For profit - Limited Liability company · 180 certified beds · CMS number 675085

Paradigm at Woodwind Lakes, Houston, TX

CMS records 39 health deficiencies at Paradigm at Woodwind Lakes in Houston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $89,541 and 1 payment denial in the last three years.

Inspections and deficiencies

CMS findings for Paradigm at Woodwind Lakes as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at Woodwind Lakes may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (14 deficiencies)

Standard inspection Jun 5, 2026. CMS counts 14 health deficiencies and 2 fire safety deficiencies in this cycle.

Jun 5, 2026 · Standard + complaint inspection

9 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 10, 2026

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 10, 2026

F791 · Dental services in Medicaid nursing facilities

Requirement cited (CMS): Provide or obtain dental services for each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 10, 2026

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 10, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 10, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 10, 2026

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 10, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 10, 2026

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 10, 2026

Apr 28, 2026 · Complaint inspection

2 deficiencies, highest K

F578 · Refusing treatment and advance directives

Requirement cited (CMS): 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.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date May 1, 2026

F572 · Notice of rights, rules, and services

Requirement cited (CMS): Give residents a notice of rights, rules, services and charges.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 1, 2026

Mar 27, 2026 · Complaint inspection

3 deficiencies, highest G

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 3, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 3, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 3, 2026
Previous cycle: 13 deficiencies (standard inspection Jan 9, 2026)

Standard inspection Jan 9, 2026. CMS counts 13 health deficiencies and 2 fire safety deficiencies in this cycle.

Jan 9, 2026 · Standard inspection

7 deficiencies, highest G

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2026

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2026

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2026

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 3, 2026

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Apr 3, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 3, 2026

Aug 14, 2025 · Complaint inspection

2 deficiencies, highest D

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

Jul 22, 2025 · Complaint inspection

1 deficiency, highest D

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 19, 2025

Apr 10, 2025 · Complaint inspection

1 deficiency, highest D

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 9, 2025

Feb 20, 2025 · Complaint inspection

1 deficiency, highest E

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 14, 2025

Sep 26, 2024 · Complaint inspection

1 deficiency, highest E

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 18, 2024
Earlier cycle: 12 deficiencies (standard inspection Aug 14, 2025)

Standard inspection Aug 14, 2025. CMS counts 12 health deficiencies and 3 fire safety deficiencies in this cycle.

Aug 14, 2025 · Standard inspection

3 deficiencies, highest E

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 12, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 12, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 12, 2025

Jan 10, 2024 · Complaint inspection

6 deficiencies, highest E

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2024

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 2024

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 2024

F700 · Bed rail safety

Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2024

F693 · Feeding tube use and care

Requirement cited (CMS): Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 2024

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 17, 2024

Oct 19, 2023 · Complaint inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 22, 2023
Found in
infection control inspection

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 22, 2023
Found in
infection control inspection

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 22, 2023
Found in
infection control inspection

Tags cited in more than one inspection

10 tags cited on more than one inspection date at Paradigm at Woodwind Lakes; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan4Jun 5, 2026; Mar 27, 2026; Jan 9, 2026; Jan 10, 2024
F880 Infection prevention and control program4Jun 5, 2026; Jan 9, 2026; Apr 10, 2025; Oct 19, 2023
F689 Accident prevention and supervision3Mar 27, 2026; Jan 9, 2026; Aug 14, 2025
F690 Bladder, bowel, and catheter care3Jun 5, 2026; Mar 27, 2026; Jan 9, 2026
F584 Safe, clean, homelike surroundings2Feb 20, 2025; Sep 26, 2024
F693 Feeding tube use and care2Jan 9, 2026; Jan 10, 2024
F695 Respiratory and oxygen care2Jun 5, 2026; Jan 9, 2026
F755 Pharmacy services and a consultant pharmacist2Aug 14, 2025; Jan 10, 2024
F812 Food safety and sanitation2Jun 5, 2026; Oct 19, 2023
F842 Complete, confidential medical records2Jan 9, 2026; Jan 10, 2024

Fines and payment denials

DateTypeAmount / length
Jan 9, 2026Fine$71,820
Jan 9, 2026Payment Denial22 days from Apr 9, 2026
Apr 10, 2025Fine$17,721

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.21 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.58 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.81 h
Nursing staff turnover
58.3% (Texas median 52.1%)
Administrators who left
2
CMS overall rating
Not rated
Health inspection rating
Not rated
Staffing rating
Not rated
Quality measure rating
Not rated

CMS figures for Paradigm at Woodwind Lakes, copied as published; Texas medians are ours.

Facility details

Address
7215 Windfern Rd, Houston, TX 77040
Phone
(713) 466-8933
County
Harris
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Paradigm Healthcare
Certified beds
180
Average residents per day
138.1
In Medicare/Medicaid since
Sep 12, 1992
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
  • How do staff track and report infections among residents? (F880, cited 4 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How does the home support residents who need help with toileting or incontinence? (F690, cited 3 times)

Other nursing homes in Houston and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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