Paradigm At Katy
1480 KATY FLEWELLEN, Katy, TX, 77494
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 - Limited Liability company · Chain: Paradigm Healthcare
- Certified beds
- 125 · avg 73 residents/day
- 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 · $170,645 total
- Payment denials
- 2 denials
State licensing & capacity
- License number
- 311553
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 34 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- February 1, 2025
- Current license expires
- June 1, 2026
- Initial license date
- September 7, 2005
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Katy Nursing & Rehabilitation Llc
- Administrator
- Nosa Akpata
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 (21 on record)
- Lev 1 Pack Holdings Llc
Adp of The Snf · since 2025
- Zos Chanukah Atied Family Trust
Adp of The Snf · since 2025
- Zos Chanukah Llc
Adp of The Snf · since 2025
- Aharon Shkop
Operational/managerial Control · since 2025
- Jose Amado Rodas r
Adp of The Snf · since 2025
- Joseph Freudenberger
Managing Control - Governing Body · since 2025
+ 15 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 52)
- E0919·Dec 15, 2025Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- G0684·Dec 15, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0880·Nov 20, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0610·Nov 20, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0690·May 1, 2025Complaint
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.
- D0689·May 1, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0880·May 1, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0814·May 1, 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Federal penalties
By year
- 20251 fine · $34K
- 20243 fines · $136K · 2 payment denials
Most recent events
- Feb 18, 2025Fine · $34K
- Nov 19, 2024Payment denial · 12 days · starting Dec 19, 2024
- Nov 19, 2024Fine · $50K
- Mar 15, 2024Payment denial · 6 days · starting Jun 15, 2024
- Mar 15, 2024Fine · $15K
- Jan 31, 2024Fine · $71K
Largest single fine on record: $71K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: May 1, 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 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.
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 roughly 38% of Texas nursing homes. Each resident receives about 266 minutes of total nursing care per day, which is 25 minutes short of what a 4-star-staffing facility in Texas provides. That gap matters more here than the raw number suggests: residents at this facility require more hands-on daily care than at a typical facility — sicker or less mobile on average — so the same hours stretch across heavier needs than the 266-minute figure alone conveys.
Two administrators have left in the past year. Residents experience that instability directly — through changing care routines, inconsistent follow-through on care plans, and staff uncertainty about leadership priorities.
CMS recorded four fines totaling $170,645. The Texas median across fined facilities is $20,699; this facility's total is more than eight times that figure. Fines at this level typically reflect deficiencies that inspectors found serious enough to warrant civil monetary penalties, not just citations.
At roughly 58% occupancy — about 73 residents in a 125-bed facility — the building is operating well below capacity. Low occupancy alongside 1-star ratings and severe fines is a pattern worth examining directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the four CMS fines
Ask what deficiencies triggered the $170,645 in fines and what specific changes were made in response to each citation.
Two administrators in one year
Ask why two administrators left within the past year and who currently holds that role on a permanent basis.
Staffing coverage on nights and weekends
CMS logs weekend nursing hours at 4.02 per resident per day versus 4.43 on weekdays — ask how many nurses and aides are on the floor during overnight and weekend shifts.
Why occupancy is at 58%
With roughly 52 beds sitting empty on an average day, ask whether that reflects recent admissions slowdowns, discharge patterns, or planned unit closures.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how its concerns are formally documented and addressed.
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.