nursing home in Houston, TX
Paradigm Northwest
17600 Cali Dr, Houston, TX 77090 · (281) 440-9000
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Paradigm Northwest at a glance
Paradigm Northwest is a 148-bed for-profit nursing home in Houston, Texas (Harris County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 11, 2025) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $51,400.
Nursing staff turnover is 52.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 148
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Paradigm Healthcare
- Medicare-certified since
- September 1, 1987
- Resident/family council
- None
- County
- Harris County
- CMS Certification Number
- 455714
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.96 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.23 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.88 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.63 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 122.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $51,400 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 148 | 113 | 107 | |
| Average residents per day | 115 | 76 | 86 | |
| Occupancy | 77.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.2% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 13.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 4.5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 8.6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.8% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 89.9% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 10, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected April 11, 2026 |
| April 10, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 11, 2026 |
| April 10, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 11, 2026 |
| January 21, 2026 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 28, 2026 |
| December 11, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 16, 2025 |
| December 11, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 16, 2025 |
| December 11, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected December 16, 2025 |
| December 11, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected December 16, 2025 |
| December 11, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 16, 2025 |
| December 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 16, 2025 |
| December 11, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 16, 2025 |
| December 11, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 16, 2025 |
| December 11, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 16, 2025 |
| December 11, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 16, 2025 |
| December 10, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 10, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 11, 2025 |
| August 18, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected August 22, 2025 |
| August 18, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected August 22, 2025 |
| August 12, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected August 7, 2025 |
| August 12, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 15, 2025 |
| August 5, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 18, 2025 |
| June 12, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 13, 2025 |
| March 5, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 25, 2025 |
| December 20, 2024 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected January 10, 2025 |
| September 26, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected October 14, 2024 |
| September 26, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 18, 2024 |
| September 26, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 26, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected October 18, 2024 |
| September 26, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected October 18, 2024 |
| September 13, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 26, 2024 |
| September 13, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 26, 2024 |
| May 8, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 23, 2024 |
| February 14, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | J Immediate jeopardy, isolated | Corrected February 19, 2024 |
| February 14, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 19, 2024 |
| July 28, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 26, 2023 |
| July 28, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected August 31, 2023 |
| July 28, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected August 31, 2023 |
| July 28, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 31, 2023 |
| July 28, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected August 31, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $37,721 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 5, 2025 | Fine | $13,679 |
| December 20, 2024 | Fine | $14,433 |
| February 14, 2024 | Fine | $9,609 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| OAKBEND MEDICAL CENTER Organization | 5% or greater direct ownership interest | 100% | 10/01/2022 |
| FREUDENBERGER, JOSEPH Individual | corporate officer | NOT APPLICABLE | 10/01/2022 |
| NORTHWEST NURSING & REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| SHKOP, AHARON Individual | operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| FREUDENBERGER, JOSEPH Individual | w-2 managing employee | NOT APPLICABLE | 10/01/2022 |
Other nursing homes near Paradigm Northwest
Park Manor of Cypress Station
420 Lantern Bend Dr., Houston, TX 77090 · under 1 mi
For-profit · 125 beds · Part of Hmg Healthcare
- Abuse citation
★★★★★1Much below averageThe Heights of North Houston
303 Hollow Tree Lane, Houston, TX 77090 · under 1 mi
For-profit · 131 beds · Part of Touchstone Communities
★★★★★2Below averageVilla Toscana at Cypress Woods
15015 Cypress Woods Medical Dr, Houston, TX 77014 · 2.2 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below averageThe Village at Gleannloch Farms
9505 North Pointe Blvd, Spring, TX 77379 · 5.6 mi
For-profit · 35 beds · Part of Healthpeak Properties, INC.
- CMS high performer
★★★★★5Much above averageChampions Healthcare at Willowbrook
13500 Breton Ridge, Houston, TX 77070 · 7 mi
For-profit · 98 beds · Part of The Ensign Group
- Abuse citation
★★★★★2Below averageAvir at Veterans Memorial
1424 Fallbrook Drive, Houston, TX 77038 · 7.1 mi
For-profit · 120 beds · Part of Avir Health Group
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Paradigm Northwest's rating?
Paradigm Northwest has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Paradigm Northwest receive?
Its most recent standard health inspection found 12 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Paradigm Northwest accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Paradigm Northwest?
It is for profit - corporation and part of Paradigm Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Paradigm Northwest and how do I contact it?
Paradigm Northwest is at 17600 Cali Dr, Houston, TX 77090. Phone: (281) 440-9000.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.