For profit - Corporation · 148 certified beds · CMS number 455714
Paradigm Northwest, Houston, TX
CMS records 33 health deficiencies at Paradigm Northwest in Houston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 11, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 5 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $51,400 in the last three years.
- 33deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $51,400fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm Northwest as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm Northwest may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Dec 11, 2025. CMS counts 12 health deficiencies and 4 fire safety deficiencies in this cycle.
Apr 10, 2026 · 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 11, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 11, 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 Apr 11, 2026
Jan 21, 2026 · Complaint inspection
1 deficiency, highest D
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 Jan 28, 2026
Dec 11, 2025 · Standard inspection
6 deficiencies, 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 Dec 16, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 16, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 16, 2025
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 Dec 16, 2025
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 Dec 16, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 16, 2025
Dec 10, 2025 · Complaint inspection
2 deficiencies, highest E
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 Dec 11, 2025
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 Dec 11, 2025
Previous cycle: 14 deficiencies (standard inspection Sep 26, 2024)
Standard inspection Sep 26, 2024. CMS counts 14 health deficiencies and 1 fire safety deficiency in this cycle.
Aug 18, 2025 · Complaint inspection
2 deficiencies, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Aug 22, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Aug 22, 2025
Aug 12, 2025 · Complaint inspection
2 deficiencies, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Aug 7, 2025
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 Aug 15, 2025
Aug 5, 2025 · Complaint inspection
1 deficiency, 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 Aug 18, 2025
Jun 12, 2025 · Complaint inspection
1 deficiency, highest D
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 13, 2025
Mar 5, 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 Mar 25, 2025
Dec 20, 2024 · Complaint inspection
1 deficiency, highest J
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 10, 2025
Sep 26, 2024 · Standard + complaint inspection
4 deficiencies, highest E
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 Oct 18, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Oct 18, 2024
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 18, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 18, 2024
Sep 13, 2024 · Complaint inspection
2 deficiencies, highest D
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 Sep 26, 2024
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 Sep 26, 2024
Earlier cycle: 7 deficiencies (standard inspection Jul 28, 2023)
Standard inspection Jul 28, 2023. CMS counts 7 health deficiencies and 1 fire safety deficiency in this cycle.
May 8, 2024 · Complaint inspection
1 deficiency, highest D
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 May 23, 2024
Feb 14, 2024 · Complaint inspection
2 deficiencies, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Feb 19, 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 19, 2024
Jul 28, 2023 · Standard inspection
4 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 Aug 31, 2023
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 31, 2023
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 Aug 31, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 31, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Paradigm Northwest; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Dec 11, 2025; Aug 12, 2025; Jun 12, 2025; Feb 14, 2024 |
| F880 Infection prevention and control program | 4 | Apr 10, 2026; Dec 11, 2025; Mar 5, 2025; Sep 26, 2024 |
| F550 Dignity and the right to exercise rights | 2 | Sep 13, 2024; May 8, 2024 |
| F677 Help with daily care | 2 | Apr 10, 2026; Sep 13, 2024 |
| F689 Accident prevention and supervision | 2 | Aug 12, 2025 (PNC); Jul 28, 2023 |
| F759 Medication error rate under 5 percent | 2 | Dec 11, 2025; Jul 28, 2023 |
| F812 Food safety and sanitation | 2 | Dec 10, 2025; Sep 26, 2024 |
| F925 Pest control | 2 | Aug 5, 2025; Jul 28, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 5, 2025 | Fine | $13,679 |
| Aug 5, 2025 | Fine | $13,679 |
| Dec 20, 2024 | Fine | $14,433 |
| Feb 14, 2024 | Fine | $9,609 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.96 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.23 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.63 h
- Nursing staff turnover
- 52.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Paradigm Northwest, copied as published; Texas medians are ours.
Facility details
- Address
- 17600 Cali Dr, Houston, TX 77090
- Phone
- (281) 440-9000
- County
- Harris
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Paradigm Healthcare
- Certified beds
- 148
- Average residents per day
- 114.5
- In Medicare/Medicaid since
- Sep 1, 1987
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- None
- 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 do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
Other nursing homes in Houston and the same chain
- Woodway Nursing & Rehab
Houston · 55 deficiencies - Avir at Houston
Houston · 45 deficiencies - Terra Bella Health and Wellness Suites
Houston · 44 deficiencies - Afton Oaks Nursing and Rehabilitation Center
Houston · 43 deficiencies - Fallbrook Rehabilitation and Care Center
Houston · 43 deficiencies - Paradigm at Westbury
Houston · 42 deficiencies - Paradigm at the Oak
Schulenburg · 60 deficiencies - Nazareth Living Care Center
El Paso · 56 deficiencies - Paradigm at Katy
Katy · 51 deficiencies - Paradigm at the Creek
Wharton · 43 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.