Paramount Nursing and Rehab at Fayetteville, LLC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 18 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (10 vs median 8.0)
Bottom 25% in PA · Below recommended RN staffing · $26,685 in fines
What this means for your family
While the nursing staff is frequently praised for their compassion, families should be aware of recurring issues regarding the loss of personal property and medication management. We recommend clearly labeling all personal items and maintaining a proactive, documented dialogue with the administration regarding your loved one's medication schedule.
Google Reviews
Google Reviews
18 reviews on Google“Paramount Nursing and Rehab at Fayetteville receives praise for its compassionate nursing staff and the quality of care provided during end-of-life stays. However, families have raised significant concerns regarding administrative transparency, the loss of personal belongings, and recurring issues with medication management.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective end-of-life care
- Professional and proactive communication
Concerns
- Loss of personal belongings and clothing (mentioned by 2 reviewers)
- Medication management issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 20 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the recent focus on medication management, what specific protocols or double-check systems do you have in place to ensure residents receive the correct dosages at the right times?
- 2I noticed some concerns regarding personal belongings; what is your process for labeling, tracking, and securing a resident's clothing and personal items to prevent them from going missing?
- 3With the current CMS health inspection ratings, what specific steps is the facility taking to improve compliance and ensure the highest standards of care for residents?
- 4Since dining is an area you are working to improve, could you walk me through how you handle special dietary needs and what the process is for residents to provide feedback on their meals?
- 5I appreciate the positive feedback regarding your end-of-life care; how do you ensure that same level of compassionate, attentive support is consistently provided to residents during their daily routines?
- 6What does a typical day look like for a resident in terms of structured activities and social engagement to ensure they remain active and connected within the community?
Personalized based on this facility's data
Key Review Excerpts
“My mother was a resident here... After Paramount took over there were constant issues with my mother's meds. 1st there were constant issues with the med machine then it was”
“Nice place, nurses are great. Administrators are another story. Saw right through the fake smiles. Do not take any nice clothes there, they will lose them and they do not care.”
“Both of my grandmothers have received excellent care at this facility. They have easily transitioned with the help of the staff to new accommodations as their level of need and assistance increased.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaint reports resulting in deficiencies related to treatment quality and safety supervision, indicating ongoing concerns. The facility shows recurring issues across care planning, clinical care quality, and building safety systems spanning multiple surveys from 2023 to 2025. While all deficiencies show correction dates, the pattern of repeated problems in core care areas like assessments, wound care, and infection control suggests systemic challenges that families should investigate further during visits.
Oct 6, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 5, 2025Routine8
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Mar 10, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jul 3, 2024Routine11
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 10, 2023Routine17
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Federal Penalties
Fine
Oct 6, 2025
$8,672
Fine
Oct 6, 2025
$8,673
Ownership & Operations
Who Operates This Facility
Paramount Nursing and Rehab at Fayetteville, LLC
for profit
Ownership & Management
Owners
Paramount Health Holdings Group INC
Owner · Organization
Cox, James
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
18 reviews from families & visitors
Official Website
Visit paramountseniorliving.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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