Nursing HomeInspections

Paradigm at Katy

Nursing home in Katy, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
1480 Katy Flewellen, Katy, TX 77494
Phone
(281) 394-0088
Listed under
For-profit
Medicare CCN
676064
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
125
Average residents per day
88
Ownership
For-profit, limited Liability company
Legal business name
Oakbend Medical Center
Chain
Paradigm Healthcare (17 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 7, 2005
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 676064. 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 25, 2026. CMS lists 51 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 31, 2024 to May 25, 2026): 21 from complaint inspections, 7 at the “actual harm” level or higher, including 6 at “immediate jeopardy”.

InspectionCitationSeverity
May 25, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
May 25, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 25, 2026Provide appropriate foot care.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 25, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 25, 2026Ensure 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.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 25, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 25, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated
May 25, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
May 25, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
May 25, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Dec 15, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Nov 20, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 51. 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 4 fines totalling $170,645 and 2 denials of Medicare payment for new admissions in the last three years.

Feb 18, 2025Fine: $34,426
Nov 19, 2024Fine: $50,449
Nov 19, 2024Payment denial for 12 days from Dec 19, 2024
Mar 15, 2024Fine: $14,701
Mar 15, 2024Payment denial for 6 days from Jun 15, 2024
Jan 31, 2024Fine: $71,069

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
4.26 hours
Registered nurse (RN) time per resident per day
0.85 hours
Nurse aide time per resident per day
2.19 hours
Total nurse staffing on weekends
3.98 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
76%
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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