Texas › Harris County › Houston
Paradigm At Westbury
5201 S Willow Dr, Houston, TX 77035
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 Westbury is a For-profit, corporation nursing home in Houston, Texas, certified for 148 beds and caring for about 104 residents a day.
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 42 health deficiencies across the three most recent survey cycles (10, 10, 22 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 28.4 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $108K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 61.5%.
Compared with county, state and nation
| Measure | This facility | Harris Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 42 | 22 | 25 | 28.7 |
| Citations per 100 beds | 28.4 | 19.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 61.5% | 52.1% | 52.1% | 45.8% |
| Fines listed | $108,038 | $30,361 | $16,801 | — |
County and state figures are medians across facilities (97 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: 30 May 2026, 28 Mar 2025.
Severity mix: K ×3 L ×1 G ×3 D ×21 E ×12 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 |
|---|---|---|---|---|---|
| 30 May 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 25 Jun 2026 |
| 30 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Jun 2026 |
| 30 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Jun 2026 |
| 30 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Jun 2026 |
| 30 May 2026 | 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 | 25 Jun 2026 |
| 30 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 25 Jun 2026 |
| 30 May 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 25 Jun 2026 |
| 24 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Dec 2025 |
| 24 Nov 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 12 Dec 2025 |
| 28 Aug 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | K | Complaint investigation | 17 Sep 2025 |
| 2 May 2025 | F0584 | 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. | D | Complaint investigation | 6 May 2025 |
| 28 Mar 2025 | 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 Apr 2025 |
| 28 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 23 Apr 2025 |
| 28 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 23 Apr 2025 |
| 28 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 23 Apr 2025 |
| 28 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | D | Complaint investigation | 23 Apr 2025 |
| 28 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 30 Jan 2025 |
| 15 Jan 2025 | F0584 | 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. | L | Complaint investigation | 25 Jan 2025 |
| 15 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 15 Oct 2024 |
| 15 Oct 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. | D | Complaint investigation | 15 Oct 2024 |
| 3 Jul 2024 | F0584 | 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. | D | Complaint investigation | 10 Jul 2024 |
| 27 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 30 Jun 2024 |
| 27 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jun 2024 |
| 6 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 12 Jun 2024 |
| 6 Jun 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 | 12 Jun 2024 |
| 6 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 12 Jun 2024 |
| 6 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 12 Jun 2024 |
| 6 Jun 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. | D | Complaint investigation | 12 Jun 2024 |
| 30 Apr 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 2 May 2024 |
| 30 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 May 2024 |
| 30 Apr 2024 | F0584 | 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. | D | Complaint investigation | 2 May 2024 |
| 5 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 7 Feb 2024 |
| 5 Feb 2024 | F0926 | Have policies on smoking. | K | Complaint investigation | 7 Feb 2024 |
| 29 Jan 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 5 Feb 2024 |
| 7 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 8 Jan 2024 |
| 7 Jan 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 8 Jan 2024 |
| 7 Jan 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 Jan 2024 |
| 7 Nov 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 10 Nov 2023 |
| 3 Nov 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Complaint investigation | 8 Nov 2023 |
| 3 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 8 Nov 2023 |
| 17 Oct 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 24 Oct 2023 |
| 17 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 24 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 May 2026 | Fine | $26,180 | |
| 28 Aug 2025 | Fine | $14,596 | |
| 15 Jan 2025 | Fine | $52,699 | |
| 7 Jan 2024 | Fine | $14,563 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 61.5%, RNs 62.5%; 3 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 | 15.5% | 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 | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.1% | 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% | 02/28/2015 |
| Westbury Place Nursing & Rehabilitation, LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2018 |
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 Harris County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bayou Manor | Houston | 37 | 5 | 5 | 5 | 7 | 18.9 | — | 19 May 2026 |
| Clarewood House Extended Care Center | Houston | 60 | 5 | 5 | 1 | 5 | 8.3 | — | 3 Dec 2025 |
| East View Healthcare | Houston | 125 | 5 | 5 | 1 | 11 | 8.8 | — | 24 Feb 2026 |
| Hca Houston Healthcare Southeast | Pasadena | 30 | 5 | 5 | 4 | 5 | 16.7 | — | 15 May 2025 |
| Ignite Medical Resort Webster, LLC | Webster | 70 | 5 | 5 | 2 | 12 | 17.1 | — | 24 Apr 2026 |
| Park Manor of Cyfair | Houston | 120 | 5 | 5 | 2 | 8 | 6.7 | — | 1 May 2026 |
| Parkway Place | Houston | 42 | 5 | 3 | 5 | 18 | 42.9 | $46K | 22 Apr 2026 |
| Richard A. Anderson (State of Texas Veterans Land | Houston | 120 | 5 | 4 | 5 | 14 | 11.7 | $15K | 11 Sep 2025 |
All 97 facilities in Harris County
Questions and answers
How many deficiencies has Paradigm At Westbury been cited for?
42 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 Westbury been fined?
Yes. CMS lists fines totalling $108K in the period covered.
How does staffing at Paradigm At Westbury compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At Westbury?
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 Westbury Place Nursing & Rehabilitation, LLC. Individual owners and managers are not listed on this site.
When was Paradigm At Westbury last inspected?
The most recent survey or investigation in the CMS record is dated 30 May 2026; the most recent standard health survey was 30 May 2026.
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.