All citations for Paradigm at First Colony

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Paradigm at First Colony

Last standard health inspection on record

January 22, 2026

Showing 26 to 49 of 49 citations

  1. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 18, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 25, 2026).

  2. No harm, with potential for more than minimal harm

    Give the resident's representative the ability to exercise the resident's rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0551, Resident Rights Deficiencies. Inspection of December 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 15, 2025).

  3. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of November 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 11, 2025).

  4. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 1, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 5, 2025).

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  6. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  7. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  8. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  9. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  10. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  11. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

  13. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of August 21, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2024).

  14. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of July 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  15. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0919, Environmental Deficiencies. Inspection of July 25, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 12, 2024).

  16. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of February 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 12, 2024).

  17. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 2, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

  18. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of September 8, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2023).

  19. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of September 8, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2023).

  20. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of September 8, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2023).

  21. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of September 8, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 15, 2023).

  22. No harm, with potential for minimal harm

    Keep residents' personal and medical records private and confidential.

    Widespread (many residents). CMS level C.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of November 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  23. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of November 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  24. No harm, with potential for minimal harm

    Dispose of garbage and refuse properly.

    Widespread (many residents). CMS level C.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of October 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 31, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.