Paradigm At Katy

Nursing home · 1480 KATY FLEWELLEN, Katy, TX 77494 · Fort Bend County

1★Medicare overall

59cited deficiencies

7harm or jeopardy level

7penalties

Prices

Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.

Facility

Type: Nursing home · Nursing · MEDICARE/MEDICAID · certified
Capacity: 125
State license: 102353
Medicare CCN: 676064
Licensed entity: OAKBEND MEDICAL CENTER
Chain: PARADIGM HEALTHCARE
Ownership: For profit - Limited Liability company
Phone: 281 3940088
Nurse staffing: 4.41 hours per resident per day; 91.1% nursing staff turnover
Medicare ratings: Inspections 1★ · Staffing 1★ · Quality 4★
Official record: Texas HHSC provider search (TULIP)
Official record: Medicare Care Compare

Other public records for this operator

Penalties

May 25, 2026 — Fine ($70,800)
Feb 18, 2025 — Fine ($34,426)
Nov 19, 2024 — Fine ($50,449)
Nov 19, 2024 — Payment Denial · payment denial 12 days
Mar 15, 2024 — Fine ($14,701)
Mar 15, 2024 — Payment Denial · payment denial 6 days
Jan 31, 2024 — Fine ($71,069)

Inspection findings

Dec 15, 2025 Health · 1 finding
- Not serious Scope/severity E Complaint
  F0919 Environmental Deficiencies
  
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  
  Corrected Jan 14, 2026 · CMS health inspection
Nov 20, 2025 Health · 2 findings
- Not serious Scope/severity D Complaint
  F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies
  
  Respond appropriately to all alleged violations.
  
  Corrected Dec 12, 2025 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0880 Infection Control Deficiencies
  
  Provide and implement an infection prevention and control program.
  
  Corrected Dec 12, 2025 · CMS health inspection
May 1, 2025 Health · 14 findings
- Not serious Scope/severity D
  F0550 Resident Rights Deficiencies
  
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  F0656 Resident Assessment and Care Planning Deficiencies
  
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity E
  F0677 Quality of Life and Care Deficiencies
  
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity E
  F0679 Quality of Life and Care Deficiencies
  
  Provide activities to meet all resident's needs.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0689 Quality of Life and Care Deficiencies
  
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0690 Quality of Life and Care Deficiencies
  
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  F0693 Quality of Life and Care Deficiencies
  
  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.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  F0755 Pharmacy Service Deficiencies
  
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  F0761 Pharmacy Service Deficiencies
  
  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.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  F0814 Nutrition and Dietary Deficiencies
  
  Dispose of garbage and refuse properly.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  F0880 Infection Control Deficiencies
  
  Provide and implement an infection prevention and control program.
  
  Corrected May 31, 2025 · CMS health inspection
- Not serious Scope/severity D
  K0351 Smoke Deficiencies
  
  Install an approved automatic sprinkler system.
  
  Corrected May 31, 2025 · CMS fire safety
- Not serious Scope/severity D
  K0920 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Ensure proper usage of power strips and extension cords.
  
  Corrected May 31, 2025 · CMS fire safety
- Not serious Scope/severity D
  K0923 Gas, Vacuum, and Electrical Systems Deficiencies
  
  Have proper medical gas storage and administration areas.
  
  Corrected May 31, 2025 · CMS fire safety
Apr 4, 2025 Health · 1 finding
- Not serious Scope/severity D Complaint
  F0689 Quality of Life and Care Deficiencies
  
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  
  Corrected Apr 25, 2025 · CMS health inspection
Feb 18, 2025 Health · 1 finding
- Serious Scope/severity K Complaint
  F0880 Infection Control Deficiencies
  
  Provide and implement an infection prevention and control program.
  
