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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
PENALTY
A federal fine of $70,800 was recorded.
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $34,426 was recorded.
PENALTY
A federal payment denial was recorded.
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.