Nursing home report
Houston, TX · Medicare-certified · 148 beds
Paradigm at Westbury (Houston, TX) has an overall rating of 1 out of 5 stars, with 1-star health inspection and staffing ratings and 4-star quality measures. It reported 3.39 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $121,851 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.3855 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3855.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2025 — widespread issue, immediate jeopardy to residents.
F-Tag 584 — 42 CFR §483.10 — S/S: L
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited August 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 695 — 42 CFR §483.25(i) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to have policies to keep smoking safe and properly managed. Cited February 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 926 — 42 CFR §483.90 — S/S: K
The home failed to provide enough food and fluids to keep residents healthy. Cited May 2026 — isolated incident, actual harm.
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $26,180 was recorded.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
A federal fine of $14,596 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $81,075 was recorded.
On record with Medicare: 4 fines · $136,414 in total fines.
Federal fine
May 30, 2026
Federal fine
Aug 28, 2025
Federal fine
Jan 15, 2025
Federal fine
Jan 7, 2024
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.
