Paradigm at Westbury

5201 S Willow Dr, Houston, TX 77035 · CCN 675612 · 148 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2026-05-30 — ACTUAL HARM (tag F0692, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide enough food/fluids to maintain a resident's health.

2025-08-28 — IMMEDIATE JEOPARDY (tag F0695, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe and appropriate respiratory care for a resident when needed.

2025-01-28 — ACTUAL HARM (tag F0689, severity G)

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.

2025-01-15 — IMMEDIATE JEOPARDY (tag F0584, severity L)

Resident Rights Deficiencies · correction not recorded in CMS data

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.

2024-02-05 — IMMEDIATE JEOPARDY (tag F0689, severity K)

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.

2024-02-05 — IMMEDIATE JEOPARDY (tag F0926, severity K)

Environmental Deficiencies · correction not recorded in CMS data

Have policies on smoking.

2024-01-07 — ACTUAL HARM (tag F0684, severity G)

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.

Staffing, from payroll records

Nursing hours / resident / day

2.88

state median 2.67

Weekend staffing gap

−4%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.27

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

62%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $136,414 in fines.

Date	Type	Amount
2026-05-30	Fine	$26,180
2025-08-28	Fine	$14,596
2025-01-15	Fine	$81,075
2024-01-07	Fine	$14,563

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) — CMS overallnot rated
CONTINUING HEALTHCARE OF GAHANNA (GAHANNA, OH) — CMS overallnot rated
Paradigm at Stevens (Yoakum, TX) — CMS overall1 of 5
PARADIGM AT BAY CITY (BAY CITY, TX) — CMS overall2 of 5
PARADIGM AT KOUNTZE (KOUNTZE, TX) — CMS overall4 of 5
Paradigm at the Creek (Wharton, TX) — CMS overall1 of 5
Paradigm Northwest (Houston, TX) — CMS overall1 of 5
PARADIGM AT FIRST COLONY (MISSOURI CITY, TX) — CMS overall1 of 5

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 35 · Immediate jeopardy: 4

Survey date	Tag	Category	Severity	Corrected
2026-05-30	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-05-30	F0692	Quality of Life and Care Deficiencies	G	not recorded
2026-05-30	F0759	Pharmacy Service Deficiencies	D	not recorded
2026-05-30	F0761	Pharmacy Service Deficiencies	D	not recorded
2026-05-30	F0880	Infection Control Deficiencies	E	not recorded
2026-05-30	F0883	Infection Control Deficiencies	D	not recorded
2026-05-30	F0887	Infection Control Deficiencies	D	not recorded
2025-11-24	F0550	Resident Rights Deficiencies	D	not recorded
2025-11-24	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-08-28	F0695	Quality of Life and Care Deficiencies	K	not recorded
2025-05-02	F0584	Resident Rights Deficiencies	D	not recorded
2025-03-28	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-03-28	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-03-28	F0760	Pharmacy Service Deficiencies	E	not recorded
2025-03-28	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-03-28	F0814	Nutrition and Dietary Deficiencies	D	not recorded
2025-01-28	F0689	Quality of Life and Care Deficiencies	G	not recorded
2025-01-15	F0584	Resident Rights Deficiencies	L	not recorded
2024-10-15	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-15	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-07-03	F0584	Resident Rights Deficiencies	D	not recorded
2024-06-27	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-06-27	F0880	Infection Control Deficiencies	D	not recorded
2024-06-06	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-06-06	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-06-06	F0755	Pharmacy Service Deficiencies	E	not recorded
2024-06-06	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-06-06	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-04-30	F0550	Resident Rights Deficiencies	D	not recorded
2024-04-30	F0584	Resident Rights Deficiencies	D	not recorded
2024-04-30	F0925	Environmental Deficiencies	E	not recorded
2024-02-05	F0689	Quality of Life and Care Deficiencies	K	not recorded
2024-02-05	F0926	Environmental Deficiencies	K	not recorded
2024-01-29	F0919	Environmental Deficiencies	E	not recorded
2024-01-07	F0684	Quality of Life and Care Deficiencies	G	not recorded
2024-01-07	F0759	Pharmacy Service Deficiencies	D	not recorded
2024-01-07	F0851	Administration Deficiencies	F	not recorded
2023-11-07	F0558	Resident Rights Deficiencies	D	not recorded
2023-11-03	F0808	Nutrition and Dietary Deficiencies	E	not recorded
2023-11-03	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-10-17	F0583	Resident Rights Deficiencies	D	not recorded
2023-10-17	F0677	Quality of Life and Care Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Paradigm at Westbury, Houston” at medicare.gov/care-compare.