  Corrected Mar 5, 2025 · CMS health inspection
Nov 19, 2024 Health · 3 findings
- Not serious Scope/severity D Complaint
  F0655 Resident Assessment and Care Planning Deficiencies
  
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  
  Corrected Dec 31, 2024 · CMS health inspection
- Serious Scope/severity G Complaint
  F0684 Quality of Life and Care Deficiencies
  
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  
  Corrected Dec 31, 2024 · CMS health inspection
- Serious Scope/severity K Complaint
  F0919 Environmental Deficiencies
  
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  
  Corrected Dec 31, 2024 · CMS health inspection
Jul 19, 2024 Health · 1 finding
- Not serious Scope/severity E Complaint
  F0835 Administration Deficiencies
  
  Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  
  Corrected Aug 5, 2024 · CMS health inspection
May 29, 2024 Health · 4 findings
- Not serious Scope/severity E Complaint
  F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
  
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  
  Corrected Jun 21, 2024 · CMS health inspection
- Serious Scope/severity J Complaint
  F0684 Quality of Life and Care Deficiencies
  
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  
  Corrected Jun 21, 2024 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0695 Quality of Life and Care Deficiencies
  
  Provide safe and appropriate respiratory care for a resident when needed.
  
  Corrected Jun 21, 2024 · CMS health inspection
- Serious Scope/severity J Complaint
  F0698 Quality of Life and Care Deficiencies
  
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  
  Corrected Jun 21, 2024 · CMS health inspection
Apr 25, 2024 Health · 2 findings
- Not serious Scope/severity D Complaint
  F0908 Environmental Deficiencies
  
  Keep all essential equipment working safely.
  
  Corrected Jun 15, 2024 · CMS health inspection
- Not serious Scope/severity D Complaint
  F0919 Environmental Deficiencies
  
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  
  Corrected Jun 15, 2024 · CMS health inspection
Apr 6, 2024 Health · 1 finding
- Not serious Scope/severity E Complaint
  F0919 Environmental Deficiencies
  
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  
  Corrected Jun 15, 2024 · CMS health inspection
Mar 15, 2024 Health · 15 findings
- Not serious Scope/severity B
  F0636 Resident Assessment and Care Planning Deficiencies
  
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity B
  F0638 Resident Assessment and Care Planning Deficiencies
  
  Assure that each resident’s assessment is updated at least once every 3 months.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0677 Quality of Life and Care Deficiencies
  
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0680 Quality of Life and Care Deficiencies
  
  Ensure the activities program is directed by a qualified professional.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0688 Quality of Life and Care Deficiencies
  
  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.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0689 Quality of Life and Care Deficiencies
  
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity E
  F0690 Quality of Life and Care Deficiencies
  
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0759 Pharmacy Service Deficiencies
  
  Ensure medication error rates are not 5 percent or greater.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity E
  F0761 Pharmacy Service Deficiencies
  
  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.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0880 Infection Control Deficiencies
  
  Provide and implement an infection prevention and control program.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  F0921 Environmental Deficiencies
  
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  
  Corrected Apr 15, 2024 · CMS health inspection
- Not serious Scope/severity D
  K0353 Smoke Deficiencies
  
  Inspect, test, and maintain automatic sprinkler systems.
  
  Corrected Mar 15, 2024 · CMS fire safety
- Not serious Scope/severity D
  K0363 Smoke Deficiencies
  
  Install corridor and hallway doors that block smoke.
  
  Corrected Mar 15, 2024 · CMS fire safety
- Not serious Scope/severity E
  K0372 Smoke Deficiencies
  
  Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  
  Corrected Mar 15, 2024 · CMS fire safety
- Not serious Scope/severity F
  K0712 Miscellaneous Deficiencies
  
  Have simulated fire drills held at unexpected times.
  
  Corrected Mar 15, 2024 · CMS fire safety
Jan 31, 2024 Health · 3 findings
- Serious Scope/severity K Complaint
  F0580 Resident Rights Deficiencies
  
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  
  Corrected Feb 23, 2024 · CMS health inspection
- Serious Scope/severity K Complaint
  F0684 Quality of Life and Care Deficiencies
  
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  
  Corrected Feb 23, 2024 · CMS health inspection
- Not serious Scope/severity E Complaint
  F0755 Pharmacy Service Deficiencies
  
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  
  Corrected Feb 23, 2024 · CMS health inspection
Feb 1, 2023 Health · 11 findings
- Not serious Scope/severity D
  F0558 Resident Rights Deficiencies
  
  Reasonably accommodate the needs and preferences of each resident.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0565 Resident Rights Deficiencies
  
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  
  Corrected Mar 7, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0576 Resident Rights Deficiencies
  
  Ensure residents have reasonable access to and privacy in their use of communication methods.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity E
  F0640 Resident Assessment and Care Planning Deficiencies
  
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0641 Resident Assessment and Care Planning Deficiencies
  
  Ensure each resident receives an accurate assessment.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0695 Quality of Life and Care Deficiencies
  
  Provide safe and appropriate respiratory care for a resident when needed.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0755 Pharmacy Service Deficiencies
  
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity E
  F0761 Pharmacy Service Deficiencies
  
  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.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0770 Administration Deficiencies
  
  Provide timely, quality laboratory services/tests to meet the needs of residents.
  
