Paradigm at Westbury
5201 S Willow Dr · Houston, TX · 77035 · 7137210297
148 certified beds For profit - Corporation Chain: Paradigm Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $95,671 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$95,671 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 4 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.32 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 3 · $110,234 |
Inspection citations (44 in the current record)
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Potential for harm · D November 24, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 12, 2025 · Resident Rights
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Potential for harm · D November 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 12, 2025 · Quality of Life and Care
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Immediate jeopardy · K August 28, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 17, 2025 · Quality of Life and Care
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Potential for harm · D May 2, 2025 · found via complaint
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.
Corrected May 6, 2025 · Resident Rights
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Potential for harm · E March 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · E March 28, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · E March 28, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · E March 28, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 23, 2025 · Nutrition and Dietary
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Potential for harm · D March 28, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected April 23, 2025 · Nutrition and Dietary
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Actual harm · G January 28, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2025 · Quality of Life and Care
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Immediate jeopardy · L January 15, 2025 · found via complaint
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.
Corrected January 25, 2025 · Resident Rights
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Potential for harm · D October 15, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 3, 2024 · found via complaint
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.
Corrected July 10, 2024 · Resident Rights
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Potential for harm · F June 27, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 30, 2024 · Nutrition and Dietary
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Potential for harm · D June 27, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 30, 2024 · Infection Control
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Potential for harm · E June 6, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 12, 2024 · Quality of Life and Care
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Potential for harm · D June 6, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 12, 2024 · Quality of Life and Care
-
Potential for harm · E June 6, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 12, 2024 · Pharmacy Service
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Potential for harm · D June 6, 2024 · found via complaint
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 June 12, 2024 · Pharmacy Service
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Potential for harm · E June 6, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2024 · Nutrition and Dietary
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Potential for harm · D April 30, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 2, 2024 · Resident Rights
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Potential for harm · D April 30, 2024 · found via complaint
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.
Corrected May 2, 2024 · Resident Rights
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Potential for harm · E April 30, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected May 2, 2024 · Environmental
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Immediate jeopardy · K February 5, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 7, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 28, 2025 | Fine | $14,596 |
| January 15, 2025 | Fine | $81,075 |
| January 7, 2024 | Fine | $14,563 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675612 · certified since July 9, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.