F 0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Level of Harm - Potential for
minimal harm
Based on observation, interview, and record review, the facility failed to post in a place readily accessible to
residents, and family members and legal representatives of residents, the results of the most recent survey
of the facility for one of one facility.
Residents Affected - Many
The facility failed to ensure the survey result from the previous recertification surveys were readily available
to the residents and family.
This failure could place residents, family members, and legal representatives at risk of not being informed
of survey results.
Findings included:
Observation on 01/26/24 at 11:00 a.m., a sign indicating where the survey results were located could not
be found.
Observation and interview on 01/26/24 at 4:45 p.m., revealed that there was no state survey result available
at the facility in a place readily accessible to residents and family members. Several staff (Administrator,
DON, MDS Nurses) started searching for the survey binder to present to the Surveyor. The DON said, It's a
yellow survey book that sits on top of the table across from the front door. It's not there.
Interview on 01/26/24 at 5:13 p.m., with the Administrator and the DON. The Administrator presented a
binder labeled survey book. The Administrator said found it in resident's room. Need to put it back half of it
is missing. Kind of a rack. The DON said, don't know what happened to the survey book we had it though
out the year. The DON said, will find what's in my email and put the survey book together. The Administrator
said she started at this facility last month in December. She said, it's a regulation to have Survey/Inspection
results available. For people to see survey results and transparency.
No policy on Survey availability/posting was provided on exit.
Review of
https://www.hhs.texas.gov/providers/long-term-care-providers/long-term-care-provider-resources/regulatory-services-facilit
accessed on 09/28/2023 reflected:
F577 - Most Recent Survey/Inspection Results and Notice of Availability of Survey/Inspection Results
(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:
676040
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
676040
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/26/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Paradigm at the Prairies
106 Del Norte Dr
El Campo, TX 77437
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 0577
42 CFR Section 483.10(g)(11) - An NF must:
Level of Harm - Potential for
minimal harm
Post in a place readily accessible to residents, family members, and legal representatives of residents, the
results of the most recent survey of the facility.
Residents Affected - Many
Have reports with respect to any surveys, certifications, and complaint investigations made respecting the
facility during the three preceding years, and any plan of correction in effect with respect to the facility,
available for any individual to review upon request.
Post notice of the availability of such reports in areas of the facility that are prominent and accessible to the
public.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676040
If continuation sheet
Page 2 of 2
