Nursing HomeInspections

Paradigm Northwest

Nursing home in Houston, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (281) 440-9000Send a messageMap ↗

Public-record details

Address
17600 Cali Dr, Houston, TX 77090
Phone
(281) 440-9000
Listed under
For-profit
Medicare CCN
455714
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
148
Average residents per day
115
Ownership
For-profit, corporation
Legal business name
Oakbend Medical Center
Chain
Paradigm Healthcare (17 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 1, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 455714. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 11, 2025. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 28, 2023 to Apr 10, 2026): 22 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 10, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 10, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 10, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jan 21, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 11, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 11, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 11, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Dec 11, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Dec 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Dec 11, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 10, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 33. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $51,400 in the last three years.

Aug 5, 2025Fine: $13,679
Aug 5, 2025Fine: $13,679
Dec 20, 2024Fine: $14,433
Feb 14, 2024Fine: $9,609

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.96 hours
Registered nurse (RN) time per resident per day
0.23 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
2.63 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
67%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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