Paradigm at Faith Memorial

Name: Paradigm at Faith Memorial
Address: 811 Garner Rd, Pasadena, TX, 77502, US
Telephone: 7134738573

811 Garner Rd, Pasadena, TX 77502 · Harris County · 112 certified beds · avg 92 residents/day · certified since May 19, 1994

Part of chain: PARADIGM HEALTHCARE (17 facilities, chain avg rating 1.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

$19,481

Fines, last 3 years

2.53

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Feb 20, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Dec 2, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, one-off · Jul 29, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Corrected: Aug 9, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (25)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 23, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 23, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 7, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jan 7, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 7, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 7, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 7, 2026	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
Nov 17, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Oct 13, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Oct 13, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Feb 20, 2025	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 11, 2025	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 11, 2025	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Feb 11, 2025	E · Potential for harm, repeated	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Feb 11, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 15, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Jul 29, 2024	▲ J · Immediate jeopardy, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 10, 2024	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Jan 10, 2024	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jan 10, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 10, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 10, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 23, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Aug 23, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Aug 23, 2023	E · Potential for harm, repeated	The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (4 → 2).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	7	1	J ▲
2025	8	1	J ▲
2026	7	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $19,481.

Date	Type	Amount / length
Feb 11, 2025	Fine	$10,513
Jul 29, 2024	Fine	$8,968

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.53	3.46	3.95	bottom 4% in Texas; bottom 4% in the U.S.
Registered Nurse hours	0.19	0.44	0.69	bottom 7% in Texas; bottom 2% in the U.S.
Weekend total nurse staffing	2.19	3.04	3.50	bottom 3% in Texas; bottom 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.34	0.48	bottom 26% in Texas; bottom 15% in the U.S.
Total nursing staff turnover (%)	52.1	55.3	45.8	top 50% in Texas; bottom 32% in the U.S.
RN turnover (%)	75.0	54.6	42.9	bottom 25% in Texas; bottom 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.82, RN 0.21, weekend 2.44. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Oakbend Medical Center	Organization	5% or Greater Direct Ownership Interest	100%	10/01/2022
Faith Memorial Nursing & Rehabilitation LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Freudenberger, Joseph	Individual	W-2 Managing Employee	NOT APPLICABLE	10/01/2022
Freudenberger, Joseph	Individual	Corporate Director	NOT APPLICABLE	10/01/2022
Freudenberger, Joseph	Individual	Corporate Officer	NOT APPLICABLE	10/01/2022
Shkop, Aharon	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Pasadena Post Acute	2.0 mi	Pasadena, TX	★★★☆☆	2/5
Focused Care at Pasadena	2.1 mi	Pasadena, TX	★☆☆☆☆	1/5
Avir at Pasadena	2.2 mi	Pasadena, TX	★★★★☆	3/5
The Courtyards at Pasadena	3.2 mi	Pasadena, TX	★★★☆☆	3/5
Hca Houston Healthcare Southeast	4.0 mi	Pasadena, TX	★★★★★	5/5
The Suites Pasadena	4.0 mi	Pasadena, TX	★☆☆☆☆	1/5
Baywood Crossing Rehabilitation & Healthcare Cente	4.8 mi	Pasadena, TX	★★★★☆	4/5
Avir at Golfcrest	5.0 mi	Houston, TX	★★☆☆☆	2/5
Avir at Courtyard	5.4 mi	Houston, TX	★★★★☆	5/5
Afton Oaks Nursing and Rehabilitation Center	5.5 mi	Houston, TX	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 675321.

The Care File

Visit checklist — Paradigm at Faith Memorial

811 Garner Rd, Pasadena, TX 77502 · 7134738573

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $19,481

Most serious findings on record:

▲ Feb 20, 2025 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Jul 29, 2024 (F-0684, Immediate jeopardy, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675321 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)