Ellery Care
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Paradigm At Katy

1480 Katy Flewellen, Katy, TX 77494 · Fort Bend County

For-profit · 125 certified beds · 65% occupancy · (281) 394-0088

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Paradigm At Katy reviews: what the government record shows

The U.S. government (CMS) rates Paradigm At Katy 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 6 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
4.41 hrs/resident/day (+35% vs TX median)
Antipsychotic drug use
4.9% of long-stay residents (TX median 8.3%)
Falls with major injury
0% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$241,445
Inspection findings
51 cited, 6 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Strengths

  • ✓Nurse staffing of 4.41 hrs/resident/day is at or above the Texas median of 3.27.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Cited for 6 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $241,445 in federal fines in roughly the last three years.
  • !Pressure-ulcer (bedsore) rate of 9.6% is well above the Texas median of 3.3%.

Questions to ask on your visit

  • ·Can we see the most recent inspection report and the plan of correction?
  • ·How often are residents repositioned, and who checks skin daily?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Paradigm At Katy

Is Paradigm At Katy a good nursing home?

Paradigm At Katy in Katy, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Paradigm At Katy staffed?

Paradigm At Katy reports 4.41 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Paradigm At Katy been fined or flagged for abuse?

Paradigm At Katy has paid approximately $241,445 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

4.41 nurse hours per resident per day. 35% above the Texas median of 3.27.

Total nurse
4.41 hrs
RN
1.01 hrs
LPN
1.11 hrs
Aide
2.29 hrs

Nursing staff turnover: 91.1% · RN turnover: 91.7%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

51
total findings
6
immediate jeopardy
1
caused actual harm
21
from complaints
  • Potential for harmTag F0919 · Dec 15, 2025ComplaintCorrected Jan 14, 2026

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental Deficiencies

  • Potential for harmTag F0677 · May 1, 2025Corrected May 31, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0679 · May 1, 2025Corrected May 31, 2025

    Provide activities to meet all resident's needs.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0610 · Nov 20, 2025ComplaintCorrected Dec 12, 2025

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0880 · Nov 20, 2025ComplaintCorrected Dec 12, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0550 · May 1, 2025Corrected May 31, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies

  • Potential for harmTag F0656 · May 1, 2025Corrected May 31, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0689 · May 1, 2025ComplaintCorrected May 31, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0690 · May 1, 2025ComplaintCorrected May 31, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0693 · May 1, 2025Corrected May 31, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Quality of Life and Care Deficiencies

Showing the 10 most recent and serious of 51 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

4.9%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
0%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
9.6%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$241,445
Number of fines
5
Payment denials
2

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - limited liability company). It is part of the Paradigm Healthcare chain, which operates 17 facilities, with a chain-average CMS rating of 1.9 stars.