Paradigm Northwest
Houston, Texas · CCN 455714
43 surveys since 2010, 13 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 149
- Surveys
- 43
- Harm or worse
- 13
- Immediate jeopardy
- 7
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 148
- Ownership
- For profit - Corporation
- Chain
- PARADIGM HEALTHCARE
- County
- Harris
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.
Last survey on record
Apr 10, 2026
213 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.96 | 3.26 |
| Registered-nurse hours per resident day | 0.23 | — |
| Annual nurse turnover | 52.3% | 55.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $51,400 across 4 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J515.2% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1957.6% | E824.2% | F— |
| No harm, potential for minimal | A— | B— | C13.0% |
Most frequently cited here
In CMS’s current monthly file.
- F6564×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F8804×
Provide and implement an infection prevention and control program.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
In the surveyor’s words
From the most serious findings on record at Paradigm Northwest, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Aug 18, 2025
Based on observation, interview, and record review the facility failed to consult with the resident's physician when there was a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (Resident #1) of 5 residents reviewed for notification of changes. The facility failed to establish contact with the NP after Resident#1 had an unwitnessed fall where he was found lying face down on the floor on 8/13/25 at 11am. LVN A sent the NP a text at 11:40 am but she was not aware until she received a second text notification at 12:44 pm. Resident #1 was transported to the hospital at 1:30 pm, after an induration formed above his left brow. […]
- Immediate jeopardy, isolatedF684Aug 18, 2025
Based on observation, interview, and record review, the facility failed to ensure based on the comprehensive assessment of a resident, that resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 (Resident #1) of 5 residents reviewed for quality of care. The facility failed to contact 911 after Resident#1 was found laying face down on the floor after an unwitnessed fall on 8/13/25 at 11am. Resident was transported to hospital at 1:30pm, after an induration began to form above his left brow. An IJ was identified on 8/15/25 at 6:05 pm. The IJ template was provided to the facility on 8/15/25 at 7:10 pm. […]
- Immediate jeopardy, isolatedF689Aug 12, 2025
Based on observation, interview and record review the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 (CR#1) residents reviewed for accidents and supervision. 1. The facility failed to ensure CR#1 received adequate supervision and assistance devices to prevent accidents resulting in CR#1 sliding out of bed to the floor sustaining a cut to the right eye and left thalamic bleed (a type of intracerebral hemorrhage) without intraventricular (inside the brain's ventricles) involvement. 2. CNA A failed to ensure two-person assistance was used to provide care to CR #1, who required total assistance with all ADLs, and resulted in CR#1 sliding out of bed to the floor. The noncompliance was identified as PNC. […]
- Immediate jeopardy, isolatedF678Dec 20, 2024
Based on observations, interviews, and record review, the facility failed to ensure personnel provided basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel for 1 of 77 residents (CR #1) reviewed for CPR. 1. RN A failed to call a code blue and obtain assistance from available staff when CR #1 was found unresponsive. This led to a delay of approximately ,d+[DATE] minutes before CPR was started on CR #1. 2. RN A initiated CPR with improper chest compressions and depth during CPR on CR #1 on [DATE]. 3. LVN A failed to place the mask over the resident's nose and mouth, ensuring a good seal. 4. Staff failed to ensure the crash cart had AED pads and was ready for use during CPR on CR #1. […]
- Immediate jeopardy, isolatedF755Feb 14, 2024
Based on observation, interview, and record review, the facility failed to provide routine and emergency drugs and biologicals and pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 1 (Resident #1) of 5 residents reviewed for pharmacy services. -The facility failed to send Resident #1's insulin medications with him when he went out on pass/leave for two days. Resident returned back to the facility with a blood sugar level of 457.0 mg/dL. -The facility failed to complete the Medication/Release Receipt form for Resident #1 when he went out on pass/leave for two days. On 02/13/24 an Immediate Jeopardy (IJ) was identified. […]
Read 30 findings in full →The most serious and the most recent: 30 of 149 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 5, 2026Complaint1 finding
- Apr 10, 2026Complaint3 findings
- Jan 21, 2026Complaint1 finding
- Dec 11, 2025Standard6 findings
- Dec 10, 2025Complaint2 findings
- Aug 18, 2025Complaint2 findings · 2 harm
- Aug 12, 2025Complaint2 findings · 1 harm
- Aug 5, 2025Complaint1 finding
Show the 35 earlier surveys
- Jun 12, 2025Complaint1 finding
- Mar 5, 2025Complaint1 finding
- Dec 20, 2024Complaint1 finding · 1 harm
- Sep 26, 2024Standard and complaint4 findings
- Sep 13, 2024Complaint2 findings
- May 8, 2024Complaint1 finding
- Feb 14, 2024Complaint2 findings · 1 harm
- Jul 28, 2023Standard4 findings
- May 27, 2022Standard3 findings · 1 harm
- Apr 5, 2022Complaint1 finding
- Dec 21, 2021Complaint1 finding
- Dec 16, 2021Complaint1 finding
- Apr 23, 2021Standard and complaint10 findings · 1 harm
- Aug 6, 2020Infection control1 finding
- Apr 5, 2019Standard4 findings
- Dec 13, 2018Complaint2 findings
- Apr 27, 2018Standard7 findings
- Jan 22, 2018Complaint2 findings
- Jun 9, 2017Standard7 findings
- Feb 28, 2017Complaint1 finding · 1 harm
- Apr 28, 2016Standard6 findings
- Nov 2, 2015Complaint2 findings
- Mar 26, 2015Standard6 findings
- Mar 20, 2014Standard5 findings
- Jan 30, 2014—4 findings
- Oct 25, 2013—2 findings
- Mar 8, 2013—14 findings
- Jun 13, 2012—1 finding
- Apr 2, 2012—23 findings · 4 harm
- Oct 6, 2011—2 findings
- Apr 27, 2011—1 finding
- Mar 10, 2011—5 findings
- Dec 20, 2010—2 findings · 1 harm
- Sep 23, 2010—1 finding
- Sep 2, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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