Paradigm at Katy
1480 Katy Flewellen, Katy, TX 77494 · Fort Bend County · 125 certified beds · avg 82 residents/day · certified since Sep 7, 2005
Part of chain: PARADIGM HEALTHCARE (17 facilities, chain avg rating 1.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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, repeated · Feb 18, 2025 · F-0880 · triggered by a complaint
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Mar 5, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Nov 19, 2024 · F-0919 · triggered by a complaint
The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Why it matters: A resident who falls or needs help in a bathroom without a working call button may be stranded and unable to summon aid.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Dec 31, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 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.
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: Jun 21, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · May 29, 2024 · F-0698 · triggered by a complaint
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Why it matters: Mistakes in dialysis care can quickly become life-threatening for residents with kidney failure.
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: Jun 21, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 31, 2024 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 23, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 31, 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.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 23, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 19, 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.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 31, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (51)
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 |
|---|---|---|
| Dec 15, 2025 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Nov 20, 2025 | 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. · from a complaint |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 1, 2025 | 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. |
| May 1, 2025 | D · Potential for harm, 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 |
| May 1, 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 |
| May 1, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| May 1, 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. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| May 1, 2025 | 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. |
| Apr 4, 2025 | D · Potential for harm, 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 18, 2025 | ▲ K · Immediate jeopardy, 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 |
| Nov 19, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Nov 19, 2024 | ▲ G · Actual harm, 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 |
| Nov 19, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Jul 19, 2024 | E · Potential for harm, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| May 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 |
| May 29, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
| May 29, 2024 | 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 |
| May 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Apr 25, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Apr 6, 2024 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Mar 15, 2024 | E · Potential for harm, repeated | 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. |
| Mar 15, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 15, 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. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Mar 15, 2024 | B · Minimal risk, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Mar 15, 2024 | B · Minimal risk, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Jan 31, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jan 31, 2024 | ▲ K · Immediate jeopardy, repeated | 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 31, 2024 | E · Potential for harm, repeated | 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 1, 2023 | 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 1, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 1, 2023 | D · Potential for harm, one-off | 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. |
| Feb 1, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Feb 1, 2023 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Feb 1, 2023 | 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. |
| Feb 1, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 1, 2023 | 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. |
| Feb 1, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Feb 1, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | E |
| 2024 | 25 | 6 | K ▲ |
| 2025 | 16 | 1 | K ▲ |
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)
5 fines totaling $241,445, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| May 25, 2026 | Fine | $70,800 |
| Feb 18, 2025 | Fine | $34,426 |
| Nov 19, 2024 | Fine | $50,449 |
| Nov 19, 2024 | Payment Denial | 12 days from Dec 19, 2024 |
| Mar 15, 2024 | Fine | $14,701 |
| Mar 15, 2024 | Payment Denial | 6 days from Jun 15, 2024 |
| Jan 31, 2024 | Fine | $71,069 |
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) | 2.23 | 3.46 | 3.95 | bottom 1% in Texas; bottom 2% in the U.S. |
| Registered Nurse hours | 0.51 | 0.44 | 0.69 | top 24% in Texas; bottom 40% in the U.S. |
| Weekend total nurse staffing | 2.10 | 3.04 | 3.50 | bottom 2% in Texas; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.02 | 0.34 | 0.48 | top 1% in Texas; top 5% in the U.S. |
| Total nursing staff turnover (%) | 91.1 | 55.3 | 45.8 | bottom 10% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 91.7 | 54.6 | 42.9 | bottom 9% in Texas; bottom 2% 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 4.41, RN 1.01, weekend 4.14. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
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% | 02/01/2025 |
| Crayton, Tom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Crayton, Tom | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Dorman, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Dorman, John | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Freudenberger, Joseph | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Freudenberger, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2023 |
| Haley, Jeff | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Haley, Jeff | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Hughes, Ruston | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Katy Nursing & Rehabilitation LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Katy Nursing & Rehabilitation LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| King, Abby | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| King, Abby | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| King, Elizabeth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| King, Elizabeth | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
| Lev 1 Pack Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/02/2025 |
| Oakbend Medical Center | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Pisani, Adam | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Pisani, Adam | Individual | Corporate Director | NOT APPLICABLE | 06/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "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 |
|---|---|---|---|---|---|
| Heritage Park of Katy Nursing and Rehabilitation | 2.3 mi | Katy, TX | ★★★☆☆ | 3/5 | |
| Ignite Medical Resort Katy, LLC | 3.1 mi | Katy, TX | ★★★★☆ | 3/5 | |
| Falcon Point Post Acute | 3.3 mi | Katy, TX | ★★☆☆☆ | 3/5 | |
| Sterling Oaks Rehabilitation | 3.4 mi | Katy, TX | ★★★★☆ | 4/5 | |
| Mason Creek Transitional Care of Katy | 5.4 mi | Katy, TX | ★★★☆☆ | 3/5 | |
| Oakmont Healthcare and Rehabilitation Center of Ka | 5.9 mi | Katy, TX | ★★☆☆☆ | 3/5 | |
| Harmony Care at Brookshire | 7.2 mi | Brookshire, TX | ★★☆☆☆ | 2/5 | |
| Solera at West Houston | 7.9 mi | Houston, TX | ★★★☆☆ | 2/5 | |
| West Oaks Nursing & Rehabilitation | 10.8 mi | Houston, TX | ★★★★☆ | 4/5 | |
| Park Manor of Westchase | 11.0 mi | Houston, TX | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676064.