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Nursing homeFAID #12164

Paradigm Northwest

17600 CALI DR, HOUSTON, TX, 77090

(281) 440-9000

www.paradigmnorthwest.com

148 licensed beds

CMS rates Paradigm Northwest 1 out of 5 overall. Federal inspectors issued 40 citations across 20 inspections in the last three years, with $51,400 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Paradigm Northwest

Address

17600 Cali Dr

Houston, TX 77090

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Public record summary

What we can show you for free.

Bed capacity

148

CMS facility ID

455714

Care type

Nursing home

County

Harris

Facility name

Paradigm Northwest

Street address

17600 CALI DR

City / state / ZIP

Houston, TX 77090

Phone

(281) 440-9000

Website

www.paradigmnorthwest.com

About this facility — Paradigm Northwest

Paradigm Northwest is a Medicare/Medicaid-certified skilled nursing facility in Houston, Texas. It is licensed for 148 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 720 senior care facilities in Houston and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Paradigm Healthcare, a group of 17 facilities on this site.

Federal inspectors have cited Paradigm Northwest 40 times across 20 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $51,400 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 November 6, 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 2022

Freudenberger, Joseph

Managing employee · Officer — since 2022

Northwest Nursing & Rehabilitation Llc

Operational control — since 2022

Shkop, Aharon

Operational control — since 2022

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

1987-09-01

CMS overall rating

1 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$51,400 total

Last standard inspection

2025-12-11

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$318 per day (≈ $9,670/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

86% Medicaid · 2% Medicare · 12% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

15% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

148

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. 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 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-05Health inspectionComplaint-triggered1 citation

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 2026-08-06

2026-04-10Health inspectionComplaint-triggered3 citations

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-04-11

F-0686

E · No harm foundFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-04-11

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-04-11

17 earlier / fire-safety inspections (36 citations)

2026-01-21Health inspectionComplaint-triggered1 citation

F-0657

D · No harm foundFrom a complaint

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

Corrected 2026-01-28

2025-12-11Health inspection6 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-12-16

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-12-16

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 2025-12-16

F-0692

D · No harm found

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

Corrected 2025-12-16

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-12-16

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-12-16

2025-12-10Health inspectionComplaint-triggered2 citations

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-12-11

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-12-11

2025-08-18Health inspectionComplaint-triggered2 citations

F-0580

J · Immediate jeopardyFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-22

F-0684

J · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-22

2025-08-12Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-15

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-07

2025-08-05Health inspectionComplaint-triggered1 citation

F-0925

E · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-08-18

2025-06-12Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-13

2025-03-05Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-03-25

2024-12-20Health inspectionComplaint-triggered1 citation

F-0678

J · Immediate jeopardyFrom a complaint

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2025-01-10

2024-09-26Health inspectionComplaint-triggered4 citations

F-0607

D · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-10-18

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-18

F-0814

C · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2024-10-18

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-10-18

2024-09-13Health inspectionComplaint-triggered2 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2024-09-26

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-09-26

2024-05-08Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

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

Corrected 2024-05-23

2024-02-14Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-19

F-0755

J · Immediate jeopardyFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-19

2023-07-28Health inspection4 citations

F-0689

E · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-31

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-08-31

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-08-31

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-08-31

2025-12-11Fire-safety inspection4 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2025-12-16

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-12-16

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-12-16

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-12-16

2024-09-26Fire-safety inspection1 citation

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-10-14

2023-07-28Fire-safety inspection1 citation

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-07-26

Federal penalties

2025-08-05Fine$13,679

2024-12-20Fine$14,433

2024-02-14Fine$9,609

Total fines$51,400

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 455714.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 63% of nursing homes in the state

State median: 33

Federal fines, 3 years

$51,400

More than 76% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.1

Higher than 29% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

57%

Higher than 67% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 9 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	16.6%	15.8%	13.5%	Near state average
Lose too much weight	3.8%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	1.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.0%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.2%	96.4%	93.7%	Near state average
Ability to walk independently worsened	4.2%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	20.9%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	99.1%	97.0%	95.3%	Near state average
With pressure ulcers	7.1%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	11.0%	12.5%	18.3%	Better than state
Received an antipsychotic medication	16.4%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	91.1%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	91.6%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	28.4%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	8.8%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0759 2 inspections. Ensure medication error rates are not 5 percent or greater.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

What its owners also hold

Oakbend Medical Center has an ownership stake on file at 32 nursing homes, averaging 2.4 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Cypress Creek Hospital, about 0.1 miles.
The Woodlands Specialty Hospital, about 7.4 miles.
St Luke's Hospital At the Vintage, about 7.8 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Park Manor of Cypress Station, Houston, about 0.5 miles. CMS rating 2 of 5.
The Heights of North Houston, Houston, about 0.7 miles. CMS rating 2 of 5.
Villa Toscana At Cypress Woods, Houston, about 2.2 miles. CMS rating 2 of 5.
The Village At Gleannloch Farms, Spring, about 5.6 miles. CMS rating 5 of 5.
Brookdale Willowbrook Place, Houston, about 7.0 miles. CMS rating 2 of 5.

Visitor reviews

What people say on Google.

3.743 ratings on Google

★★★★★Loki Loo · 2026-04-23 · via Google
“My mother is a resident in the Memory Care section of the facility. When I visit, I see compassionate and caring staff. I am so grateful for the excellent communication with my family from all levels of staff. I had a meeting today with several of the staff members to discuss some questions I had and left reassured that my mother is being well cared for. The Memory Care section has lovely acti…”

★Brooke Hubbard · 2026-01-10 · via Google
“If I could give it ZERO STARS I would. I WOULDN'T ADVISE ANYBODY TO SEND ANYBODY HERE! terrible STAFF. Very inconsiderate of my mother's care and took 4 hours to get somebody in the room just to get what you needed done! A CNA there mistreated my mother while she was there my mother was in a bad car accident September 19th.. she suffered a broken back broken ribs , broken face broken thumb , broke…”

★Rachel Papillion · 2026-02-08 · via Google
“This place is terrible. If could give one star I would. They tell you everything you want to hear before your family gets the but once admitted it absolutely different. My give arrived there Jan.20 from an LTAC, the care he received from this place was awful. Every last person there needs to be fired, the nursing director, respiratory manger, and the director of the facility. It's not enough spac…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 40 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

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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 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

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