Texas › Harris County › Houston
Paradigm Northwest
17600 Cali Dr, Houston, TX 77090
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 Northwest is a For-profit, corporation nursing home in Houston, Texas, certified for 148 beds and caring for about 115 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 3.
Inspectors recorded 33 health deficiencies across the three most recent survey cycles (17, 9, 7 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 22.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $51K.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 52.3%.
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 | 33 | 22 | 25 | 28.7 |
| Citations per 100 beds | 22.3 | 19.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 52.3% | 52.1% | 52.1% | 45.8% |
| Fines listed | $51,400 | $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: 11 Dec 2025, 26 Sep 2024.
Severity mix: J ×5 D ×19 E ×8 C ×1
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 |
|---|---|---|---|---|---|
| 10 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 11 Apr 2026 |
| 10 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Apr 2026 |
| 10 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 11 Apr 2026 |
| 21 Jan 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 | Complaint investigation | 28 Jan 2026 |
| 11 Dec 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 16 Dec 2025 |
| 11 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Dec 2025 |
| 11 Dec 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 | 16 Dec 2025 |
| 11 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 16 Dec 2025 |
| 11 Dec 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 Dec 2025 |
| 11 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Dec 2025 |
| 10 Dec 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 | 11 Dec 2025 |
| 10 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 11 Dec 2025 |
| 18 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 22 Aug 2025 |
| 18 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 22 Aug 2025 |
| 12 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Aug 2025 |
| 12 Aug 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 | Complaint investigation | 15 Aug 2025 |
| 5 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 18 Aug 2025 |
| 12 Jun 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 | Complaint investigation | 13 Jun 2025 |
| 5 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Mar 2025 |
| 20 Dec 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 10 Jan 2025 |
| 26 Sep 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 | 18 Oct 2024 |
| 26 Sep 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 18 Oct 2024 |
| 26 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Oct 2024 |
| 26 Sep 2024 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 18 Oct 2024 |
| 13 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Sep 2024 |
| 13 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Sep 2024 |
| 8 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 23 May 2024 |
| 14 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 19 Feb 2024 |
| 14 Feb 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 | Complaint investigation | 19 Feb 2024 |
| 28 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 31 Aug 2023 |
| 28 Jul 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 31 Aug 2023 |
| 28 Jul 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 31 Aug 2023 |
| 28 Jul 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 31 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Aug 2025 | Fine | $13,679 | |
| 5 Aug 2025 | Fine | $13,679 | |
| 20 Dec 2024 | Fine | $14,433 | |
| 14 Feb 2024 | Fine | $9,609 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.3%, RNs 66.7%; 1 administrator 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 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 | 4.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.8% | 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% | 10/01/2022 |
| Northwest 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 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 Northwest been cited for?
33 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm Northwest been fined?
Yes. CMS lists fines totalling $51K in the period covered.
How does staffing at Paradigm Northwest compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm Northwest?
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 Northwest Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm Northwest last inspected?
The most recent survey or investigation in the CMS record is dated 10 Apr 2026; the most recent standard health survey was 11 Dec 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.