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Nursing homeFAID #12118

Paradigm At Kountze

604 FM 1293, KOUNTZE, TX, 77625
(409) 246-3418
60 licensed beds
★★★★★4/5CMS Five-Star overall3/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
CMS facility ID
455594
Care type
Nursing home
County
Hardin
Facility name
Paradigm At Kountze
Street address
604 FM 1293
City / state / ZIP
Kountze, TX 77625
Phone
(409) 246-3418

About this facility — Paradigm At Kountze

Paradigm At Kountze is a Medicare/Medicaid-certified skilled nursing facility in Kountze, Texas. It is licensed for 60 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Kountze and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Paradigm At Kountze 30 times across 7 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $16,801 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Paradigm Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Oakbend Medical Center
Direct owner — 100% stake — since 2017
Council, Jeff
Officer — since 2013
Crayton, Tom
Officer — since 2013
Douds, Robert
Officer — since 2016
Freudenberger, Joseph
Managing employee · Officer — since 2007
Haley, Jeff
Officer — since 2012
Kountze Nursing & Rehabilitation Llc
Operational control — since 2022
Martin, Melissa
Officer — since 2015
Mefford, Ruthanne
Officer — since 2015
Petrosewicz, Norma
Officer — since 2013
Popatia, Amirali
Officer — since 2011
Uthman, Edward
Officer — since 2008
Zerwas, John
Officer — since 2013

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-10-23
CMS overall rating
4 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$16,801 total
Last standard inspection
2025-08-13
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$215 per day (≈ $6,540/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 7% Medicare · 28% private/other
Occupancy
76% (fiscal year 2023)
Vs. state median
22% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2025-08-13Health inspection3 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-09-05
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-09-05
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-05
2024-07-25Health inspectionComplaint-triggered19 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-01
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-01
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-08-01
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-08-01
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-01
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-01
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-01
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-01
F-0712
D · No harm found
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-08-01
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-01
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-08-01
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-08-15
F-0802
D · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-08-01
F-0803
E · No harm foundFood safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-08-01
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-01
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-01
F-0847
F · No harm found
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2024-08-01
F-0849
D · No harm found
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-08-01
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-01
4 earlier / fire-safety inspections (8 citations)
2023-06-14Health inspection3 citations
F-0684
K · Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-15
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-06-15
F-0761
D · No harm found
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 drugs.
Corrected 2023-06-15
2025-08-13Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2024-07-25Fire-safety inspection3 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-09-04
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-04
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2023-06-14Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal penalties

2024-07-25Fine$16,801
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455594.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered