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Nursing-home chain

Paradigm Healthcare

We list 16 facilities in Texas. CMS records 18 chain facilities in total across 2 states; the rest sit in states we haven't loaded yet.

Listed in our coverage
16
1 state
Chain-wide footprint
18
2 states (CMS-wide)
Avg overall rating
2.1 / 5
CMS chain-wide
Total fines
$1,699,852
39 fines
94% for-profit6% government-owned3 on Special Focus Facility list4 flagged for abuse

Facilities listed in our coverage

Texas

16 facilities in Texas

Paradigm At Bay City

1800 13TH ST, Bay City

3/5CMS overallStaff 5·Health 2
$50K in fines · 1 fine

Nursing home · Medicare/medicaid · 105 beds · For-profit

Bed mix: 33 Medicare · 72 dual

Paradigm At Bay City is a 105-bed nursing home in Bay City, Texas, licensed through March 2026 and managed by Bay City Nursing & Rehabilitation LLC under county licensee Oakbend Medical Center. CMS rates it 3 stars overall, with a 5-star staffing rating but a 2-star health inspection rating. One CMS fine of $50,359 is on record. The facility is currently operating at roughly 38% of licensed capacity.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At The Prairies

106 DEL NORTE DR., El Campo

2/5CMS overallStaff 2·Health 2
CMS abuse flag$49K in fines · 2 fines

Nursing home · Medicare/medicaid · 150 beds · For-profit

Bed mix: 15 Medicare · 135 dual

Paradigm At The Prairies is a 150-bed nursing home in El Campo (Wharton County), Texas, licensed under Oakbend Medical Center and managed by El Campo Nursing & Rehabilitation LLC. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding within the past 36 months and two fines totaling $49,277 since its last inspection cycle. The facility is operating at roughly 64% of licensed capacity.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Nazareth Living Care Center

1475 RAYNOLDS ST., El Paso

3/5CMS overallStaff 2·Health 2

Nursing home · Medicare/medicaid · 108 beds · For-profit

Bed mix: 24 Medicare · 84 dual

Nazareth Living Care Center is a 108-bed nursing home in El Paso, licensed since 1971 and currently managed by Paradigm Healthcare under El Paso County Hospital District. CMS rates it 3 stars overall, with a 2-star staffing rating and a 2-star health inspection rating — though quality measures reach 5 stars on both long-stay and short-stay metrics. About 60% of licensed beds are occupied. No CMS fines are on record.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Westbury

5201 S WILLOW DR, Houston

1/5CMS overallStaff 1·Health 1
$118K in fines · 3 fines

Nursing home · Medicare/medicaid · 148 beds · For-profit

Bed mix: 13 Medicare · 135 dual

Paradigm At Westbury is a 148-bed nursing home in Houston's Harris County, licensed to Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings for both health inspections and staffing. Three federal fines totaling $118,093 have been issued, and two administrators have left in the past year. The facility is operating at roughly 71% of its licensed beds.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Woodwind Lakes

7215 WINDFERN RD, Houston

Special Focus Facility$266K in fines · 3 fines

Nursing home · Medicare/medicaid · 180 beds · For-profit

Bed mix: 5 Medicare · 175 dual

Paradigm at Woodwind Lakes is a 180-bed Medicare- and Medicaid-certified nursing home in Houston (Harris County), licensed since 1978 and operated by Woodwind Lakes Nursing and Rehabilitation LLC under the licensee Oakbend Medical Center, a hospital district authority. The facility holds an active state license through March 2029. No CMS Care Compare data is currently matched to this location, so federal inspection, staffing, and quality ratings are not available through this record.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm Northwest

17600 CALI DR, Houston

1/5CMS overallStaff 1·Health 1
$51K in fines · 4 fines

Nursing home · Medicare/medicaid · 148 beds · For-profit

Bed mix: 12 Medicare · 136 dual

Paradigm Northwest is a 148-bed nursing home in Houston (Harris County) licensed since 1978, managed by Northwest Nursing & Rehabilitation LLC under Oakbend Medical Center. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Four federal fines totaling $51,400 have been issued, more than double the Texas median. Quality-measure ratings split sharply: 4 stars for long-stay residents, 1 star for short-stay care.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Katy

1480 KATY FLEWELLEN, Katy

1/5CMS overallStaff 1·Health 1
$171K in fines · 4 fines

Nursing home · Medicare/medicaid · 125 beds · For-profit

Bed mix: 34 Medicare · 91 dual

Paradigm at Katy is a 125-bed nursing home in Katy (Fort Bend County) licensed under Oakbend Medical Center and managed by Katy Nursing & Rehabilitation LLC. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Four CMS fines since the current processing period total $170,645 — more than eight times the Texas median fine amount. The facility is running at about 58% of its licensed beds, with 73 of 125 beds occupied on an average day.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Kountze

604 FM 1293, Kountze

4/5CMS overallStaff 3·Health 3
$28K in fines · 2 fines

Nursing home · Medicare/medicaid · 60 beds · For-profit

Bed mix: 3 Medicare · 57 dual

Paradigm At Kountze is a 60-bed nursing home in Kountze, Hardin County, operated by Kountze Nursing & Rehabilitation LLC under licensee Oakbend Medical Center, a hospital district. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 3-star staffing rating. Two CMS fines totaling $27,971 have been issued. The facility is running at roughly 72% of licensed capacity, with 42.9 residents on an average day.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At First Colony

