Texas › Fort Bend County › Katy
Paradigm At Katy
1480 Katy Flewellen, Katy, TX 77494
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Paradigm At Katy, in Katy, Texas, is certified for 125 beds under for-profit, limited liability company ownership and belongs to the Paradigm Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 51 health deficiencies across the three most recent survey cycles (14, 16, 21 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 40.8 per 100 beds, more than the state median of 22.5.
CMS lists 7 penalties in the period covered: fines totalling $241K and 2 payment denials.
Reported nurse staffing is 4.4 hours per resident per day (1.0 RN), above the Texas median of 3.3; nursing staff turnover is 91.1%.
Compared with county, state and nation
| Measure | This facility | Fort Bend Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 51 | 17 | 25 | 28.7 |
| Citations per 100 beds | 40.8 | 19.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 4.4 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 1.0 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 91.1% | 57.5% | 52.1% | 45.8% |
| Fines listed | $241,445 | $64,559 | $16,801 | — |
County and state figures are medians across facilities (15 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 May 2025, 15 Mar 2024.
Severity mix: J ×2 K ×4 G ×1 D ×31 E ×11 B ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 15 Dec 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 14 Jan 2026 |
| 20 Nov 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Dec 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Dec 2025 |
| 1 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 31 May 2025 |
| 1 May 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 31 May 2025 |
| 1 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 31 May 2025 |
| 1 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 May 2025 |
| 1 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 May 2025 |
| 1 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 31 May 2025 |
| 1 May 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 31 May 2025 |
| 1 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 May 2025 |
| 1 May 2025 | F0761 | 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. | D | Standard survey | 31 May 2025 |
| 1 May 2025 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 31 May 2025 |
| 1 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 May 2025 |
| 4 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Apr 2025 |
| 18 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 5 Mar 2025 |
| 19 Nov 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | K | Complaint investigation | 31 Dec 2024 |
| 19 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 31 Dec 2024 |
| 19 Nov 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 31 Dec 2024 |
| 19 Jul 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 5 Aug 2024 |
| 29 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 21 Jun 2024 |
| 29 May 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | J | Complaint investigation | 21 Jun 2024 |
| 29 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 21 Jun 2024 |
| 29 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 21 Jun 2024 |
| 25 Apr 2024 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 15 Jun 2024 |
| 25 Apr 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 15 Jun 2024 |
| 6 Apr 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 15 Jun 2024 |
| 15 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0761 | 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. | E | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0688 | 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. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | Standard survey | 15 Apr 2024 |
| 15 Mar 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard survey | 15 Apr 2024 |
| 31 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 23 Feb 2024 |
| 31 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 23 Feb 2024 |
| 31 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 23 Feb 2024 |
| 1 Feb 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0761 | 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. | E | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 7 Mar 2023 |
| 1 Feb 2023 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 1 Mar 2023 |
| 1 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 May 2026 | Fine | $70,800 | |
| 18 Feb 2025 | Fine | $34,426 | |
| 19 Nov 2024 | Payment denial | — | 12 days |
| 19 Nov 2024 | Fine | $50,449 | |
| 15 Mar 2024 | Payment denial | — | 6 days |
| 15 Mar 2024 | Fine | $14,701 | |
| 31 Jan 2024 | Fine | $71,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 91.1%, RNs 91.7%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.7% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Oakbend Medical Center. Chain: Paradigm Healthcare (17 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | 100% | 02/01/2025 |
| Katy Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| Oakbend Medical Center | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Zephyr Nh, LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| Katy Nursing & Rehabilitation LLC | Adp of the snf | NOT APPLICABLE | 02/01/2025 |
| Lev 1 Pack Holdings LLC | Adp of the snf | NOT APPLICABLE | 12/02/2025 |
| Zos Chanukah LLC | Adp of the snf | NOT APPLICABLE | 12/02/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fort Bend County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Paradigm At the Brazos | Richmond | 56 | 5 | 5 | 3 | 6 | 10.7 | — | 1 Aug 2025 |
| S.P.J.S.T. Rest Home No 2 | Needville | 58 | 5 | 5 | 4 | 7 | 12.1 | — | 18 Dec 2025 |
| Oak Bend Medical Center | Richmond | 36 | 4 | 4 | 1 | 7 | 19.4 | $12K | 17 Jun 2026 |
| Richmond Health Care Center | Richmond | 92 | 4 | 4 | 2 | 23 | 25.0 | $78K | 10 Jul 2025 |
| Cambridge Health and Rehabilitation Center | Richmond | 158 | 3 | 2 | 2 | 26 | 16.5 | $68K | 25 Mar 2026 |
| Fort Bend Healthcare Center | Rosenberg | 56 | 3 | 3 | 1 | 15 | 26.8 | $23K | 9 Aug 2025 |
| Sugar Land Health Care Center | Sugar Land | 150 | 3 | 3 | 2 | 17 | 11.3 | $30K | 17 Dec 2025 |
| Windsor Quail Valley Post-Acute Healthcare | Missouri City | 120 | 3 | 3 | 2 | 16 | 13.3 | $52K | 5 Jun 2026 |
All 15 facilities in Fort Bend County
Questions and answers
How many deficiencies has Paradigm At Katy been cited for?
51 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At Katy been fined?
Yes. CMS lists fines totalling $241K in the period covered, plus 2 payment denials.
How does staffing at Paradigm At Katy compare?
Reported total nurse staffing is 4.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At Katy?
It is part of the Paradigm Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakbend Medical Center, Katy Nursing & Rehabilitation LLC and Oakbend Medical Center. Individual owners and managers are not listed on this site.
When was Paradigm At Katy last inspected?
The most recent survey or investigation in the CMS record is dated 15 Dec 2025; the most recent standard health survey was 1 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.