Paradigm at Woodwind Lakes
7215 Windfern Rd · Houston, TX · 77040 · 7134668933
180 certified beds For profit - Limited Liability company Chain: Paradigm Healthcare
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- 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).
- 6 citations involved actual harm to residents.
- 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
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
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.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$65,601 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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $65,601 |
Inspection citations (56 in the current record)
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Immediate jeopardy · K April 28, 2026 · found via complaint
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.
Corrected May 1, 2026 · Resident Rights
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Potential for harm · D April 28, 2026 · found via complaint
Give residents a notice of rights, rules, services and charges.
Corrected May 1, 2026 · Resident Rights
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Actual harm · G March 27, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Actual harm · G March 27, 2026 · 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 April 3, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2026 · Resident Assessment and Care Planning
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Actual harm · G January 9, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Actual harm · G January 9, 2026
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 April 3, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 9, 2026
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 March 27, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 27, 2026 · Quality of Life and Care
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Potential for harm · D January 9, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2026
Provide and implement an infection prevention and control program.
Corrected March 27, 2026 · Infection Control
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Potential for harm · D August 14, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 14, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 12, 2025 · Quality of Life and Care
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Potential for harm · D August 14, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 12, 2025 · Pharmacy Service
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Potential for harm · E August 14, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 12, 2025 · Environmental
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Potential for harm · D July 22, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected August 19, 2025 · Quality of Life and Care
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Immediate jeopardy · J April 10, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D April 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Deficient, Provider has plan of correction · Infection Control
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Potential for harm · E April 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D April 10, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D April 10, 2025
Ensure medication error rates are not 5 percent or greater.
Deficient, Provider has plan of correction · Pharmacy Service
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Potential for harm · E February 20, 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 March 14, 2025 · Resident Rights
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Potential for harm · E September 26, 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 October 18, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 9, 2026 | Fine | $47,880 |
| April 10, 2025 | Fine | $17,721 |
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 675085 · certified since September 12, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.