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Nursing home report

Paradigm at Katy

Katy, TX · Medicare-certified · 125 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Paradigm at Katy (Katy, TX) has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 4-star quality measures. It reported 4.41 nurse staffing hours per resident per day, just above the federal benchmark of 4.1, and had $155,675 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.4089 hrs/resident/day

Quality measures

Last inspection: December 15, 2025Penalties, last 24 months: $155,675recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4089.

Staffing detail

Registered nurses
1.01
Licensed practical nurses
1.11
Nurse aides
2.29
Weekend nursing
4.14

Hours per resident per day.

Total staff turnover: 91%
Registered nurse turnover: 92%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

9.1%2%Improving

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

13%9%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

1.9%0%Improving

Residents who were physically restrained

1.8%0%Improving

Residents needing more help with daily activities

25%0%Improving

Long-stay residents on antianxiety or sleep medication

21.4%25%Worsening

Short-stay residents newly given an antipsychotic

2.2%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

8.5%2.3%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

83.8%

Long-stay residents given the pneumonia vaccine

87.7%100%Improving

Short-stay residents given the seasonal flu vaccine

48.4%

Short-stay residents given the pneumonia vaccine

75.6%94%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: K

The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited November 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 919 — 42 CFR §483.90 — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K

The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited May 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 698 — 42 CFR §483.25(l) — S/S: J

Recent history

  1. PENALTY

    A federal fine of $70,800 was recorded.

  2. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $34,426 was recorded.

  7. PENALTY

    A federal payment denial was recorded.

  8. PENALTY

    A federal fine of $50,449 was recorded.

Penalties & enforcement

On record with Medicare: 5 fines · $241,445 in total fines · 2 payment denials.

  • Federal fine

    May 25, 2026

    $70,800
  • Federal fine

    Feb 18, 2025

    $34,426
  • Medicare/Medicaid payment denial

    Nov 19, 2024

    12 days
  • Federal fine

    Nov 19, 2024

    $50,449
  • Medicare/Medicaid payment denial

    Mar 15, 2024

    6 days
  • Federal fine

    Mar 15, 2024

    $14,701
  • Federal fine

    Jan 31, 2024

    $71,069

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of PARADIGM HEALTHCARE · 18 homes · 1.8 stars avg
Occupancy
81.5 residents on an average day (65% of 125 beds)
Resident voice
Resident council
Medicare history
Certified for 20 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.