Nursing HomeInspections

Paradigm at Westbury

Nursing home in Houston, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
5201 S Willow Dr, Houston, TX 77035
Phone
(713) 721-0297
Listed under
For-profit
Medicare CCN
675612
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
148
Average residents per day
108
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
Jul 9, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675612. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 30, 2026. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 17, 2023 to Aug 15, 2026): 34 from complaint inspections, 8 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 15, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection
G
Actual harm, isolated
May 30, 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
D
Potential for more than minimal harm, isolated
May 30, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 30, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 30, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
D
Potential for more than minimal harm, isolated
May 30, 2026Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control
D
Potential for more than minimal harm, isolated
May 30, 2026Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
May 30, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
G
Actual harm, isolated
Nov 24, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 24, 2025Provide 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
Aug 28, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
K
Immediate jeopardy, pattern
May 2, 2025Honor 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.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 43. 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 Oct 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $127,648 in the last three years.

Aug 15, 2026Fine: $19,610
May 30, 2026Fine: $26,180
Aug 28, 2025Fine: $14,596
Jan 15, 2025Fine: $52,699
Jan 7, 2024Fine: $14,563

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

Staffing

Total nurse staffing per resident per day
3.07 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
1.84 hours
Total nurse staffing on weekends
2.70 hours
Nursing staff turnover (yearly)
64%
RN turnover (yearly)
73%
Administrators who left in the past year
2

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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