F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited
to receiving treatment and supports for daily living safely.
Based on observation, interview, and record review, the facility failed to provide a safe, functional, sanitary,
and comfortable environment for residents, staff, and the public for 1 of 1 secured unit reviewed for
environmental concerns.
The facility failed to ensure that floors were clean and devoid of dirt and debris.
These failures could place residents at risk of living in an unsafe, unsanitary, and uncomfortable
environment.
The findings included:
Observation on 9/26/24 from 11:45AM to 11:55AM in the secured unit revealed the following:
The hallway floor was dirty with dust, dirt, and bits of debris. The floor was sticky and made noises as
residents and staff walked down the hallway.
A resident was observed walking out of her room barefoot and walking on the dirty hallway floor.
The dining room floor was dirty with debris and spilled beverages.
The activity room floor was dirty with cracker crumbs, bits of paper, and other trash on the floor. Residents
were observed walking across floor with their shoes sticking to the floor and debris on the bottom of their
shoes.
In an interview on 9/24/24 at 1:15 PM the Housekeeping Supervisor revealed that the floor techs were
responsible for keeping the floors clean and were supervised by the Maintenance Manager. She reported
the floor techs used to be in the Housekeeping Department under her supervision, but they were moved to
the maintenance department about 3 months ago. The Housekeeping Supervisor reported that the floors
should be mopped at least once a day. The floor techs should use the floor cleaning machine in the
hallways, dining room, and activity room every day. The expectation was that the floor would be clean and
not sticky after it was cleaned. She also revealed that the Floor Tech had been to the secured unit that day
to clean the floor.
In an interview on 9/24/24 at 1:30 PM the Maintenance Manager reported there were 3 floor techs who
rotated shifts so that the floor was cleaned every day in the facility. He reported that the floor techs had
been instructed to clean high traffic areas first. He also reported that the machine they used to clean the
floor was causing the floor to wear out and they needed to get new flooring. He
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
675085
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
675085
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/26/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Paradigm at Woodwind Lakes
7215 Windfern Rd
Houston, TX 77040
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
said the cause of the sticky floors was spillage that was not cleaned up properly and from the humidity. He
stated that he expected the floors to be cleaned properly every day but that he had not checked the floor
techs work to verify it was completed. He revealed that he only did a visual check when there was a
complaint. He stated that he would need to do better job at verifying that the floors are thoroughly cleaned
in the secured unit. He reported that he felt bad and embarrassed that the floors were dirty and would not
want his home to be that way. He stated that the facility was the residents home, and it should be clean.
In an interview on 9/24/24 at 3:24 PM the Director of Nursing revealed they were aware that the floors were
sticky. To address the floor in the short term they were working on getting a new cleaning product that
would clean the floors better and long term we are going to get new floors.
Record review of the facility's Operations Policies and Procedures manual that was dated 6/2019, section
Environmental: Resident's Room, Resident's Rights, Procedure #13, reflected, The facility must provide a
safe, functional, sanitary, and comfortable environment for residents, staff, and the public.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
675085
If continuation sheet
Page 2 of 2