4710 LEXINGTON BLVD, Missouri City

1/5CMS overallStaff 1·Health 1
$211K in fines · 3 fines

Nursing home · Medicare/medicaid · 150 beds · For-profit

Bed mix: 47 Medicare · 103 dual

Paradigm At First Colony is a 150-bed nursing home in Missouri City, Fort Bend County, managed by First Colony Nursing & Rehabilitation, LLC under county licensee Oakbend Medical Center. CMS rates it 1 star overall — the lowest rating — with 1-star scores on both health inspections and staffing. Three CMS fines total $211,113 since the facility's current data period. Occupancy runs at about 71% of licensed beds, below typical levels for the area.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Faith Memorial

811 GARNER RD, Pasadena

2/5CMS overallStaff 1·Health 2
$98K in fines · 3 fines

Nursing home · Medicare/medicaid · 112 beds · For-profit

Paradigm At Faith Memorial is a 112-bed nursing home in Pasadena, Harris County, operating under Paradigm Healthcare and licensed since 1971. CMS rates it 2 stars overall, with a 1-star staffing rating and 3 fines totaling $98,417. Its quality-of-care outcomes rate 5 stars — the highest tier — on long-stay measures. All 112 beds accept Medicare and Medicaid; the facility currently houses about 85 residents.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At The Brazos

2127 PRESTON ST, Richmond

5/5CMS overallStaff 3·Health 5

Nursing home · Medicare/medicaid · 56 beds · For-profit

Bed mix: 1 Medicare · 55 dual

Paradigm At The Brazos is a 56-bed nursing home in Richmond, Texas, licensed since 1971 and operated under Oakbend Medical Center with management by Brazos Nursing & Rehabilitation LLC. CMS rates it 5 stars overall, with 5 stars on health inspections and quality measures. Staffing earns 3 stars, and the facility is currently running at about 74% of licensed capacity — roughly 41 of 56 beds occupied.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At The Oak

507 WEST AVE, Schulenberg

1/5CMS overallStaff 1·Health 1
CMS abuse flag$227K in fines · 4 fines

Nursing home · Medicare/medicaid · 90 beds · For-profit

Bed mix: 12 Medicare · 78 dual

Paradigm At The Oak is a 90-bed nursing home in Schulenburg, Texas, operated by Schulenburg Nursing & Rehabilitation LLC under county licensee Oakbend Medical Center. CMS rates it 1 star overall, with 1-star ratings for both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect here within the past 36 months, and four fines totaling $227,267 have been issued. Two administrators have turned over in the past year. The facility is currently operating at roughly 66% of licensed capacity.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At The Pines

705 HWY 418 W, Silsbee

3/5CMS overallStaff 2·Health 2
CMS abuse flag$13K in fines · 1 fine

Nursing home · Medicare/medicaid · 90 beds · Government

Bed mix: 10 Medicare · 80 dual

Paradigm At The Pines is a 90-bed nursing home in Silsbee, Texas, licensed to Oakbend Medical Center (a county hospital district) and managed by Pines Nursing & Rehabilitation LLC. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated abuse or neglect finding in the past 36 months. Quality-of-care measures score 5 stars. The facility is running at about 60% of licensed beds — roughly 54 residents currently.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Sweeny

109 N MCKINNEY, Sweeny

2/5CMS overallStaff 1·Health 1
CMS abuse flag$11K in fines · 1 fine

Nursing home · Medicare/medicaid · 90 beds · For-profit

Bed mix: 8 Medicare · 82 dual

Paradigm At Sweeny is a 90-bed nursing home in Sweeny, Brazoria County, operated under Oakbend Medical Center's license and managed by Sweeny Nursing & Rehabilitation LLC. CMS rates it 2 stars overall, with 1-star ratings on both staffing and health inspections. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Three administrators have turned over in the past year. Quality-measure outcomes rate 5 stars.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At The Creek

1405 VALHALLA DR, Wharton

1/5CMS overallStaff 1·Health 1
$48K in fines · 3 fines

Nursing home · Medicare/medicaid · 120 beds · For-profit

Bed mix: 22 Medicare · 98 dual

Paradigm At The Creek is a 120-bed nursing home in Wharton, Texas, licensed under Oakbend Medical Center and managed by Wharton Nursing & Rehabilitation LLC. CMS rates it 1 star overall — the lowest rating — with 1-star ratings across health inspections, staffing, and quality measures. Three fines totaling $48,176 have been issued. The facility is currently running at roughly 42% of its licensed beds, with 50 of 120 occupied on an average day.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Paradigm At Stevens

204 WALTER ST, Yoakum

2/5CMS overallStaff 2·Health 2

Nursing home · Medicare/medicaid · 106 beds · For-profit

Bed mix: 20 Medicare · 86 dual

Paradigm At Stevens is a 106-bed nursing home in Yoakum, Texas, licensed to Oakbend Medical Center and managed by Dewitt Nursing & Rehabilitation LLC under the Paradigm Healthcare chain. CMS rates it 2 stars overall, with matching 2-star ratings on health inspections and staffing. Quality-of-care measures rate 4 stars. The facility is running at roughly 42% of licensed capacity — about 44 residents in a building certified for 106.

Verified·CMS Mar 2026 · Texas HHSC Apr 16, 2026

Source: CMS Nursing Home Chain Performance Measures (chain-wide rollups), as of March 2026 · CMS SNF Enrollments + state licensing registries (per-facility records).