Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Paramount Community Living And Rehab Inc during CMS and state inspections, most recent first.
The facility failed to maintain sanitary conditions in various kitchen areas, including heavy build-up of crumbs, dried-on food debris, undated and unlabeled food items, and dirty kitchen equipment, leading to potential foodborne bacteria contamination.
The facility failed to ensure proper infection control techniques for several residents, including improper storage of oxygen tubing, inadequate hand hygiene and glove usage during catheter and perineal care, and placing soiled items near personal care items. These actions led to potential risks of infection.
The facility failed to maintain resident dignity in several instances, including not honoring a resident's preference for support hose, entering a room without knocking during personal care, standing over a resident while feeding, and not using a dignity bag for a catheter bag.
The facility failed to provide unstained towels and washcloths to residents in one of the Green Houses. A resident reported that staff often supply stained, rough, and worn towels. Observations confirmed the presence of such linens, and staff interviews revealed that stained linens should be discarded and replaced, but this was not consistently done, violating the facility's policy on Resident Rights.
The facility failed to develop comprehensive care plans for four residents, leading to deficiencies in meeting their individual needs. These included not including preferences for support hose, specific music and TV shows, religious services, facial shaving, and fluid restrictions in the care plans. Staff were unaware of these preferences and needs, resulting in inadequate care.
The facility failed to ensure appropriate activities for five residents, leading to a deficiency in providing meaningful and engaging activities. Despite residents expressing interest in various activities, observations showed that many scheduled activities were not conducted, and staff reported a lack of time and resources to facilitate these activities. This resulted in residents spending most of their time in their rooms with minimal engagement, contributing to their decreased sense of well-being.
The facility failed to complete accurate MDS and CAAs for two residents, leading to deficiencies in their care plans. One resident with Parkinson's disease and dementia had significant weight loss and an unhealed stage III pressure ulcer, while another resident with heart failure and major depressive disorder was on multiple medications without proper CAAs for psychotropic drug use, pain, and mood state.
The facility failed to revise care plans for two residents, one with a fractured toe requiring a walking boot and another with a pressure ulcer on the right heel. Despite observations and staff interviews confirming the residents' conditions, the care plans were not updated to include necessary interventions, leading to inadequate guidance for staff.
The facility failed to provide appropriate facial shaving for a dependent resident with severe cognitive impairment and Parkinson's disease. Despite the care plan and staff expectations, the resident was observed unshaven over multiple days, indicating a deficiency in adhering to the facility's ADL policy.
A resident with multiple health conditions, including DVT and dementia, developed a worsening deep tissue injury on her right heel due to ineffective offloading interventions. Despite being on hospice care and having a care plan, the facility failed to consistently elevate the resident's heels, leading to the deterioration of the pressure ulcer. The facility lacked a specific policy for pressure ulcers and did not update the care plan to address the resident's changing needs.
The facility failed to provide appropriate ROM services for a resident with multiple sclerosis and quadriplegia. Staff did not perform the required ROM exercises due to the absence of a restorative aide, leading to further decrease in the resident's range of motion and hand contractures.
The facility failed to properly secure a resident's catheter tubing, leading to potential injury, and did not ensure another resident's catheter tubing was kept off the floor. Both residents had severe cognitive impairments and were dependent on staff for all activities of daily living. Staff admitted to not following facility policies regarding catheter care.
The facility failed to monitor a resident's physician-ordered fluid restriction. The resident, with multiple diagnoses including hypertension and chronic kidney disease, was on a 2000 ml daily fluid restriction. Staff interviews revealed a lack of awareness and proper monitoring procedures, with no intake sheets or clear guidelines in place. The care plan lacked guidance, and the facility had no policy related to fluid restrictions.
The facility failed to monitor a resident's vital signs weekly and did not follow physician-ordered blood pressure parameters for another resident. One resident experienced a lack of bowel movements for 10 days, and another was given hypertension medication despite blood pressure readings below the prescribed threshold.
