Paradigm At Kountze
604 FM 1293, Kountze, TX, 77625
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
- 60 · avg 43 residents/day
- Total nursing staff turnover
- 31.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $27,971 total
State licensing & capacity
- License number
- 148069
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 3 Medicare-only · 57 Medicaid/Medicare
- Current license effective
- March 31, 2026
- Current license expires
- March 31, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Koutze Nursing & Rehabilitation Llc
- Administrator
- Victoria L Fulgham
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)
- Kountze Nursing & Rehabilitation Llc
Operational/managerial Control · since 2022
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2017
- Robert Douds
Corporate Officer · since 2016
- Melissa Martin
Corporate Officer · since 2015
- Ruthanne Mefford
Corporate Officer · since 2015
- Jeff Council
Corporate Officer · 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 26)
- E0812·Aug 13, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0644·Aug 13, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- E0641·Aug 13, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0609·Jul 25, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0607·Jul 25, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E0880·Jul 25, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Jul 25, 2024
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- F0847·Jul 25, 2024
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Federal penalties
By year
- 20241 fine · $17K
- 20231 fine · $11K
Most recent events
- Jul 25, 2024Fine · $17K
- Jun 14, 2023Fine · $11K
Largest single fine on record: $17K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Aug 13, 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 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.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about 209 minutes of nursing care per resident per day, roughly 32 minutes less than at a 4-star-staffing facility in Texas. That gap matters more here because residents at this facility tend to need more hands-on care than at a typical nursing home, so those hours stretch thinner than the raw number suggests.
Nursing staff turnover runs exceptionally low: about 3 in 10 nursing staff left in the past year, below Texas's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state. RN turnover is similarly low at 3 in 10, in the low tier for Texas. A long-stay resident is unlikely to cycle through many primary caregivers here.
CMS has issued 2 fines totaling $27,971 since the facility's data window. The state median fine total for Texas nursing homes that receive fines is $20,699, putting this facility's total modestly above that midpoint. About 30% of Texas nursing homes have no fines at all.
The facility is operating at roughly 72% of its 60 licensed beds — about 42 residents on an average day. Beds are available.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.99 hours per resident per day here — ask how many nurses and aides are on duty overnight and on weekends specifically.
What the two fines covered
CMS issued two fines totaling $27,971 — ask what deficiencies triggered them and what changes were made in response.
Why occupancy runs at 72%
The facility averages about 43 residents against 60 licensed beds — ask whether that reflects a recent trend, seasonal variation, or something specific to admissions.
How care plans are reviewed
Quality-of-care rates 5 stars despite a 3-star staffing rating — ask how often care plans are updated and who leads those reviews.
Resident Council meeting schedule
A Resident Council is in place but no Family Council — ask how often the Resident Council meets and how family members can raise concerns outside of that channel.
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.