ElderGrade
F

25/100

Poor

Paradigm At Westbury

5201 S Willow Dr, Houston, TX 77035

CMS 1/5 stars #91 of 96 in Harris County (713) 721-0297
Certified beds
148
Occupancy
70%
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.

  • 7 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $136,414 in federal fines

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

  • Nursing staff turnover of 62%

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

How this grade was calculated

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

Inspection safety

0/30

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

  • -20 for 4 immediate-jeopardy citation(s) in the last 3 years
  • -12 for 3 actual-harm citation(s) in the last 3 years
  • -8.8 for 42 total citations against a national median of 17

Staffing

8/30

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

  • 3.17 total nurse hours per resident per day (national median 3.77)
  • 0.36 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

3/15

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

  • 62% of nursing staff left in the last year
  • -2 for 3 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

2/10

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

  • $136,414 in federal fines across 4 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

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 day 3.39 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.36 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.07 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 61.50%
National average 45.80% Below average

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

Recent inspection findings

All 42 citations

Last standard health inspection: May 30, 2026 (2 months ago).

G May 30, 2026 F0692

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Actual harm to a resident

E May 30, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D May 30, 2026 F0657

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D May 30, 2026 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

D May 30, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D May 30, 2026 F0883

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

No actual harm, potential for more than minimal harm

D May 30, 2026 F0887

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

No actual harm, potential for more than minimal harm

D Nov 24, 2025 F0550 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PARADIGM HEALTHCARE, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
FREUDENBERGER, JOSEPH Individual W-2 MANAGING EMPLOYEE
BEARD, BARRY Individual CORPORATE DIRECTOR
COUNCIL, JEFF Individual CORPORATE DIRECTOR
CRAYTON, TOM Individual CORPORATE DIRECTOR
MARTIN, MELISSA Individual CORPORATE DIRECTOR
MCCLAMROCH, JAMES Individual CORPORATE DIRECTOR
MEFFORD, RUTHANNE Individual CORPORATE DIRECTOR
MURRAY, MARK Individual CORPORATE DIRECTOR
PETROSEWICZ, NORMA Individual CORPORATE DIRECTOR
TAPE, MAY Individual CORPORATE DIRECTOR
UTHMAN, EDWARD Individual CORPORATE DIRECTOR
FREUDENBERGER, JOSEPH Individual CORPORATE OFFICER

What families say

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Common questions about Paradigm At Westbury

What is the ElderGrade for Paradigm At Westbury? +

Paradigm At Westbury holds an ElderGrade of F (25 out of 100), which we describe as "poor". 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 Westbury? +

Residents receive an average of 3.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Paradigm At Westbury been cited for harming residents? +

Yes. 7 of the 42 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Paradigm At Westbury accept Medicaid? +

Yes, Paradigm At Westbury 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.