Unsanitary Food Preparation and Storage Conditions
Penalty
Summary
The facility failed to prepare and serve food under sanitary conditions, as evidenced by multiple observations of unsanitary practices and conditions in various kitchen areas. During an initial tour of the resident kitchenette, several issues were noted, including a heavy build-up of crumbs inside the toaster, dried-on food debris on the stove, an uncovered container of corn chips with chips on the floor, food debris in the deep freeze, wet silverware with food debris in the silverware drawer, and greasy fingerprints on the range hood. Similar unsanitary conditions were observed in the kitchenette on the first floor, where an opened, unlabeled, and undated energy drink was found in the refrigerator, a brownish substance was present on the sink's back rim, and the trash can had dried-on food debris and lacked a lid. Further inspection of the main kitchen revealed additional concerns, such as a heavy build-up of a black substance on the refrigerator racks, dust on the ice machine and oven, ground-in dirt and debris on a four-tiered cart used for drying clean dishes, and deeply grooved, dirty knife handles. Food debris was also found in containers holding kitchen utensils, and the microwave had dried-on food debris. The steam table's cutting shelf had deep cuts, making it uncleanable, and the cold cart's doors had ground-in food debris in the rubber seals. In another greenhouse kitchen, undated and partially used cans of nutritional formula, a mug of undated milky substance, slimy cucumbers, and undated pitchers of juice were found. Dietary staff confirmed that they were responsible for maintaining cleanliness and dating opened foods, but these standards were not met, leading to the potential for foodborne bacteria contamination.
Infection Control Deficiencies
Penalty
Summary
The facility failed to ensure proper infection control techniques for several residents, leading to potential risks of infection. For Resident 9, the staff did not store the oxygen tubing and nasal cannula in a sanitary manner. Observations revealed that the oxygen cannula was placed directly on the bed and the walker without a storage container. Staff members were unaware of the proper storage procedures, and the oxygen cart was found hidden in a closet, covered with clothing and blankets. The facility's policy for oxygen care lacked specific guidelines for the care of tubing and cannulas. For Resident 60, the staff failed to maintain proper hand hygiene and glove usage during catheter care and perineal care. Observations showed that the CNA did not cleanse the catheter spigot before and after emptying the catheter bag and did not change gloves between dirty and clean tasks. The facility's policy required standard precautions during urinary catheter care, but the staff did not adhere to these guidelines. The administrative nurse confirmed that proper hand hygiene and glove changes were expected but not followed. Resident 78 experienced similar issues with improper glove usage during perineal care. The staff did not change gloves after performing peri-care and before dressing the resident. Additionally, Resident 242's catheter care was compromised when the staff placed a soiled graduate next to personal care items like a toothbrush and toothpaste. The facility's policy for urinary catheter care required standard precautions, but the staff did not follow these procedures, leading to potential contamination of personal care items.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to honor the resident's right to a dignified existence and self-determination in several instances. Resident 37, diagnosed with Alzheimer's disease and severe cognitive impairment, preferred to wear support hose. Despite having multiple pairs in her drawers, staff failed to ensure she wore them, as observed during an interaction with a Certified Medication Aide. The care plan did not reflect this preference, and the facility policy emphasized individual dignity and self-determination, which was not upheld in this case. Resident 60, with diagnoses including diabetes mellitus type two and neurogenic bladder, experienced a breach of dignity when a Certified Nursing Aide entered the room without knocking during personal care, exposing the resident. The aide stayed to collect pizza orders from staff, further compromising the resident's dignity. The facility's policy required staff to knock and wait for permission before entering a resident's room, which was not followed. Resident 31, diagnosed with Parkinson's disease and severe cognitive impairment, was fed by a Certified Nurse Aide who stood over him, contrary to the facility's expectation for staff to sit while assisting residents with meals. Additionally, Resident 78, with severe cognitive impairment and an indwelling urinary catheter, did not have a dignity bag for the catheter bag, as required by the facility's policy. These actions and inactions by the staff failed to respect and maintain the dignity of the residents involved.
Failure to Provide Unstained Towels and Washcloths
Penalty
Summary
The facility failed to provide unstained towels and washcloths to the residents in one of the Green Houses. A resident reported that certified staff, who handle the laundry, often supply towels that are stained, rough, and worn. Observations confirmed the presence of stained and coarse-textured towels and washcloths. Interviews with staff revealed that stained linens should be discarded and replaced when supplies are low, but this was not consistently done. The facility's policy on Resident Rights, which mandates a safe, clean, comfortable, and homelike environment, was not adhered to, resulting in the deficiency.
