Paradigm at Katy
1480 Katy Flewellen · Katy, TX · 77494 · 2813940088
125 certified beds For profit - Limited Liability company Chain: Paradigm Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $84,875 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$84,875 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
100% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.24 | 0.55–0.75 |
| Weekend hours / resident-day | 4.22 | ≈ weekday level |
| Nursing turnover / year | 100% | median 45% |
| Fines (3-yr window) | 4 · $170,645 |
Inspection citations (51 in the current record)
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Potential for harm · E December 15, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 14, 2026 · Environmental
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Potential for harm · D November 20, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 12, 2025 · Infection Control
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Potential for harm · D May 1, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 31, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 1, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · E May 1, 2025
Provide activities to meet all resident's needs.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
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.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 31, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
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.
Corrected May 31, 2025 · Pharmacy Service
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Potential for harm · D May 1, 2025
Dispose of garbage and refuse properly.
Corrected May 31, 2025 · Nutrition and Dietary
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Potential for harm · D May 1, 2025
Provide and implement an infection prevention and control program.
Corrected May 31, 2025 · Infection Control
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Potential for harm · D May 1, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 31, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Immediate jeopardy · K February 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 5, 2025 · Infection Control
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Immediate jeopardy · K November 19, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 31, 2024 · Environmental
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Actual harm · G November 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 31, 2024 · Quality of Life and Care
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Potential for harm · D November 19, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 19, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected August 5, 2024 · Administration
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Immediate jeopardy · J May 29, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 21, 2024 · Quality of Life and Care
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Immediate jeopardy · J May 29, 2024 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · E May 29, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 29, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · D April 25, 2024 · found via complaint
Keep all essential equipment working safely.
Corrected June 15, 2024 · Environmental
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 18, 2025 | Fine | $34,426 |
| November 19, 2024 | Fine | $50,449 |
| November 19, 2024 | Payment Denial | 12 days |
| March 15, 2024 | Fine | $14,701 |
| March 15, 2024 | Payment Denial | 6 days |
| January 31, 2024 | Fine | $71,069 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676064 · certified since September 7, 2005. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.