Paradigm at Westbury
5201 S Willow Dr, Houston, TX 77035 · (713) 721-0297
For profit - Corporation · 148 certified beds
Paradigm at Westbury has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 7 citations, 1 for actual harm or immediate jeopardy (the Texas average is 9.4). It was fined 4 times in the last three years, $108,038 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 30, 2026 found 7 citations. What an inspection citation means
- Provide enough food/fluids to maintain a resident's health.May 30, 2026 · F0692 · Level of harm: Actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 30, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 30, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.May 30, 2026 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.May 30, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures for flu and pneumonia vaccinations.May 30, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.May 30, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 33 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 24, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.November 24, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.August 28, 2025 · F0695 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.May 2, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 28, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.March 28, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.March 28, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 28, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Dispose of garbage and refuse properly.March 28, 2025 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 28, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.January 15, 2025 · F0584 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Many
- Ensure each resident receives an accurate assessment.October 15, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.October 15, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.July 3, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 27, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.June 27, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 6, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.June 6, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 6, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.June 6, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 6, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 30, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.April 30, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.April 30, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 5, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Have policies on smoking.February 5, 2024 · F0926 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Make sure that a working call system is available in each resident's bathroom and bathing area.January 29, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.January 7, 2024 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Reasonably accommodate the needs and preferences of each resident.November 7, 2023 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.November 3, 2023 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.November 3, 2023 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep residents' personal and medical records private and confidential.October 17, 2023 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.October 17, 2023 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $26,180May 30, 2026
- Fine of $14,596August 28, 2025
- Fine of $52,699January 15, 2025
- Fine of $14,563January 7, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.39 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.36 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.96 | 0.95 | 0.86 |
| Nurse aides | 2.07 | 2.01 | 2.32 |
| Total nursing staff turnover | 61.5% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 148 |
| Average residents per day | 103.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Bayou Manor Houston · ★★★★★ 5 out of 5 stars
- Clarewood House Extended Care Center Houston · ★★★★★ 5 out of 5 stars
- East View Healthcare Houston · ★★★★★ 5 out of 5 stars
- Park Manor of Cyfair Houston · ★★★★★ 5 out of 5 stars
- The Hallmark Houston · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Paradigm at Westbury on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.