Failure to Develop Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for four residents, leading to deficiencies in meeting their individual needs. Resident 37, diagnosed with Alzheimer's disease and other conditions, had a care plan that did not include her preference for wearing support hose. Despite having multiple pairs of support hose in her drawer, staff were unaware and did not ensure she wore them, as confirmed by observations and interviews with staff and a family member. The facility's policy required care plans to reflect resident-centered items, which was not adhered to in this case. Resident 78, with severe cognitive impairment due to multiple sclerosis, had a care plan that lacked specific details about her preferences for music, TV shows, and religious services. Despite her expressed importance of these activities, staff were unaware of her preferences, and observations showed she was not engaged in her preferred activities. The facility's policy mandated that care plans should be resident-centered, but this was not followed, resulting in the resident's preferences being overlooked. Resident 242, diagnosed with Parkinson's disease, had a care plan that did not include instructions for facial shaving, despite being dependent on staff for all ADLs. Observations over several days showed the resident remained unshaven, and staff interviews revealed inconsistencies in understanding the shaving schedule. Similarly, Resident 35, with multiple diagnoses including chronic kidney disease and fluid overload, had a care plan that lacked guidance on fluid restriction. Staff were unaware of the specific fluid restriction amounts and did not monitor the resident's fluid intake, contrary to the physician's orders. The facility's failure to include these critical details in the care plans led to deficiencies in providing appropriate care for these residents.
Deficiency in Providing Appropriate Activities
Penalty
Summary
The facility failed to ensure appropriate activities for five residents, leading to a deficiency in providing meaningful and engaging activities. Resident 7, diagnosed with Parkinson's disease, anxiety, and major depressive disorder, was observed to have minimal participation in activities despite expressing interest in books, music, animals, and group activities. The activity calendar listed various activities, but observations revealed that many scheduled activities were not conducted. Interviews with staff indicated a lack of time and resources to facilitate these activities, and the resident reported spending most of her time watching TV in her room, with only occasional participation in bingo once a week. Resident 20, with diagnoses including deep vein thrombosis, heart disease, diabetes, dementia, and an unstageable pressure ulcer, also experienced a lack of appropriate activities. Despite expressing interest in reading, music, and embroidery, observations showed that her preferred activities were not facilitated. The resident's TV was often on a shopping channel without her preference being considered, and her embroidery supplies were out of reach. Interviews with staff revealed a general lack of structured activities and a belief that residents were not interested in participating. Resident 33, with heart failure, vascular dementia, and major depressive disorder, expressed a desire for more frequent bingo games and card playing. However, observations showed that scheduled activities like UNO, Noodle Ball, and Chair Yoga were not conducted. Interviews with staff confirmed that activities were not being provided as planned, and there was a general issue with activity provision in the facility. Similar deficiencies were noted for Residents 37 and 78, who had severe cognitive impairments and required assistance with activities. Despite their interest in music, religious services, and other activities, observations and interviews revealed a lack of engagement and facilitation of their preferred activities, contributing to their decreased sense of well-being.
Failure to Complete Accurate MDS and CAAs
Penalty
Summary
The facility failed to complete accurate Minimum Data Sets (MDS) for two residents, leading to deficiencies in their care plans. Resident 31, diagnosed with Parkinson's disease and dementia, experienced significant weight loss and had an unhealed stage III pressure ulcer upon admission. The facility did not complete the Care Area Assessments (CAA) for nutrition and pressure ulcers, and the care plan for pressure ulcers was not adequately developed. Administrative staff acknowledged that the MDSs were not being completed properly due to a new MDS coordinator still learning the process. Resident 33, diagnosed with heart failure, vascular dementia, and major depressive disorder, was assessed with normal cognitive function but was on multiple medications, including psychotropic drugs, anticoagulants, diuretics, opioids, and antibiotics. The facility failed to develop the CAAs for psychotropic drug use, pain, and mood state, which are essential for creating a comprehensive care plan. Administrative staff confirmed the incompleteness of the MDS and CAAs for some residents, indicating a systemic issue in the facility's assessment process.
Failure to Revise Care Plans for Residents
Penalty
Summary
The facility failed to revise care plans for two residents, leading to deficiencies in their care. Resident 9, who had diagnoses including diabetes mellitus and a fractured right great toe, experienced a fall that resulted in a fractured toe and required the use of a walking boot. Despite this incident, the care plan was not updated to include the fall and the necessary interventions. Observations and interviews confirmed that the resident was wearing the walking boot, but the care plan did not reflect this requirement, indicating a failure to guide staff appropriately in the resident's care needs. Resident 20, who had multiple diagnoses including deep vein thrombosis, heart disease, diabetes, and dementia, developed a pressure ulcer on the right heel that was not included in the care plan. The resident was dependent on staff for activities of daily living and had a history of pressure ulcers. Despite weekly observations and the development of a new deep tissue injury on the right heel, the care plan was not updated to include this new injury or the necessary interventions for off-loading the heels. Observations revealed that the resident's heels were not consistently off-loaded, and the care plan lacked updated interventions to address the new pressure ulcer. Interviews with staff confirmed that the care plans for both residents were not revised to include the necessary interventions for their respective conditions. The facility's policy on care planning emphasized the need for resident-centered care plans specific to each resident's unique needs, but this was not followed in these cases. The failure to update the care plans resulted in inadequate guidance for staff in providing appropriate care for the residents' conditions.