  Corrected Mar 1, 2023 · CMS health inspection
- Not serious Scope/severity D
  F0880 Infection Control Deficiencies
  
  Provide and implement an infection prevention and control program.
  
  Corrected Feb 22, 2023 · CMS health inspection
- Not serious Scope/severity D
  K0353 Smoke Deficiencies
  
  Inspect, test, and maintain automatic sprinkler systems.
  
  Corrected Feb 21, 2023 · CMS fire safety

Owners and managers (as published by CMS)

CRAYTON, TOM — managing control - governing body, NOT APPLICABLE, since 01/01/2024
CRAYTON, TOM — corporate director, NOT APPLICABLE, since 06/01/2023
DORMAN, JOHN — corporate director, NOT APPLICABLE, since 06/01/2023
DORMAN, JOHN — managing control - governing body, NOT APPLICABLE, since 01/01/2024
FREUDENBERGER, JOSEPH — managing control - governing body, NOT APPLICABLE, since 02/01/2025
FREUDENBERGER, JOSEPH — corporate officer, NOT APPLICABLE, since 06/01/2023
HALEY, JEFF — corporate director, NOT APPLICABLE, since 06/01/2023
HALEY, JEFF — managing control - governing body, NOT APPLICABLE, since 01/01/2024
HUGHES, RUSTON — managing control - governing body, NOT APPLICABLE, since 01/01/2024
KING, ABBY — managing control - governing body, NOT APPLICABLE, since 01/01/2024
KING, ABBY — corporate director, NOT APPLICABLE, since 06/01/2023
KING, ELIZABETH — managing control - governing body, NOT APPLICABLE, since 01/01/2024
KING, ELIZABETH — corporate director, NOT APPLICABLE, since 06/01/2023
PISANI, ADAM — corporate director, NOT APPLICABLE, since 06/01/2023
PISANI, ADAM — managing control - governing body, NOT APPLICABLE, since 01/01/2024
POLSTEIN, MOSHE — operational/managerial control, NOT APPLICABLE, since 02/01/2025
POLSTEIN, MOSHE — adp of the snf, NOT APPLICABLE, since 02/01/2025
POPATIA, AMIRALI — corporate director, NOT APPLICABLE, since 06/01/2023
POPATIA, AMIRALI — managing control - governing body, NOT APPLICABLE, since 01/01/2024
R, JOSE — adp of the snf, NOT APPLICABLE, since 02/01/2025
SHKOP, AHARON — adp of the snf, NOT APPLICABLE, since 02/01/2025
SHKOP, AHARON — operational/managerial control, NOT APPLICABLE, since 02/01/2025
STUART, JULIUS — corporate director, NOT APPLICABLE, since 06/01/2023
STUART, JULIUS — managing control - governing body, NOT APPLICABLE, since 01/01/2024
UTHMAN, EDWARD — managing control - governing body, NOT APPLICABLE, since 01/01/2024
UTHMAN, EDWARD — corporate director, NOT APPLICABLE, since 06/01/2023
KATY NURSING & REHABILITATION LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2025
KATY NURSING & REHABILITATION LLC — adp of the snf, NOT APPLICABLE, since 02/01/2025
LEV 1 PACK HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 12/02/2025
OAKBEND MEDICAL CENTER — operational/managerial control, NOT APPLICABLE, since 02/01/2025
OAKBEND MEDICAL CENTER — 5% or greater direct ownership interest, 100%, since 02/01/2025
ZEPHYR NH, LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2023
ZOS CHANUKAH ATIED FAMILY TRUST — adp of the snf, NOT APPLICABLE, since 12/02/2025
ZOS CHANUKAH LLC — adp of the snf, NOT APPLICABLE, since 12/02/2025

Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.