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C

61/100

Average

Paradigm Northwest

17600 Cali Dr, Houston, TX 77090

CMS 1/5 stars #67 of 97 in Harris County (281) 440-9000
Certified beds
148
Occupancy
77%
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.

  • $51,400 in federal fines

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

Our read on Paradigm Northwest

Paradigm Northwest runs 148 beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 2.96 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 11% below its own weekday levels, and annual turnover of 52.3% outpaces the national 45.8%, so the aides and nurses your family would see are cycling through steadily. Its inspection record carries 33 deficiencies, five serious enough to involve harm or jeopardy and one tied to abuse, with four fines totaling $51,400. The most recent inspection was December 2025, so that picture is current. CMS rates staffing and health inspections 1 out of 5; quality measures land at 3.

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.

Inspection30/30Staffing8/30Stability9/15Outcomes9/15Enforcement5/10

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

8/30

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

  • →2.74 total nurse hours per resident per day (national median 3.77)
  • →0.23 RN hours per resident per day
  • →Weekend staffing drops 11% against weekdays

Staff stability

9/15

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

  • →52% of nursing staff left in the last year

Resident outcomes

9/15

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

  • →3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

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

  • →$51,400 in federal fines across 4 action(s)

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 day2.96 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.23 hrs
National average 0.69 hrsBelow average

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

Weekend nurse hours2.63 hrs
National average 3.42 hrsBelow average

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

Nursing staff turnover52.30%
National average 45.80%Below average

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

Recent inspection findings

Last standard health inspection: December 11, 2025 (10 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 Northwest

What is the ElderGrade for Paradigm Northwest? +

Paradigm Northwest holds an ElderGrade of C (61 out of 100), which we describe as "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 Northwest? +

Residents receive an average of 2.96 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Paradigm Northwest 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 Northwest accept Medicaid? +

Yes, Paradigm Northwest 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.