Failure to Provide Appropriate Facial Shaving for Dependent Resident
Penalty
Summary
The facility failed to provide appropriate care to a dependent resident regarding facial shaving. The resident, diagnosed with Parkinson's disease and severely impaired cognition, was dependent on staff for all activities of daily living (ADLs), including personal hygiene. Despite the care plan and electronic medical record indicating the resident's dependence on staff for shaving, observations over three consecutive days revealed the resident remained unshaven with scraggly overgrowth of facial hair. Interviews with staff, including a Certified Medication Aide, Certified Nurse Aide, Licensed Nurse, and an Administrative Nurse, confirmed that residents were to be shaved on their shower days and as needed. However, the resident was not shaved as required, indicating a failure to adhere to the facility's policy for ADLs, which mandates necessary services for residents unable to carry out ADLs independently. The Physician's Order Sheet and multiple assessments documented the resident's severe cognitive impairment and dependence on staff for all ADLs. Despite this, the resident was observed unshaven on multiple occasions, and staff interviews confirmed the expectation to shave residents on shower days and as needed. The facility's policy, revised in January 2024, emphasized the necessity of providing services to maintain good nutrition and personal hygiene for residents unable to perform ADLs. The failure to shave the resident as required highlights a deficiency in the facility's adherence to its own policies and the provision of necessary care for dependent residents.
Failure to Provide Effective Pressure Ulcer Care
Penalty
Summary
The facility failed to ensure effective pressure ulcer care and prevention for a resident with multiple health conditions, including deep vein thrombosis, heart disease, diabetes, dementia, and an unstageable pressure ulcer. The resident was assessed with moderate cognitive impairment and was dependent on staff for activities of daily living. Despite being on hospice care and having a care plan that included the use of foam off-loading boots and skin prep for her heels, the resident developed a deep tissue injury (DTI) on her right heel, which worsened over time despite interventions. Observations revealed that the resident's heels were not consistently offloaded from the bed surface, even though staff attempted to use pillows and blankets for elevation. The resident's right heel DTI progressed, showing signs of eschar and mushiness, indicating ineffective offloading. Staff interviews confirmed that the pillows and foam boots were not maintaining their effectiveness in keeping the resident's heels elevated, and there was a lack of updated interventions in the care plan to address the worsening condition. The facility lacked a specific policy for pressure ulcers and failed to provide timely and effective heel off-loading interventions. The care plan was not updated to reflect the resident's changing needs, and the staff did not consistently assess the effectiveness of the interventions. This led to the continued deterioration of the resident's right heel DTI, highlighting a deficiency in the facility's pressure ulcer care and prevention practices.
Failure to Provide ROM Services
Penalty
Summary
The facility failed to provide appropriate range of motion (ROM) services for a resident diagnosed with multiple sclerosis and quadriplegia. The resident's care plan, revised on 11/13/23, instructed staff to provide passive range of motion (PROM) to the upper and lower extremities and neck. However, a review of the resident's electronic medical record (EMR) from 02/28/24 through 03/27/24 revealed that staff failed to complete restorative care for eight days when it was supposed to be performed. Observations and interviews with staff confirmed that ROM exercises were not being conducted due to the absence of a restorative aide, who had left the facility about a month or two prior. Certified Nurse Aides (CNAs) and Certified Medication Aides (CMAs) admitted they did not perform ROM exercises with the resident, and some staff were unsure if the resident received the required ROM services at all. The resident's condition was further compromised as her fingernails began to dig into her other fingers due to her hands being clenched tightly. The facility's policy for Restorative Nursing Care required daily performance of restorative nursing care for residents needing such services, including routine ROM exercises. Despite this policy, the facility failed to ensure that the resident received the necessary ROM services, leading to a further decrease in the resident's range of motion and hand contractures. The administrative nurse acknowledged the issue, stating that the restorative program was an ongoing problem due to the lack of a restorative aide.
