (IDR)

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. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-12-01 · Tag F0551 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-15

Give the resident's representative the ability to exercise the resident's 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 2025-11-14 · Tag F0558 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-11

Reasonably accommodate the needs and preferences of each resident.

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 2025-09-08 · Tag F0610 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-09-23

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, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-06-01 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-06-05

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 2024-10-24 · Tag F0550 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-10-31

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 2024-10-24 · Tag F0607 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-10-31

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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 2024-10-24 · Tag F0609 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-10-31

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. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-10-24 · Tag F0655 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-10-31

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 2024-10-24 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-10-31

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, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-10-24 · Tag F0686 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-10-31

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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 2024-10-24 · Tag F0690 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-10-31

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 2024-10-24 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-10-31

Provide safe and appropriate respiratory care for a resident when needed.

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 2024-10-24 · Tag F0759 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-10-31

Ensure medication error rates are not 5 percent or greater.

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 F — Potential for harm

Survey 2024-10-24 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-10-31

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

Scope/severity D — Potential for harm

Survey 2024-10-24 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-10-31

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 2024-08-21 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-08-28

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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