Quick answers
- Where is Paradigm Northwest?
- 17600 Cali Dr, Houston, TX 77090, in Harris County, Texas.
- What is the phone number of Paradigm Northwest?
- (281) 440-9000, as listed by Medicare (CMS).
- What is the Medicare star rating of Paradigm Northwest?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Paradigm Northwest been fined?
- Medicare lists 4 fines totaling $51,400.
- What did inspectors find at Paradigm Northwest?
- In its last three inspection cycles (July 28, 2023 to August 5, 2026), Medicare lists 34 health citations; the most serious was level J. 5 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 (July 28, 2023 to August 5, 2026), Paradigm Northwest had 34 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $51,400 in total (4 fines, the latest on August 5, 2025). Nurse staffing is 3.11 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: December 11, 2025 — 13 health citations
Inspections in this cycle: December 10, 2025 (complaint investigation); December 11, 2025 (standard health inspection); January 21, 2026 (complaint investigation); April 10, 2026 (complaint investigation); August 5, 2026 (complaint investigation).
Show 13 citations (levels A to F, no actual harm)
F0686 Level E
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0578 Level D
“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.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Previous cycle: September 26, 2024 — 11 health citations
Inspections in this cycle: September 26, 2024 (standard health inspection); December 20, 2024 (complaint investigation); March 5, 2025 (complaint investigation); June 12, 2025 (complaint investigation); August 5, 2025 (complaint investigation); August 12, 2025 (complaint investigation); August 18, 2025 (complaint investigation).
F0580 Level J
“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; isolated (a few residents) · Resident Rights 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
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0678 Level J
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 7 less serious citations (levels A to F)
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
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.”
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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0814 Level C
“Dispose of garbage and refuse properly.”
Earlier cycle: July 28, 2023 — 10 health citations
Inspections in this cycle: July 28, 2023 (standard health inspection); February 14, 2024 (complaint investigation); May 8, 2024 (complaint investigation); September 13, 2024 (complaint investigation); September 26, 2024 (complaint investigation).
F0755 Level J
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Pharmacy Service Deficiencies
Show 9 less serious citations (levels A to F)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
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.”
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 (6)
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Fines and payment denials
Total fines over about the last three years: $51,400 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| August 5, 2025 | Fine | $13,679 |
| August 5, 2025 | Fine | $13,679 |
| December 20, 2024 | Fine | $14,433 |
| February 14, 2024 | Fine | $9,609 |
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 | 0.26 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.90 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.95 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.11 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.69 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.21 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 56.6% | 50.8% | 45.3% |
| 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 (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center | Direct owner | 100% | October 1, 2022 |
| Northwest Nursing & Rehabilitation LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2022 |
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 | 148 |
| Average residents per day | 116.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Paradigm Healthcare |
| Legal business name | Oakbend Medical Center |
| First approved by Medicare/Medicaid | 1987-09-01 |
| Resident and family councils | None |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 17600 Cali Dr, Houston, TX 77090 |
| County | Harris County |
| State | Texas |
| Phone | (281) 440‑9000 |
| CMS Certification Number | 455714 |
| 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).
- Park Manor of Cypress Station0.5 mi · Houston, TX · 2 of 5 stars
- The Heights of North Houston0.7 mi · Houston, TX · 2 of 5 stars
- Villa Toscana at Cypress Woods2.2 mi · Houston, TX · 2 of 5 stars
- The Village at Gleannloch Farms5.6 mi · Spring, TX · 5 of 5 stars
- Champions Healthcare at Willowbrook7.0 mi · Houston, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Cypress Creek Hospital0.1 mi · Houston, TX · Psychiatric Hospital
- HCA Houston Healthcare Northwest0.2 mi · Houston, TX · Acute Care Hospital
- The Woodlands Specialty Hospital7.4 mi · Spring, 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