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D

54/100

Below average

Paradigm At Katy

1480 Katy Flewellen, Katy, TX 77494

CMS 1/5 stars #14 of 15 in Fort Bend County (281) 394-0088
Certified beds
125
Occupancy
65%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $170,645 in federal fines

    CMS has fined this facility across 4 penalty action(s).

  • Nursing staff turnover of 91%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Paradigm At Katy

Paradigm At Katy has 125 certified beds and a for-profit LLC owner. Its nurse staffing comes in at 4.41 hours per resident day, roughly 14% above the national average, but the workforce behind those hours is unstable: annual turnover runs 91.1% against a national 45.8%, and weekends already sit about 6% below weekday coverage. The inspection record is the harder problem, 51 deficiencies on file, 7 of them serious enough to involve harm or jeopardy and 2 tied to abuse, with $241,445 in fines across 5 penalties and a health inspection star rating of 1 out of 5. Quality measures score 4 out of 5, but that sits alongside a 1 out of 5 staffing rating despite the above-average hours.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing12/30Stability0/15Outcomes12/15Enforcement0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

12/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →2.23 total nurse hours per resident per day (national median 3.77)
  • →1.01 RN hours per resident per day
  • →Weekend staffing drops 6% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →91% of nursing staff left in the last year
  • →-2 for 2 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$170,645 in federal fines across 4 action(s)
  • →-2 for 2 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day4.41 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours1.01 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.14 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover91.10%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: May 25, 2026 (5 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of PARADIGM HEALTHCARE, which operates 17 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Paradigm At Katy

What is the ElderGrade for Paradigm At Katy? +

Paradigm At Katy holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Paradigm At Katy? +

Residents receive an average of 4.41 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Paradigm At Katy been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Paradigm At Katy accept Medicaid? +

Yes, Paradigm At Katy is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.