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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $16,801 was recorded.
INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
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.