Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
17
States
2
Beds
1,924
Avg score
61.4
Avg turnover
55%
Federal fines
$1,356,428
Flags across this group
5 of the group's homes carry a CMS abuse icon.
3 homes are in or a candidate for the Special Focus Facility programme.
Nazareth Living Care Center runs 108 beds in El Paso under for-profit LLC ownership, and its nurse staffing sits at 3.56 hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 16% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover is the brighter spot: 33.3% against a national 45.8%, meaning aides and nurses stick around longer than at the typical home. The inspection record is heavier, 60 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the most recent survey was January 2026. Ask about weekend coverage and how the abuse findings were resolved.
Paradigm At Bay City runs 105 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 25 deficiencies, three at harm or jeopardy level and two tied to abuse, plus one fine of $50,359; the last inspection was May 30, 2025. Staff turnover (44.7%) is basically in line with the national rate. The quality measure rating is strong at 4/5, but the 2/5 inspection rating reflects real problems that staffing numbers alone won't fix.
Paradigm At The Brazos runs lean on nurse staffing, 3.19 hours per resident day against a national average of 3.86, with weekends about 15% thinner than weekdays. That's the number to weigh against the home's otherwise strong record: a five-star inspection rating and a five-star quality measure score, with six deficiencies on file and none at the harm or jeopardy level, though one is abuse-related. Staff turnover sits at 21.4%, well below the 45.8% national figure, which matters for consistency of care. The last inspection was recent, in August 2025. If your family member needs steady hands on weekends, ask how the floor is covered then.
Paradigm At Kountze runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. That thinner weekend schedule matters, since two of the 25 deficiencies on record sit at the harm or jeopardy level and two are abuse-related, with one fine of $16,801. What works in its favor is stability: staff turnover of 25.6% is well below the 45.8% national figure, and the quality measure rating is strong. The inspection on file is recent, from August 2025. A for-profit corporation operates the 60-bed home. The tradeoff is real: consistent caregivers, fewer of them per resident.
Paradigm At Faith Memorial runs about 2.82 nurse staffing hours per resident day against a national average near 3.86, and weekends dip roughly 13% below the home's own weekday levels. Staff turnover sits at 52.1%, above the 45.8% national figure, and the current record carries 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Two fines total $19,481. The quality measure rating of 5/5 stands out against a 1/5 staffing rating, which is worth asking about, strong clinical scores can reflect documentation practices as much as bedside care. The most recent inspection was April 23, 2026. For-profit, limited liability ownership out of Pasadena.
Paradigm At The Pines runs on 2.90 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly another 11% beneath its own weekday level. Turnover sits at 67.4% against a national 45.8%, and the staffing star rating reflects that: 1 out of 5. The inspection record shows 34 deficiencies, including one at the harm level and six tied to abuse, with a $8,281 fine. It's a hospital-district home, and the last inspection was recent. The quality measure score is strong, but that's largely self-reported data, the hands-on staffing and inspection findings tell a harder story.
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.
Paradigm At The Creek runs 120 certified beds in Wharton under for-profit LLC ownership, and the staffing numbers are the first thing to notice. Its 3.23 nurse hours per resident day sit well under the national average, weekend coverage drops further below its own weekday level, and more than half the nursing staff turned over in a year, a rate noticeably above the national figure. The inspection record backs that up: 38 deficiencies, seven serious enough to put residents in harm's way, four tied to abuse, and four fines adding up to just over $52,000. All three CMS star ratings sit at the lowest tier. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
Paradigm At Sweeny runs on thin staffing. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 16% below what the home already provides on weekdays. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The inspection record backs that up: 21 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse. A for-profit LLC operates the 90-bed home, and while its quality measure score looks good, the 1-star inspection and staffing ratings tell the more relevant story. One fine of $11,905 is on record.
Paradigm At First Colony runs about 3.36 nursing hours per resident per day, roughly 13% under the national average, and weekend coverage drops another 14% below its own weekday levels. That thin margin shows up in the workforce itself: 67% of staff turned over in a year, against a national rate near 46%. The inspection record is harder to explain away, 41 deficiencies, eight serious enough to put residents in harm's way, four tied to abuse, and three fines reaching $211,113. A 150-bed for-profit LLC in Missouri City, recently inspected in January 2026. Whatever the quality measures suggest, the staffing and survey history carry more weight when you're choosing care for someone you love.
Paradigm At Westbury runs 148 certified beds under corporate for-profit ownership, and the staffing numbers are where the trouble starts. At 3.39 nurse hours per resident day, it sits roughly 12% under the national average, weekends dip about 9% below its own weekday levels, and annual turnover hits 61.5% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 42 deficiencies, 7 of them serious enough to involve harm or jeopardy, plus four fines totaling $136,414. A recent May 2026 inspection means the record is current, and what it shows is a home where quality scores look decent but the people doing the daily work keep leaving.
Paradigm At The Oak runs 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekend coverage drops another 9% below its own weekday level. That thin coverage shows up in the inspection record: 60 deficiencies, eight of them at the harm or jeopardy level and eight tied to abuse, with four fines totaling $103,606 and a one-star health inspection rating from CMS. Staff turnover sits at 39%, which is actually below the 45.8% national figure, so the problem here isn't retention so much as how few hands are on the floor. The last inspection was April 2026. For-profit corporate ownership.
Continuing Healthcare Of Cuyahoga Falls runs 98 beds under for-profit LLC ownership, and the staffing numbers are what stands out first: 3.46 nurse hours per resident day against a national average of 3.86, with weekends running about 7% thinner than weekdays. That gap matters when you're deciding which day to visit. The inspection record is heavier still, 93 deficiencies, two at harm or jeopardy level, seven tied to abuse, and four fines totaling $178,725. Annual turnover sits at 77.1% against a national 45.8%, meaning the aide who knows your mother this month may not be there the next. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
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.
Paradigm At The Prairies runs on 2.42 nurse hours per resident day, roughly 37 percent under the national average, and weekends drop about another 15 percent below what the home itself staffs on weekdays. That thin coverage sits alongside 25 deficiencies on the current record, four of them serious enough to involve harm or jeopardy and three tied to abuse. Staff turnover lands at 51.4 percent, above the national figure. The most recent inspection was April 2025, and three fines totaling $62,430 have accumulated. For-profit individual ownership, 150 certified beds, and one out of five stars from CMS on both staffing and health inspections.
Continuing Healthcare of Gahanna runs 94 beds under for-profit LLC ownership, and the staffing numbers tell a story on their own: 3.11 nurse hours per resident day against a national average of 3.86, with weekends dipping another 12% below its own weekday levels. That thin coverage sits alongside 111 deficiencies on the current record, including 8 at the harm or jeopardy level and 11 tied to abuse. Staff turnover of 55.8% runs well above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One fine of $170,581 is on file, and the most recent inspection was April 21, 2026.
Paradigm At Woodwind Lakes runs 3.21 nursing hours per resident per day, roughly 17% under the national average, and weekend coverage drops about 12% below its own weekday level. Staff turnover sits at 58.3% against a national 45.8%, so the people providing that thin coverage are also leaving fast. The inspection record shows 44 deficiencies, 12 of them at harm or jeopardy level and 3 abuse-related, with two CMS fines totaling $89,541. This for-profit LLC is in the Special Focus Facility program, meaning federal regulators watch it more closely than most. The most recent inspection was January 9, 2026.