All states › Texas › Kountze › Paradigm at Kountze
604 Fm 1293 Kountze, TX 77625 · Hardin County
CMS certification number 455594 · See this home on Medicare Care Compare
Is Paradigm at Kountze 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 Kountze as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 3.25 hours per resident per day at Paradigm at Kountze, about the same as the Texas median of 3.30 (US median: 3.72). About 0.45 of those hours are from registered nurses. On weekends it falls to 3.07 hours, 5% below its all-week average. 31.6% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Paradigm at Kountze: Medicare and Medicaid
Paradigm at Kountze 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 August 13, 2025 and found 3 deficiencies. In total, inspectors issued 25 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 25 citations at Paradigm at Kountze across 3 inspection dates, 2 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 25, 2024. The most common areas cited were resident assessment and care planning (6) and nutrition and dietary (4). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level K, June 14, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 13, 2025 · 3 citations
EEnsure each resident receives an accurate assessment.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
July 25, 2024 · 19 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
EEnsure each resident receives an accurate assessment.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
June 14, 2023 · 3 citations, includes immediate jeopardy
KProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
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.
Questions to ask on a tour of Paradigm at Kountze
- Inspectors cited the home at the immediate-jeopardy level on June 14, 2023 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 25, 2024. How are staff trained, and how are concerns reported?
- 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
1 penalty in the last three years, including $16,801 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 25, 2024 | Fine | $16,801 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 3/5 | 5/5 |
| August 2026 | 4/5 | 3/5 | 3/5 | 5/5 |
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Location
Hospitals near Paradigm at Kountze
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 9.4 mi
-
22.4 mi
CHRISTUS Hospital BeaumontEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 15m for patients treated and sent home
- 22.8 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 at Kountze › All nursing homes in Kountze ›
Compare Paradigm at Kountze with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Silsbee Oaks Health Care LLP · Silsbee · 5 stars · 9.0 mi
Other Paradigm Healthcare nursing homes in Texas
- Paradigm at the Brazos · Richmond · 5 stars
- Paradigm at Bay City · Bay City · 4 stars
- Nazareth Living Care Center · El Paso · 3 stars
- Paradigm at Faith Memorial · Pasadena · 3 stars
- Paradigm at the Pines · Silsbee · 3 stars
- Paradigm at Katy · Katy · 1 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.