Paradigm Northwest
17600 Cali Dr, Houston, TX 77090 · (281) 440-9000
For profit - Corporation · 148 certified beds
Paradigm Northwest has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 6 citations (the Texas average is 9.4). It was fined 4 times in the last three years, $51,400 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. | ★★★★★ 2 out of 5 stars · 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. | ★★★★★ 3 out of 5 stars · 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 December 11, 2025 found 6 citations. What an inspection citation means
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.December 11, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.December 11, 2025 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 11, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.December 11, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.December 11, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 11, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 22 citations.
- Provide care and assistance to perform activities of daily living for any resident who is unable.April 10, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 10, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 10, 2026 · F0880 · 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.January 21, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 10, 2025 · F0695 · 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.December 10, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 18, 2025 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 18, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 12, 2025 · F0656 · 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.August 12, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.August 5, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 12, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.December 20, 2024 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.September 26, 2024 · F0607 · 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.September 26, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.September 26, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 13, 2024 · 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.September 13, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 8, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 14, 2024 · F0656 · 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.February 14, 2024 · F0755 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Fines and payment denials
- Fine of $13,679August 5, 2025
- Fine of $13,679August 5, 2025
- Fine of $14,433December 20, 2024
- Fine of $9,609February 14, 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 | 2.96 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.23 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.85 | 0.95 | 0.86 |
| Nurse aides | 1.88 | 2.01 | 2.32 |
| Total nursing staff turnover | 52.3% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 148 |
| Average residents per day | 114.5 |
| 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 Northwest on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.