Failure to Properly Secure and Maintain Catheter Tubing
Penalty
Summary
The facility failed to utilize an anchoring device for a resident with an indwelling urinary catheter, leading to potential injury. The resident, diagnosed with neuromuscular dysfunction of the bladder, had severe cognitive impairment and required extensive assistance for toileting. During catheter care, it was observed that the catheter tubing was not anchored to the resident's thigh, and the anchoring device was ineffective. Staff admitted that the anchor kept coming off, and they did not always reattach it. The facility policy required the use of a catheter securing device to prevent friction and movement at the insertion site, which was not followed in this case. Additionally, the facility failed to ensure that another resident's catheter tubing was kept off the floor. This resident, diagnosed with neurogenic bladder and severe cognitive impairment, was dependent on staff for all activities of daily living. Observations revealed that the catheter tubing was resting directly on the floor on multiple occasions. Staff acknowledged that the tubing should be kept off the floor and placed in a dignity bag, as per facility policy. The failure to adhere to these protocols was noted by the surveyors, indicating a lapse in proper catheter care for the residents involved.
Failure to Monitor Physician-Ordered Fluid Restriction
Penalty
Summary
The facility failed to monitor a resident's physician-ordered fluid restriction. The resident, who had multiple diagnoses including orthostatic hypotension, hypertension, viral hepatitis C, COPD, chronic kidney disease, and fluid overload, was on a 2000 ml daily fluid restriction. Despite this, the care plan lacked guidance related to the fluid restriction, and staff were not adequately monitoring the resident's fluid intake. The resident himself reported that he managed his fluid intake independently and would get extra fluids if he wanted. Staff interviews revealed a lack of awareness and proper monitoring procedures for the fluid restriction, with no intake sheets or clear guidelines in place. Certified Nursing Assistants and Licensed Nurses were unsure of the specifics of the fluid restriction and believed that dietary staff were responsible for monitoring fluid intake. However, there was no coordinated effort or documentation to ensure compliance with the fluid restriction. The administrative nurse acknowledged that the fluid restriction should have been included in the care plan and that all staff should be aware of it. Additionally, the facility lacked a policy related to fluid restrictions, further contributing to the failure to monitor the resident's fluid intake as prescribed by the physician.
Failure to Monitor Vital Signs and Adhere to Medication Parameters
Penalty
Summary
The facility failed to monitor a resident's vital signs, including blood pressure, at least weekly, as required. Resident 7, who had multiple diagnoses including Parkinson's disease, anxiety, major depressive disorder, and hypertension, was on several medications that required close monitoring. Despite the physician's instructions to monitor vital signs weekly, the last recorded blood pressure was on 03/03/24, showing a reading of 90/48. The facility's administrative nurse confirmed the lack of monitoring due to computer issues, which is against the facility's standard of care policy. Additionally, the resident experienced a lack of bowel movements for 10 days, which was not adequately addressed despite the facility's bowel protocol requiring intervention after three days without a bowel movement. This failure was attributed to issues with the electronic record alerts and lack of follow-up by licensed staff. The facility also failed to follow physician-ordered blood pressure parameters for another resident, Resident 41, who had a diagnosis of hypertension and moderately impaired cognition. The physician had ordered Norvasc to be held if the systolic blood pressure was less than 120. However, the medication was administered multiple times when the resident's blood pressure was below this threshold. Certified Medication Aide S and Licensed Nurse H both confirmed that the medication was given despite the blood pressure being outside the ordered parameters. Administrative Nurse D stated that it was the expectation for staff to follow physician's orders, including holding medication if the blood pressure was outside the parameters. These deficiencies highlight the facility's failure to adhere to its own policies and physician orders, resulting in inadequate monitoring and inappropriate administration of medications. The lack of proper monitoring and adherence to medical instructions could potentially lead to adverse effects on the residents' health, although the report does not specify any direct consequences.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Newton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kansas Christian Home | 1.3 mi | — | 0 | 0 |
| Newton Presbyterian Manor | 2 mi | — | 11 | 0 |
| Bethel Health Care Center | 3.5 mi | — | 0 | 0 |
| Schowalter Villa | 8.4 mi | — | 0 | 0 |
| Halstead Health And Rehabilitation Center | 8.6 mi | — | 17 | 1 |
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