Paradigm Northwest
17600 CALI DR, Houston, TX, 77090
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 100 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 57.1% — 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)
- 4 fines · $51,400 total
State licensing & capacity
- License number
- 308799
- Service type
- Medicare/medicaid
- Licensed capacity
- 148 beds
- Bed type breakdown
- 12 Medicare-only · 136 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- October 1, 2028
- Initial license date
- April 1, 1978
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Northwest Nursing & Rehabilitation Llc
- Administrator
- Megan Lowe
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 (4 on record)
- Aharon Shkop
Operational/managerial Control · 100% · since 2022
- Joseph Freudenberger
Corporate Officer · 100% · since 2022
- Northwest Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2022
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2022
Recent change of ownership
October 2022 (3 years ago) · acquired from Northwest Health And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 30)
- D0657·Jan 21, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0880·Dec 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0759·Dec 11, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0692·Dec 11, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0656·Dec 11, 2025
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.
- D0644·Dec 11, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0578·Dec 11, 2025
Resident Rights Deficiencies
Honor 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.
- E0812·Dec 10, 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.
Federal penalties
By year
- 20252 fines · $27K
- 20242 fines · $24K
Most recent events
- Aug 5, 2025Fine · $14K
- Aug 5, 2025Fine · $14K
- Dec 20, 2024Fine · $14K
- Feb 14, 2024Fine · $9,609
Largest single fine on record: $14K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Dec 11, 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 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.
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 lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 194 minutes of nursing care per day, about 47 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 194 minutes stretch thinner than the raw number suggests. RN coverage is 12 minutes per resident per day, against 37 minutes at a 4-star-staffing Texas facility.
Two administrators have left in the past year, which is a level of leadership turnover that residents and front-line staff typically feel in day-to-day consistency.
CMS issued 4 fines totaling $51,400 since the facility's last inspection cycle. The Texas median across fined facilities is about $20,699; 30% of Texas nursing homes received no fines at all.
The facility is operating at roughly 67% of its 148 licensed beds — about 100 residents against licensed capacity — which is lower occupancy than most nursing homes in the state, and it coincides with the other signals above.
Quality-measure ratings split in a way worth examining directly: long-stay residents (those living here for months or years) rate 5 stars on health outcomes, while short-stay residents (those recovering from a hospital stay) rate 1 star. These two populations receive care under different staffing and clinical routines, and the gap between their outcome ratings is substantial.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator stability going forward
Two administrators have left in the past year — ask who the current administrator is, how long they have been in the role, and what leadership continuity looks like now.
Short-stay vs. long-stay care differences
CMS rates long-stay outcomes at 5 stars and short-stay outcomes at 1 star — ask what specifically differs in staffing, therapy scheduling, and care planning between those two tracks.
What the four federal fines covered
Four CMS fines totaling $51,400 have been issued — ask what deficiencies triggered each fine and what corrective steps were taken.
Registered nurse hours each day
CMS data shows about 12 minutes of RN time per resident per day — ask how many registered nurses are on each shift and what hours they are present in the building.
Current bed availability and waitlist
The facility is running at roughly 67% occupancy with about 100 of 148 beds filled — ask whether there are specific units or care levels that are fuller than others.
Resident and family council status
The record does not show an active resident or family council — ask whether either exists and how residents and families currently raise concerns with management.
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.