Paradigm Northwest
State inspectors recorded 5 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-08-18 — IMMEDIATE JEOPARDY (tag F0580, severity J)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
2025-08-18 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-08-12 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-12-20 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2024-02-14 — IMMEDIATE JEOPARDY (tag F0755, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Staffing, from payroll records
Nursing hours / resident / day
2.49
state median 2.67
Weekend staffing gap
−8%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.16
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
7
with residents present
Nursing staff turnover
52%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $37,721 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-05 | Fine | $13,679 |
| 2024-12-20 | Fine | $14,433 |
| 2024-02-14 | Fine | $9,609 |
Ownership
Ownership type: For profit - Corporation. Part of the PARADIGM HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CONTINUING HEALTHCARE OF CUYAHOGA FALLS (CUYAHOGA FALLS, OH) —
- CONTINUING HEALTHCARE OF GAHANNA (GAHANNA, OH) —
- Paradigm at Stevens (Yoakum, TX) —
- PARADIGM AT BAY CITY (BAY CITY, TX) —
- PARADIGM AT KOUNTZE (KOUNTZE, TX) —
- Paradigm at the Creek (Wharton, TX) —
- PARADIGM AT FIRST COLONY (MISSOURI CITY, TX) —
- Paradigm at Woodwind Lakes (Houston, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-10 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-10 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2026-04-10 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2026-01-21 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-11 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-12-11 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-11 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-11 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-11 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-12-10 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-10 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-08-18 | F0580 | Resident Rights Deficiencies | J | not recorded |
| 2025-08-18 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-08-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-12 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-08-05 | F0925 | Environmental Deficiencies | E | not recorded |
| 2025-06-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-05 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-12-20 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-09-26 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-09-26 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-09-26 | F0814 | Nutrition and Dietary Deficiencies | C | not recorded |
| 2024-09-26 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-09-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-09-13 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-08 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-14 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-14 | F0755 | Pharmacy Service Deficiencies | J | not recorded |
| 2023-07-28 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-07-28 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-07-28 | F0921 | Environmental Deficiencies | E | not recorded |
| 2023-07-28 | F0925 | Environmental Deficiencies | E | not recorded |