All states › Texas › Houston › Paradigm Northwest
17600 Cali Dr Houston, TX 77090 · Harris County
All 60 nursing homes in Houston, TX (53 take Medicaid)
CMS certification number 455714 · See this home on Medicare Care Compare
Is Paradigm Northwest 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 Northwest 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 3.11 hours per resident per day at Paradigm Northwest, below the Texas median of 3.30 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 2.69 hours, 14% below its all-week average. 56.6% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at Paradigm Northwest: Medicare and Medicaid
Paradigm Northwest 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 December 11, 2025 and found 6 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 34 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 34 citations at Paradigm Northwest across 16 inspection dates, 23 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 18, 2025 (complaint inspection). The most common areas cited were quality of life and care (9) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level J, August 18, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 5, 2026 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
April 10, 2026 · 3 citations · includes complaint inspection
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide and implement an infection prevention and control program.
January 21, 2026 · 1 citation · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
December 11, 2025 · 6 citations
DHonor 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide enough food/fluids to maintain a resident's health.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
December 10, 2025 · 2 citations · includes complaint inspection
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.
August 18, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
August 12, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
August 5, 2025 · 1 citation · includes complaint inspection
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
June 12, 2025 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
March 5, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
December 20, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
September 26, 2024 · 4 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide and implement an infection prevention and control program.
CDispose of garbage and refuse properly.
September 13, 2024 · 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.
May 8, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
February 14, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 28, 2023 · 4 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure medication error rates are not 5 percent or greater.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Questions to ask on a tour of Paradigm Northwest
- Inspectors cited the home at the immediate-jeopardy level on August 18, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 5, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- 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
4 penalties in the last three years, including $51,400 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 5, 2025 | Fine | $13,679 |
| Aug 5, 2025 | Fine | $13,679 |
| Dec 20, 2024 | Fine | $14,433 |
| Feb 14, 2024 | Fine | $9,609 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Paradigm Northwest
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.1 mi
-
0.2 mi
Houston Northwest Medical Center HoustonEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 27m for patients treated and sent home
- 0.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Paradigm Northwest › All nursing homes in Houston ›
Compare Paradigm Northwest with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Village at Gleannloch Farms · Spring · 5 stars · 5.6 mi
- North Houston Transitional Care · Houston · 3 stars · 8.1 mi
- The Broadmoor at Creekside Park · The Woodlands · 3 stars · 9.0 mi
- The Heights of North Houston · Houston · 2 stars · 0.7 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.