Health inspection·August 14, 2025

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure an allegation of misappropriation of property was reported immediately but not later than 24 hours after the allegation was made to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 2 of 2 residents (CR #142 and Resident# 134) reviewed for reporting.The Prior administrator failed to report to the State Survey Agency the incident of missing money for Resident #134 on 7/22/2025 and CR #142 on 6-9-25.Facility staff did not immediately notify law enforcement of a suspicion of a crime when Resident #134 reported missing money on 7/22/2025 and when resident CR #142 reported missing money on 6-9-2025These failures could affect residents by placing them at risk of misappropriation of property if the reportable allegations are not reported timely after they are discovered.Findings included: Record review of Resident #134's face sheet printed on 8/14/2025 indicated that Resident #134 was a [AGE] year-old female who was originally admitted to the facility on [DATE] and a readmission date of 6/10/2025 with the following diagnoses to include but not limited to: Pneumonia, unspecified atrial fibrillation, muscle wasting and atrophy, acute on chronic systolic (congestive) heart failure, Difficulty in walking, not elsewhere classified, other lack of coordination, muscle weakness (generalized), Type 2 Diabetes Mellitus with diabetic Neuropathy, Cognitive Communication deficit, Chronic Pain, Generalized Anxiety Disorder (mental health disorder), Mixed Hyperlipidemia, History of Falling, Major Depressive Disorder, Gastro-Esophageal Reflux disease without esophagitis (heart burn), and dysphagia, oral phase (difficulty with speech). A record review of Resident #134's Quarterly MDS dated [DATE] revealed; BIMS score of 15 out of 15 indicating resident was cognitively intact. A record review of the facility's concern report dated 7/22/25 revealed: The concern was Reported to the former Administrator by Resident 134. Resident states she's missing $80 from a week or so ago she last had the money in her room under her pillow and when she realized it money was missing. Investigation details: Administrator immediately called residents [family member] and discussed missing $80 and the time frame when money was discovered missing. Investigation/Resolution: Investigation initiated to resolve $80 whereabouts. Admin called [family member] and [family member] stated no need to refund money at this time. Resident encouraged to use trust fund. Resident encouraged to use lock box. In an interview with Resident #134 on 08/14/2025 5:15 PM Resident #134 stated last month she was missing $80 out of her purse. The purse was located under her behind while she was sleeping. The facility didn't do anything about it. She had to borrow money from others to afford the things she wanted. She really wants her money back. She did discuss this with her family member and that's what they agreed on. Resident felt someone came in her room and stole the money from her purse while she was sleeping. Resident appeared upset about the missing money. Record review of CR #142's face sheet printed on 8/14/2025 indicated that CR#142 (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 5 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 08/14/2025 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)