Paradigm At Westbury
5201 S WILLOW DR, Houston, TX, 77035
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Paradigm Healthcare
- Certified beds
- 148 · avg 105 residents/day
- Total nursing staff turnover
- 63.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 64.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $118,093 total
State licensing & capacity
- License number
- 144359
- Service type
- Medicare/medicaid
- Licensed capacity
- 148 beds
- Bed type breakdown
- 13 Medicare-only · 135 Medicaid/Medicare
- Current license effective
- February 28, 2025
- Current license expires
- February 28, 2028
- Initial license date
- January 26, 1998
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Westbury Place Nursing & Rehabilitation Llc
- Administrator
- Ciara Riddle
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Healthcare chain — 18 facilities across 2 states. Chain-wide average overall rating 2.1 / 5.
Disclosed owners (13 on record)
- Westbury Place Nursing & Rehabilitation, Llc
Operational/managerial Control · since 2018
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2015
- Melissa Martin
Corporate Director · 9% · since 2015
- Ruthanne Mefford
Corporate Director · 9% · since 2015
- James r Mcclamroch
Corporate Director · 9% · since 2013
- Jeff Council
Corporate Director · 9% · since 2013
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 45)
- D0677·Nov 24, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0550·Nov 24, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- K0695·Aug 28, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0584·May 2, 2025Complaint
Resident Rights Deficiencies
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.
- D0814·Mar 28, 2025Complaint
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- E0812·Mar 28, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0760·Mar 28, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0759·Mar 28, 2025Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal penalties
By year
- 20252 fines · $104K
- 20241 fine · $15K
Most recent events
- Aug 28, 2025Fine · $22K
- Jan 15, 2025Fine · $81K
- Jan 7, 2024Fine · $15K
Largest single fine on record: $81K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Mar 28, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 197 minutes of nursing care per day, about 44 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 197 minutes stretch thinner than the raw number suggests.
About 6 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for turnover is 60% — this facility sits just above that line. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
Two administrators have turned over in the past year. That level of leadership change disrupts care coordination and staff continuity in ways residents feel directly.
CMS has issued 3 fines totaling $118,093 against this facility. The state median for fines among Texas nursing homes that have any is $20,699 — this facility's total is roughly six times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 71% of its 148 licensed beds — about 105 residents on an average day. Facilities running significantly below capacity sometimes face staffing or financial pressures; this occupancy sits alongside the other signals above rather than in isolation.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reasons behind three federal fines
Ask what the three CMS citations were for and what specific changes were made, given the $118,093 total — roughly six times the Texas median for fined facilities.
Current administrator tenure
Two administrators left in the past year; ask how long the current administrator has been in the role and whether leadership is expected to remain stable.
Staffing levels on nights and weekends
Reported weekend nursing hours are 2.88 per resident per day — lower than the already below-average weekday figure; ask how staffing is allocated across shifts.
How care plans are reviewed
Staffing rates 1 star but quality-measure ratings reach 3 stars; ask how frequently care plans are updated and who leads those reviews.
Why occupancy is below capacity
About 105 of 148 beds are filled on an average day; ask whether the lower census affects staffing ratios or any services offered to residents.
How the Resident Council operates
The facility has a Resident Council but no Family Council; ask how family members can raise concerns and how frequently the Resident Council meets.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.