Quick answers
- Where is Paradigm at Katy?
- 1480 Katy Flewellen, Katy, TX 77494, in Fort Bend County, Texas.
- What is the phone number of Paradigm at Katy?
- (281) 394-0088, as listed by Medicare (CMS).
- What is the Medicare star rating of Paradigm at Katy?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Paradigm at Katy been fined?
- Medicare lists 4 fines totaling $170,645 and 2 payment denials.
- What did inspectors find at Paradigm at Katy?
- In its last three inspection cycles (January 31, 2024 to May 25, 2026), Medicare lists 51 health citations; the most serious was level K. 7 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (January 31, 2024 to May 25, 2026), Paradigm at Katy had 51 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 7 of them were level G or higher (actual harm or immediate jeopardy). It was fined $170,645 in total (4 fines, the latest on February 18, 2025) and had 2 Medicare payment denials. Nurse staffing is 4.26 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 25, 2026 — 13 health citations
Inspections in this cycle: November 20, 2025 (complaint investigation); December 15, 2025 (complaint investigation); May 25, 2026 (standard health inspection).
Show 13 citations (levels A to F, no actual harm)
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0687 Level D
“Provide appropriate foot care.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: May 1, 2025 — 16 health citations
Inspections in this cycle: November 19, 2024 (complaint investigation); February 18, 2025 (complaint investigation); April 4, 2025 (complaint investigation); May 1, 2025 (complaint investigation); May 1, 2025 (standard health inspection).
F0880 Level K
“Provide and implement an infection prevention and control program.”
immediate jeopardy to resident health or safety; pattern (some residents) · Infection Control Deficiencies
F0919 Level K
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
immediate jeopardy to resident health or safety; pattern (some residents) · Environmental Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0814 Level D
“Dispose of garbage and refuse properly.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
Earlier cycle: March 15, 2024 — 22 health citations
Inspections in this cycle: January 31, 2024 (complaint investigation); March 15, 2024 (standard health inspection); April 6, 2024 (complaint investigation); April 25, 2024 (complaint investigation); May 29, 2024 (complaint investigation); July 19, 2024 (complaint investigation).
F0580 Level K
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
immediate jeopardy to resident health or safety; pattern (some residents) · Resident Rights Deficiencies
F0684 Level K
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0684 Level J
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0698 Level J
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 18 less serious citations (levels A to F)
F0835 Level E
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0690 Level E
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0761 Level E
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0908 Level D
“Keep all essential equipment working safely.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0680 Level D
“Ensure the activities program is directed by a qualified professional.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0921 Level D
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0636 Level B
“Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.”
F0638 Level B
“Assure that each resident’s assessment is updated at least once every 3 months.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
Fines and payment denials
Total fines over about the last three years: $170,645 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 18, 2025 | Fine | $34,426 |
| November 19, 2024 | Fine | $50,449 |
| November 19, 2024 | Payment denial | from December 19, 2024, 12 days |
| March 15, 2024 | Fine | $14,701 |
| March 15, 2024 | Payment denial | from June 15, 2024, 6 days |
| January 31, 2024 | Fine | $71,069 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.85 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.23 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.19 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 4.26 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.98 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.89 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 66.9% | 50.8% | 45.3% |
| RN turnover (per year) | 75.5% | 49.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 17 nursing homes: Paradigm Healthcare.
Legal business name: Oakbend Medical Center.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center | Direct owner | 100% | February 1, 2025 |
| Katy Nursing & Rehabilitation LLC | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2025 |
| Oakbend Medical Center | Management company (operational or managerial control) | NOT APPLICABLE | February 1, 2025 |
| Zephyr NH, LLC | Management company (operational or managerial control) | NOT APPLICABLE | June 1, 2023 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 125 |
| Average residents per day | 88.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Paradigm Healthcare |
| Legal business name | Oakbend Medical Center |
| First approved by Medicare/Medicaid | 2005-09-07 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1480 Katy Flewellen, Katy, TX 77494 |
| County | Fort Bend County |
| State | Texas |
| Phone | (281) 394‑0088 |
| CMS Certification Number | 676064 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Heritage Park of Katy Nursing and Rehabilitation2.3 mi · Katy, TX · 4 of 5 stars
- Ignite Medical Resort Katy, LLC3.1 mi · Katy, TX · 4 of 5 stars
- Falcon Point Post Acute3.3 mi · Katy, TX · 2 of 5 stars
- Sterling Oaks Rehabilitation3.4 mi · Katy, TX · 5 of 5 stars
- Mason Creek Transitional Care of Katy5.4 mi · Katy, TX · 3 of 5 stars
Nearest hospital emergency rooms
- Memorial Hermann Katy Hospital3.5 mi · Katy, TX · Acute Care Hospital
- Houston Methodist West Hospital8.5 mi · Houston, TX · Acute Care Hospital
- OakBend Medical Center13 mi · Richmond, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13