Paramount Nursing and Rehab at Fayetteville has a 1-star overall rating, with a 1-star health inspection rating, 2-star quality measures, and 3-star staffing; reported nurse staffing is 3.64 hours per resident per day, below the federal benchmark of 4.1. It also has a recent federal penalty and $26,685 in fines over the last 24 months, with recent citations involving treatment and care, accident hazards, and psychotropic medication use.
Last inspection: October 6, 2025Penalties, last 24 months: $26,685recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6371.
Staffing detail
Registered nurses
0.40
Licensed practical nurses
1.10
Nurse aides
2.13
Weekend nursing
3.48
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 0%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.1%Worsening
Residents with a fall causing major injury
4.3%Worsening
Residents with pressure ulcers (bedsores)
4.6%Steady
Residents with a urinary tract infection
4.1%Steady
Residents who lost too much weight
6.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.6%Worsening
Residents whose ability to walk got worse
23.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
29%Worsening
Short-stay residents newly given an antipsychotic
1.8%Steady
Residents with a long-term catheter
0.3%Steady
Residents with new or worsening incontinence
33.5%Improving
Residents with depressive symptoms
0.4%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
89.4%Steady
Short-stay residents given the pneumonia vaccine
99.8%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $13,343 was recorded.
PENALTY
A federal fine of $13,342 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $26,685 in total fines.
Federal fine
Oct 6, 2025
$13,343
Federal fine
Oct 6, 2025
$13,342
Operator & ownership
Ownership
For profit - Corporation
Occupancy
82.3 residents on an average day (89% of 92 beds)
Resident voice
Resident council
Medicare history
Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.