Paris Health and Rehabilitation Center

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was stored, prepared, distributed, and served in a safe and sanitary manner. Specifically, the facility failed to maintain kitchen equipment free of debris, failed to prevent potential cross-contamination from personal electronics in food preparation areas, and failed to ensure staff avoided bare-hand contact with a resident's food for one of one kitchen reviewed for food service.

Inspectors wroteBased on interviews, record review, facility document review, facility policy review, it was determined that the facility failed to revise the comprehensive care plan as needed and after changes were made on the resident's 01/05/2026 quarterly Minimum Data Set (MDS) for one (Resident #99) of three residents.

Inspectors wroteBased on facility record review, interview, facility policy review, it was determined that the facility failed to ensure quarterly statements were provided to three (Resident #8, Resident #68, and Resident #82) of three residents, or their representative, reviewed for personal funds.

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to maintain an environment free of hazards and failed to provide supervision for one (Resident #1) of three residents reviewed. Specifically, an electronic locking door known to have issues was not monitored or properly reported for repairs, allowing Resident #1 to elope from the facility and walk down the city street in traffic.

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure foods stored in the freezer and dry storage area were covered, and sealed to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen;1 of 1 ice machine in the kitchen was maintained in clean and sanitary condition to prevent food and beverage contamination and staff washed their hands between dirty and clean tasks and before handling clean equipment to minimize the potential for contaminating food items for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 96 residents who received meals from the kitchen.

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined the facility failed to ensure that physician's orders for medications were followed during medication administration for 2 (Resident #24 and #92) of 6 residents reviewed for medication administration. The surveyor observed 31 medication opportunities with 2 errors noted, which was a 6.45% error rate for the facility.

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure pureed food items were blended to a smooth, lump free consistency to minimize the risk of choking or other complications for those residents who required pureed diets for 2 of 2 meals observed. The failed practice had the potential to affect 8 residents who received pureed diets.

Inspectors wroteBased on observations, interviews, record review, facility document review, and facility policy review, it was determined that the facility failed to change contaminated gloves and perform hand hygiene during medication administration with a resident on enhanced barrier precautions (EBP) for 1 (Resident #26) of 1 resident reviewed for percutaneous endoscopic gastrostomy (PEG) tube medication administration.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure foods stored in the freezer, refrigerator, and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; kitchen vents were cleaned to provide a sanitary environment for food preparation; kitchen walls and door frames were free of chips, debris, dirt, grease, grime, rust, stains, and spills; wall tiles were replaced; expired dairy products and food items were promptly removed/discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure resident personal care equipment was properly labeled and stored to prevent the potential for cross-contamination between residents for 1 (Resident #26) of 5 (Residents #19, #26, #27, #33 and #37); failed to maintain a clean, safe, and sanitary environment to help prevent the development and transmission of communicable diseases and infection for 3 (Residents #66, #67 and #288) of 10 sampled residents (Residents #3, #12, #22, #27, #37, #48, #53, #66, #67 and #84) sampled residents who used the resident bathrooms and failed to ensure infection prevention and control practices were implemented to prevent the development of communicable diseases and infections as evidenced by failure to sanitize hands between residents during medication administration. [...]

Inspectors wroteBased on interview and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. This failed practice had the potential to affect 15 residents who use tobacco products as documented on a list provided by the Assistant Administrator on 07/31/23 at 11:00 AM.

Inspectors wroteBased on interview and record review, the facility failed to ensure residents were aware of how to file a grievance and how to contact the Ombudsman. The failed practices had the potential to affect all 87 residents in the facility as documented on the Resident Census and Conditions of Residents provided by the Minimum Data Set (MDS) Coordinator on 07/31/23 at 3:10 PM.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a clean bathroom, toileting, and showering facility for residents to promote a safe, clean, comfortable, and homelike environment for 6 (Residents #3, #5, #65, #66, #67 and #288) sampled residents. This failed practice had the potential to affect 87 residents based on the Resident Census and Conditions of Residents provided by the Minimum Data Set (MDS) Coordinator on 07/31/23 at 3:12 PM.

Inspectors wroteBased on interview, observation, and record review, the facility failed to ensure nail care was regularly provided to maintain good hygiene and prevent potential injuries or infections for 2 (Residents #67 and #84) of 18 (Residents #3, #5, #11, #12, #19, #22, #26, #27, #33, #37, #48, #53, #66, #67, #70, #79, #84 and #190) sampled residents who required assistance with nail care and failed to provide mouth care for 1 (Resident #26) of 5 (Residents #19, #26, #27, #33 and #37) of 5 sampled residents on the 200 Hall who were dependent on staff for oral care. [...]

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure meals were served in a method that maintained the appearance that was acceptable to the residents to improve palatability and encourage good nutritional intake during 1 of 1 meal observed. The failed practice had the potential to affect 85 residents who received meals from the kitchen (total census: 86), as documented on a list provided by the Assistant Administrator on 08/01/23 at 1:24 PM.

Inspectors wroteBased on observation and interview, the facility failed to ensure pureed food items were blended to a smooth, lump-free consistency to minimize the risk of choking or other complications for residents who required pureed diets for 2 of 2 meals observed. This failed practice had the potential to affect 8 residents who received pureed diets, as documented on the List provided by the Assistant Administrator on 08/01/23.

Inspectors wroteBased on record review and interview, the facility failed to ensure the Quality Assurance and Performance Improvement program (QAPI) Committee developed and implemented appropriate plans of action to prevent repeated deficiencies with maintaining a clean, comfortable homelike environment, with the provision of nail care, with distributing and serving food in a sanitary manner, and with the implementation of Infection Control procedures. These failed practices had the potential to affect all 87 residents who resided in the facility as identified on the Resident Census and Conditions of Residents provided by the Minimum Data Set (MDS) Coordinator on 07/31/23 at 3:12 PM.

Inspectors wroteBased on observation, record review and interview, the facility failed to maintain an effective pest control program to ensure the facility was free from flies. This failed practice had the potential to affect all 87 residents in the facility as documented on the Resident Census and Conditions of Residents provided by the Minimum Data Set (MDS) Coordinator on 07/31/23.

Inspectors wroteBased on observation, and interview, the facility failed to maintain air conditioning equipment to prevent leaks with the potential to result in accidents and hazards for 1 of 1 air conditioners observed.

Inspectors wroteBased on observation, and interview the facility failed to provide residents with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs for 1 (Resident #19) of 10 sampled (Residents #3, #11, #19, #26, #37, #48, #53, #79, #84 and #190) who eat in the Dining Room. This failed practice had the potential to affect 61 residents who eat in the Dining Room according to a list provided by the Assistant Administrator on 08/02/23 at 2:00 PM.