Paradigm at Westbury
5201 S Willow Dr, Houston, TX 77035 · CCN 675612
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 148
- Avg residents/day
- 105.4
- Phone
- 7137210297
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-28 | 9 | 9.1 | 9.5 | -0.1 better |
| 2 | 2024-01-07 | 18 | 9.4 | 9.8 | +8.6 worse |
| 3 | 2022-10-07 | 18 | 8.1 | 9.3 | +9.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.29 | 63.3% |
| RN staffing (reported) | 0.36 | 64.7% |
| Total nurse staffing (adjusted) | 3.10 | — |
Fines & penalties
- Total fines
- $118,093
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- PARADIGM HEALTHCARE
- Facilities in chain
- 18
- Chain avg overall
- 2.10 / 5
Inspection citations (45)4 immediate jeopardy2 actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-24 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-24 · Health · corrected 2025-12-12
Potential for more than minimal harm
- KF0695Provide safe and appropriate respiratory care for a resident when needed.2025-08-28 · Health · corrected 2025-09-17
Immediate jeopardy
- DF0584Honor 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.2025-05-02 · Health · corrected 2025-05-06
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-28 · Health · corrected 2025-04-23
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-03-28 · Health · corrected 2025-04-23
Potential for more than minimal harm
- EF0760Ensure that residents are free from significant medication errors.2025-03-28 · Health · corrected 2025-04-23
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-28 · Health · corrected 2025-04-23
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-03-28 · Health · corrected 2025-04-23
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-28 · Health · corrected 2025-01-30
Actual harm
- LF0584Honor 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.2025-01-15 · Health · corrected 2025-01-25
Immediate jeopardy
- DF0641Ensure each resident receives an accurate assessment.2024-10-15 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-15 · Health · corrected 2024-10-15
Potential for more than minimal harm
- DF0584Honor 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.2024-07-03 · Health · corrected 2024-07-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-27 · Health · corrected 2024-06-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-06-27 · Health · corrected 2024-06-30
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-06 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-06 · Health · corrected 2024-06-12
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-06 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-06-06 · Health · corrected 2024-06-12
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-06 · Health · corrected 2024-06-12
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-30 · Health · corrected 2024-05-02
Potential for more than minimal harm
- DF0584Honor 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.2024-04-30 · Health · corrected 2024-05-02
Potential for more than minimal harm
- EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-04-30 · Health · corrected 2024-05-02
Potential for more than minimal harm
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-05 · Health · corrected 2024-02-07
Immediate jeopardy
- KF0926Have policies on smoking.2024-02-05 · Health · corrected 2024-02-07
Immediate jeopardy
- EF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-01-29 · Health · corrected 2024-02-05
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-07 · Health · corrected 2024-01-08
Actual harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-01-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-01-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-11-07 · Health · corrected 2023-11-10
Potential for more than minimal harm
- EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2023-11-03 · Health · corrected 2023-11-08
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-03 · Health · corrected 2023-11-08
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2023-10-17 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-10-17 · Health · corrected 2023-10-24
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-05 · Health · corrected 2023-06-09
Potential for more than minimal harm
- EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-10-07 · Health · corrected 2022-10-21
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-02-28 |
| WESTBURY PLACE NURSING & REHABILITATION, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-12-01 |
| BEARD, BARRY | Individual | CORPORATE DIRECTOR | — | 2012-01-01 |
| COUNCIL, JEFF | Individual | CORPORATE DIRECTOR | — | 2013-01-01 |
| CRAYTON, TOM | Individual | CORPORATE DIRECTOR | — | 2013-01-01 |
| MARTIN, MELISSA | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| MCCLAMROCH, JAMES | Individual | CORPORATE DIRECTOR | — | 2013-01-01 |
| MEFFORD, RUTHANNE | Individual | CORPORATE DIRECTOR | — | 2015-01-01 |
| MURRAY, MARK | Individual | CORPORATE DIRECTOR | — | 2011-01-01 |
| PETROSEWICZ, NORMA | Individual | CORPORATE DIRECTOR | — | 2013-01-01 |
| TAPE, MAY | Individual | CORPORATE DIRECTOR | — | 2008-01-15 |
| UTHMAN, EDWARD | Individual | CORPORATE DIRECTOR | — | 2008-01-01 |
| FREUDENBERGER, JOSEPH | Individual | CORPORATE OFFICER | — | 2007-06-19 |
| FREUDENBERGER, JOSEPH | Individual | W-2 MANAGING EMPLOYEE | — | 2007-06-19 |
Other facilities in Houston
| Name | Overall | Beds |
|---|---|---|
| Treemont Health Care Center | ★★★★★ | 70 |
| ST DOMINIC VILLAGE REHABILITATION AND NURSING CENT | ★★★★★ | 158 |
| Sharpville Residence and Rehabilitation Center | ★★★★☆ | 134 |
| Ashford Gardens | ★★★★☆ | 202 |
| Caraday of Houston | ★★★★☆ | 150 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.