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Nursing home report

PARADIGM AT KOUNTZE

KOUNTZE, TX · Medicare-certified · 60 beds

In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall

PARADIGM AT KOUNTZE in Kountze, TX has a 4-star overall rating, with strong quality measures (5 stars) but middling health inspection and staffing ratings (3 stars each). It reported no fines in the last 24 months, but nurse staffing was 3.23 hours per resident per day, below the federal benchmark of 4.1, and recent citations involved treatment and care, accident hazards/supervision, and food handling.

Facility ratings

Health inspections

Staffing

3.2294 hrs/resident/day

Quality measures

Last inspection: August 13, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2294.

Staffing detail

Registered nurses
0.58
Licensed practical nurses
0.83
Nurse aides
1.82
Weekend nursing
2.95

Hours per resident per day.

Total staff turnover: 26%
Registered nurse turnover: 14%

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

3.4%4.5%Worsening

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

1.9%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.9%7.4%Worsening

Residents whose ability to walk got worse

0%13.2%Worsening

Long-stay residents on antianxiety or sleep medication

5.9%0%Improving

Short-stay residents newly given an antipsychotic

—0%—

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

6%10.4%Worsening

Residents with depressive symptoms

0%7.9%Worsening

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

—100%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—100%—

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited July 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 847 — 42 CFR §483.70 — S/S: F

The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 641 — 42 CFR §483.20(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $16,801 was recorded.

  4. INSPECTION

    Health inspection found 19 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $16,801 in total fines.

  • Federal fine

    Jul 25, 2024

    $16,801

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of PARADIGM HEALTHCARE · 17 homes · 2 stars avg
Occupancy
48.2 residents on an average day (80% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 41 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.