Texas › Hardin County › Kountze
Paradigm At Kountze
604 Fm 1293, Kountze, TX 77625
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 Kountze is a For-profit, corporation nursing home in Kountze, Texas, certified for 60 beds and caring for about 48 residents a day.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 3, staffing 3 and quality measures 5.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (3, 19, 3 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 41.7 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $17K.
Reported nurse staffing is 3.2 hours per resident per day (0.6 RN), close to the Texas median of 3.3; nursing staff turnover is 25.6%.
Compared with county, state and nation
| Measure | This facility | Hardin Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 25 | 28.7 |
| Citations per 100 beds | 41.7 | 37.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 25.6% | 54.7% | 52.1% | 45.8% |
| Fines listed | $16,801 | $13,232 | $16,801 | — |
County and state figures are medians across facilities (5 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: 13 Aug 2025, 25 Jul 2024.
Severity mix: J ×1 K ×1 D ×15 E ×6 F ×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 |
|---|---|---|---|---|---|
| 13 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 5 Sep 2025 |
| 13 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Sep 2025 |
| 13 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 5 Sep 2025 |
| 25 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Aug 2024 |
| 25 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Aug 2024 |
| 25 Jul 2024 | 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 | 1 Aug 2024 |
| 25 Jul 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | 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 Aug 2024 |
| 25 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 15 Aug 2024 |
| 25 Jul 2024 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 Aug 2024 |
| 25 Jul 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 1 Aug 2024 |
| 14 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Standard survey | 15 Jun 2023 |
| 14 Jun 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 15 Jun 2023 |
| 14 Jun 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. | D | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Jul 2024 | Fine | $16,801 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 25.6%, RNs 14.3%; 0 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 | 4.0% | 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 | 0.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.9% | 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, corporation. 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% | 03/31/2017 |
| Kountze Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2022 |
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 Hardin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mill Creek | Silsbee | 67 | 3 | 3 | 1 | 25 | 37.3 | $13K | 10 Dec 2025 |
| Silsbee Oaks Health Care LLP | Silsbee | 160 | 3 | 4 | 1 | 12 | 7.5 | $8K | 28 Jan 2026 |
| Paradigm At the Pinesabuse icon | Silsbee | 90 | 2 | 2 | 1 | 34 | 37.8 | $8K | 10 Dec 2025 |
| Village Creek Rehabilitation and Nursing Center | Lumberton | 120 | 1 | 1 | 2 | 38 | 31.7 | $105K | 26 Mar 2026 |
All 5 facilities in Hardin County
Questions and answers
How many deficiencies has Paradigm At Kountze been cited for?
25 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At Kountze been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Paradigm At Kountze compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At Kountze?
It is part of the Paradigm Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Oakbend Medical Center and Kountze Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At Kountze last inspected?
The most recent survey or investigation in the CMS record is dated 13 Aug 2025; the most recent standard health survey was 13 Aug 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.