Nursing home report card · Katy, TX
Paradigm at Katy
1480 Katy Flewellen, Katy, TX 77494
Call this home: (281) 394-0088
View this home on Medicare.gov ↗
Quick summary
Below-average Medicare rating
Overall rating is 1 of 5 stars. Its health-inspection rating is 1 of 5. Read the dated inspection findings and separate staffing and care ratings below.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- May 1, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Among the lowest Medicare ratings
Based on problems found during health inspections.
Among the lowest Medicare ratings
Based on staffing levels and related measures.
Among the lowest Medicare ratings
Based on reported health and care results.
Above average
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 676064
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Immediate danger to residents · pattern case
Feb 18, 2025 · Inspection rule 0880
Provide and implement an infection prevention and control program.
Immediate danger to residents · pattern case
Nov 19, 2024 · Inspection rule 0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Immediate danger to residents · isolated case
May 29, 2024 · Inspection rule 0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 1 hr 1 min per resident per day
about 4 hr 25 min per resident per day
about 1 hr 1 min per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 1 stars
- Health inspection rating: 1 stars
- Staffing rating: 1 stars
- Registered nurse time per resident: 1.01 hours/day
- Total nurse time per resident: 4.41 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Texas averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- Overall star rating is 2 or lower
- Health inspection rating is 2 stars or lower
- Recent citations include infection-control problems
- Inspectors have listed an unusually high number of problems
- CMS has fined this home in the recent reporting period
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Immediate danger to residents6 citations
- Caused actual harm1 citation
- Could have caused harm42 citations
- Low risk of harm2 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 51
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Limited Liability company.
- We do not have individual owner names for this home.
Other homes in this group: All Paradigm Healthcare nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
December 15, 20251 finding
- Environmental problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0919 · code E
Make sure that a working call system is available in each resident's bathroom and bathing area.
November 20, 20252 findings
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code D
Provide and implement an infection prevention and control program.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0610 · code D
Respond appropriately to all alleged violations.
May 1, 202511 findings
- Resident Rights problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0550 · code D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0656 · code D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0690 · code D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code D
Provide and implement an infection prevention and control program.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0679 · code E
Provide activities to meet all resident's needs.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code D
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.
- Nutrition and Dietary problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0814 · code D
Dispose of garbage and refuse properly.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0693 · code D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 4, 20251 finding
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 18, 20251 finding
- Infection Control problemsImmediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code K
Provide and implement an infection prevention and control program.
November 19, 20243 findings
- Resident Assessment and Care Planning problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0655 · code D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Environmental problemsImmediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0919 · code K
Make sure that a working call system is available in each resident's bathroom and bathing area.
- Quality of Life and Care problemsCaused actual harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
July 19, 20241 finding
- Administration problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0835 · code E
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
May 29, 20244 findings
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Quality of Life and Care problemsImmediate danger to residents · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0698 · code J
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0609 · code E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0695 · code D
Provide safe and appropriate respiratory care for a resident when needed.
April 25, 20242 findings
- Environmental problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0919 · code D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- Environmental problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0908 · code D
Keep all essential equipment working safely.
April 6, 20241 finding
- Environmental problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0919 · code E
Make sure that a working call system is available in each resident's bathroom and bathing area.
March 15, 202411 findings
- Environmental problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0921 · code D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Resident Assessment and Care Planning problemsLow risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0636 · code B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Resident Assessment and Care Planning problemsLow risk of harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0638 · code B
Assure that each resident’s assessment is updated at least once every 3 months.
- Quality of Life and Care problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0690 · code E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0759 · code D
Ensure medication error rates are not 5 percent or greater.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0680 · code D
Ensure the activities program is directed by a qualified professional.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0689 · code D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Infection Control problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0880 · code D
Provide and implement an infection prevention and control program.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0761 · code E
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.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0677 · code D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- Quality of Life and Care problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0688 · code D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
January 31, 20243 findings
- Resident Rights problemsImmediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0580 · code K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Quality of Life and Care problemsImmediate danger to residents · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0684 · code K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Pharmacy Service problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- Fine · May 25, 2026$70,800
- Fine · Feb 18, 2025$34,426
- Fine · Nov 19, 2024$50,449
- Payment Denial · Nov 19, 2024Unavailable
- Fine · Mar 15, 2024$14,701
- Payment Denial · Mar 15, 2024Unavailable
- Fine · Jan 31, 2024$71,069
Other homes in this chain
Paradigm Healthcare · other locations in Texas
- Paradigm Northwest · Houston1 of 5 · 33 problems
- Paradigm at Westbury · Houston1 of 5 · 42 problems
- Paradigm at the Oak · Schulenburg1 of 5 · 60 problems
- Paradigm at the Prairies · El Campo1 of 5 · 28 problems
- Paradigm at First Colony · Missouri City1 of 5 · 41 problems
- Paradigm at the Creek · Wharton1 of 5 · 44 problems
- Paradigm at Sweeny · Sweeny1 of 5 · 22 problems
- Paradigm at The Pines · Silsbee2 of 5 · 34 problems
Related topics
Questions about Paradigm at Katy
What is Paradigm at Katy's Medicare star rating?
Has Paradigm at Katy been fined?
Does Paradigm at Katy have a Medicare abuse warning?
How does Paradigm at Katy compare with other nursing homes in Texas?
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