Paradigm Northwest
17600 Cali Dr, Houston, TX 77090 · Harris County
For-profit · 148 certified beds · 77% occupancy · (281) 440-9000
Paradigm Northwest reviews: what the government record shows
The U.S. government (CMS) rates Paradigm Northwest 1 out of 5 stars overall, much below average. Its nurse staffing is 9% below the Texas median. Inspectors cited it for 5 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
- 2.96 hrs/resident/day (-9% vs TX median)
- Antipsychotic drug use
- 13.8% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 1.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $51,400
- Inspection findings
- 33 cited, 5 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.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 2.96 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 5 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $51,400 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
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 Northwest
Is Paradigm Northwest a good nursing home?
Paradigm Northwest in Houston, 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 Northwest staffed?
Paradigm Northwest reports 2.96 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Paradigm Northwest been fined or flagged for abuse?
Paradigm Northwest has paid approximately $51,400 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
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.
2.96 nurse hours per resident per day. 9% below the Texas median of 3.27.
Nursing staff turnover: 52.3% · RN turnover: 66.7%
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.
- Immediate jeopardyTag F0580 · Aug 18, 2025ComplaintCorrected Aug 22, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Immediate jeopardyTag F0684 · Aug 18, 2025ComplaintCorrected Aug 22, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0689 · Aug 12, 2025ComplaintCorrected Aug 7, 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 F0686 · Apr 10, 2026ComplaintCorrected Apr 11, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Dec 10, 2025ComplaintCorrected Dec 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0925 · Aug 5, 2025ComplaintCorrected Aug 18, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0677 · Apr 10, 2026ComplaintCorrected Apr 11, 2026
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 F0880 · Apr 10, 2026ComplaintCorrected Apr 11, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0657 · Jan 21, 2026ComplaintCorrected Jan 28, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0578 · Dec 11, 2025Corrected Dec 16, 2025
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.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 33 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.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
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.
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.
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 - corporation). It is part of the Paradigm Healthcare chain, which operates 17 facilities, with a chain-average CMS rating of 1.9 stars.