Paradigm Northwest
17600 Cali Dr · Houston, TX · 77090 · 2814409000
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 (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $41,791 in fines in the last 24 months.
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
3 immediate-jeopardy citations 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.
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 3 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 4 · $51,400 |
Inspection citations (33 in the current record)
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Potential for harm · D April 10, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 11, 2026 · Quality of Life and Care
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Potential for harm · E April 10, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 11, 2026 · Quality of Life and Care
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Potential for harm · D April 10, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 11, 2026 · Infection Control
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Potential for harm · D January 21, 2026 · 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 January 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
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 December 16, 2025 · Resident Rights
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Potential for harm · D December 11, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 16, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected December 16, 2025 · Quality of Life and Care
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Potential for harm · D December 11, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected December 16, 2025 · Pharmacy Service
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Potential for harm · D December 11, 2025
Provide and implement an infection prevention and control program.
Corrected December 16, 2025 · Infection Control
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Potential for harm · D December 10, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 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 December 11, 2025 · Nutrition and Dietary
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Immediate jeopardy · J August 18, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 22, 2025 · Resident Rights
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Immediate jeopardy · J August 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 22, 2025 · Quality of Life and Care
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Immediate jeopardy · J August 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 7, 2025 · Quality of Life and Care
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Potential for harm · D August 12, 2025 · 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 August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E August 5, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 18, 2025 · Environmental
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Potential for harm · D June 12, 2025 · 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 June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 25, 2025 · Infection Control
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Immediate jeopardy · J December 20, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected January 10, 2025 · Quality of Life and Care
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Potential for harm · E September 26, 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 October 18, 2024 · Nutrition and Dietary
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Potential for harm · D September 26, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 26, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected October 18, 2024 · Infection Control
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No harm found · C September 26, 2024
Dispose of garbage and refuse properly.
Corrected October 18, 2024 · Nutrition and Dietary
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Potential for harm · D September 13, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 5, 2025 | Fine | $13,679 |
| August 5, 2025 | Fine | $13,679 |
| December 20, 2024 | Fine | $14,433 |
| February 14, 2024 | Fine | $9,609 |
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 455714 · certified since September 1, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.