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Paradigm Northwest

⌖ Houston, TX · Harris County
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Medicare overall rating 1 of 5 stars
Certified beds148
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Paradigm Northwest

Paradigm Northwest is a 148-bed for-profit nursing home in Houston, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7. At its last full inspection (Dec 2025), inspectors found 12 problems, more than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 58 min a day with each resident, less than the Texas average of 3 hr 23 min. About 52% of its nursing staff left in the past year. Medicare fined it $51,400 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameParadigm Northwest
LocationHarris County, Texas
Address17600 Cali Dr, Houston, TX 77090 · Harris County
CMS provider number455714
Ownership typeFor-profit (corporation)
Operating companyParadigm Healthcare · 17 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 1, 1987 (39 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating1 of 5Much below average
Health inspections2 of 5Below average
Quality measures3 of 5Average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

1 strength and 4 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.
    Strength

About average

  • Nursing staff turnover52% a yearTexas average: 55%
    About average

Things to ask about

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  • Fines and penalties4 fines totaling $51,400Federal penalties from the last three years, most recently in Aug 2025 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Health citations at last inspection12 (Dec 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.
    Worse than state average
  • Nurse staffing per resident2 hr 58 min a dayTexas average: 3 hr 23 min
    Worse than state average
  • Registered nurse time per resident14 min a dayTexas average: 26 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 1 of 5 (much below average)

  • Sent back to the hospital34.0%State average: 25.7%
    Worse than average
  • Needed an emergency room visit12.8%State average: 12.3%
    About average
  • Newly given antipsychotic drugs0.0%State average: 1.5%
    Better than average

Physical therapist time: about 3 minutes per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury1.1%State average: 3.3%
    Better than average
  • Pressure sores (bedsores)6.2%State average: 3.8%
    Worse than average
  • Given antipsychotic drugs13.8%State average: 9.6%
    Worse than average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 82% Medicaid
  • 3% Medicare
  • 15% Private pay, insurance and other
Beds in use, on average67%Texas typical: 67%
Cost of care per resident day$245Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 1 star now, the same as 1 star in January 2019. It has ranged from 1 to 3 stars and changed 11 times.

Overall rating1★
Health inspections2★
Staffing1★
Quality of care3★
Nurse hours per resident per day3.0
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201912133.1
Jan 202033233.1
Jan 202133232.8
Jan 202212213.3
Jan 202322243.4
Jan 202423143.0
Feb 202523123.3
Feb 202611143.2
Sep 202612133.0

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.