All states › Texas › Houston › Paradigm at Westbury
5201 S Willow Dr Houston, TX 77035 · Harris County
All 60 nursing homes in Houston, TX (53 take Medicaid)
CMS certification number 675612 · See this home on Medicare Care Compare
Is Paradigm at Westbury a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Paradigm at Westbury as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.07 hours per resident per day at Paradigm at Westbury, below the Texas median of 3.30 (US median: 3.72). About 0.36 of those hours are from registered nurses. On weekends it falls to 2.70 hours, 12% below its all-week average. 64.2% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Paradigm at Westbury: Medicare and Medicaid
Paradigm at Westbury is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 30, 2026 and found 7 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 43 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 43 citations at Paradigm at Westbury across 19 inspection dates, 34 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 28, 2025 (complaint inspection). The most common areas cited were quality of life and care (9) and resident rights (9). The most serious was cited under the CMS rule to "honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely" (tag F0584, level L, January 15, 2025).
August 15, 2026 · 1 citation · includes complaint inspection
GEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
May 30, 2026 · 7 citations, includes actual harm
GProvide enough food/fluids to maintain a resident's health.
EProvide and implement an infection prevention and control program.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
November 24, 2025 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
August 28, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
KProvide safe and appropriate respiratory care for a resident when needed.
May 2, 2025 · 1 citation · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
March 28, 2025 · 5 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure medication error rates are not 5 percent or greater.
EEnsure that residents are free from significant medication errors.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDispose of garbage and refuse properly.
January 28, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 15, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
LHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
October 15, 2024 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
July 3, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
June 27, 2024 · 2 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
June 6, 2024 · 5 citations · includes complaint inspection
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
April 30, 2024 · 3 citations · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
February 5, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
KHave policies on smoking.
January 29, 2024 · 1 citation · includes complaint inspection
EMake sure that a working call system is available in each resident's bathroom and bathing area.
January 7, 2024 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DEnsure medication error rates are not 5 percent or greater.
November 7, 2023 · 1 citation · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
November 3, 2023 · 2 citations · includes complaint inspection
EEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 17, 2023 · 2 citations · includes complaint inspection
DKeep residents' personal and medical records private and confidential.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Paradigm at Westbury
- Inspectors cited the home at the immediate-jeopardy level on January 15, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 64.2% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $127,648 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 15, 2026 | Fine | $19,610 |
| May 30, 2026 | Fine | $26,180 |
| Aug 28, 2025 | Fine | $14,596 |
| Jan 15, 2025 | Fine | $52,699 |
| Jan 7, 2024 | Fine | $14,563 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
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Location
Hospitals near Paradigm at Westbury
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 3.7 mi
- 3.8 mi
-
4.1 mi
Mem Hermann Southwest Hosp HoustonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 3m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Paradigm at Westbury with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Bayou Manor · Houston · 5 stars · 2.7 mi
- Houston Transitional Care · Houston · 5 stars · 4.0 mi
- Clarewood House Extended Care Center · Houston · 5 stars · 4.6 mi
- The Methodist Hospital SNF · Houston · 5 stars · 5.7 mi
Other Paradigm Healthcare nursing homes in Texas
- Paradigm at the Brazos · Richmond · 5 stars
- Paradigm at Bay City · Bay City · 4 stars
- Paradigm at Kountze · Kountze · 4 stars
- Nazareth Living Care Center · El Paso · 3 stars
- Paradigm at Faith Memorial · Pasadena · 3 stars
- Paradigm at the Pines · Silsbee · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 17 Paradigm Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.