Starfile

Starfile / Texas

Paradigm at Woodwind Lakes

7215 Windfern Rd, Houston, TX 77040 · CCN 675085

SFF

Ratings

Overall
Health inspection
Quality measures
Staffing

Facility

Ownership type
For profit - Limited Liability company
Certified beds
180
Avg residents/day
132.8
Phone
7134668933

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12026-01-09119.19.5+1.9 worse
22025-08-1459.49.8-4.4 better
32025-04-10398.19.3+30.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care6
Resident assessment and care planning2
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4254.4%
RN staffing (reported)0.5140.0%
Total nurse staffing (adjusted)3.56

Fines & penalties

Total fines
$265,534
Number of fines
3
Number of penalties
4
Payment denials
1

Chain

Chain
PARADIGM HEALTHCARE
Facilities in chain
18
Chain avg overall
2.10 / 5

Inspection citations (55)11 immediate jeopardy3 actual harm

  1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-09 · Health

    Potential for more than minimal harm

  2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-09 · Health

    Potential for more than minimal harm

  3. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2026-01-09 · Health

    Actual harm

  4. 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.2026-01-09 · Health

    Potential for more than minimal harm

  5. DF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-09 · Health

    Potential for more than minimal harm

  6. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-09 · Health

    Potential for more than minimal harm

  7. DF0880Provide and implement an infection prevention and control program.2026-01-09 · Health

    Potential for more than minimal harm

  8. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-14 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  9. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-14 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  10. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-14 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  11. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-14 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  12. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-08-14 · Health · corrected 2025-09-12

    Potential for more than minimal harm

  13. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-07-22 · Health · corrected 2025-08-19

    Potential for more than minimal harm

  14. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-10 · Health

    Potential for more than minimal harm

  15. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-10 · Health

    Immediate jeopardy

  16. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-10 · Health

    Potential for more than minimal harm

  17. DF0759Ensure medication error rates are not 5 percent or greater.2025-04-10 · Health

    Potential for more than minimal harm

  18. DF0880Provide and implement an infection prevention and control program.2025-04-10 · Health

    Potential for more than minimal harm

  19. EF0584Honor 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.2025-02-20 · Health · corrected 2025-03-14

    Potential for more than minimal harm

  20. EF0584Honor 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.2024-09-26 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-10 · Health · corrected 2024-02-17

    Potential for more than minimal harm

  22. EF0693Ensure 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.2024-01-10 · Health · corrected 2024-02-17

    Potential for more than minimal harm

  23. DF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-01-10 · Health · corrected 2024-02-17

    Potential for more than minimal harm

  24. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-10 · Health · corrected 2024-02-17

    Potential for more than minimal harm

  25. EF0759Ensure medication error rates are not 5 percent or greater.2024-01-10 · Health · corrected 2024-02-17

    Potential for more than minimal harm

  26. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-10 · Health · corrected 2024-02-17

    Potential for more than minimal harm

  27. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-10-19 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  28. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-19 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  29. EF0880Provide and implement an infection prevention and control program.2023-10-19 · Health · corrected 2023-10-22

    Potential for more than minimal harm

  30. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-23 · Health · corrected 2023-07-25

    Immediate jeopardy

  31. EF0584Honor 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.2023-08-04 · Health · corrected 2023-08-07

    Potential for more than minimal harm

  32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-04 · Health · corrected 2023-08-07

    Potential for more than minimal harm

  33. 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.2023-08-04 · Health · corrected 2023-08-07

    Potential for more than minimal harm

  34. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-08-04 · Health · corrected 2023-08-07

    Potential for more than minimal harm

  35. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-17 · Health · corrected 2023-07-19

    Immediate jeopardy

  36. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-17 · Health · corrected 2023-07-19

    Immediate jeopardy

  37. KF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-17 · Health · corrected 2023-07-19

    Immediate jeopardy

  38. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-17 · Health · corrected 2023-07-19

    Immediate jeopardy

  39. KF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-07-17 · Health · corrected 2023-07-19

    Immediate jeopardy

  40. EF0558Reasonably accommodate the needs and preferences of each resident.2023-06-15 · Health · corrected 2023-06-17

    Potential for more than minimal harm

  41. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-15 · Health · corrected 2023-06-17

    Immediate jeopardy

  42. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-06-15 · Health · corrected 2023-06-17

    Immediate jeopardy

  43. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-15 · Health · corrected 2023-06-17

    Potential for more than minimal harm

  44. KF0610Respond appropriately to all alleged violations.2023-06-15 · Health · corrected 2023-06-17

    Immediate jeopardy

  45. HF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-06-15 · Health · corrected 2023-06-17

    Actual harm

  46. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-06-15 · Health · corrected 2023-06-17

    Actual harm

  47. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-15 · Health · corrected 2023-06-17

    Immediate jeopardy

  48. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-06-15 · Health · corrected 2023-06-17

    Potential for more than minimal harm

  49. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-15 · Health · corrected 2023-06-17

    Potential for more than minimal harm

  50. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-06-15 · Health · corrected 2023-06-17

    Potential for more than minimal harm

  51. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-06-06 · Health · corrected 2023-06-10

    Potential for more than minimal harm

  52. DF0641Ensure each resident receives an accurate assessment.2023-03-30 · Health · corrected 2023-05-02

    Potential for more than minimal harm

  53. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-03-30 · Health · corrected 2023-05-02

    Potential for more than minimal harm

  54. EF0693Ensure 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.2023-03-30 · Health · corrected 2023-05-02

    Potential for more than minimal harm

  55. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-30 · Health · corrected 2023-05-02

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
OAKBEND MEDICAL CENTEROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-03-31
WOODWIND LAKES NURSING & REHABILITATION, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2018-12-01
COUNCIL, JEFFIndividualCORPORATE OFFICER2013-01-01
CRAYTON, TOMIndividualCORPORATE OFFICER2013-01-01
DOUDS, ROBERTIndividualCORPORATE OFFICER2016-01-19
FREUDENBERGER, JOSEPHIndividualCORPORATE OFFICER2007-06-19
HALEY, JEFFIndividualCORPORATE OFFICER2012-01-01
MARTIN, MELISSAIndividualCORPORATE OFFICER2015-01-01
MEFFORD, RUTHANNEIndividualCORPORATE OFFICER2015-01-01
PETROSEWICZ, NORMAIndividualCORPORATE OFFICER2013-01-01
POPATIA, AMIRALIIndividualCORPORATE OFFICER2011-01-01
UTHMAN, EDWARDIndividualCORPORATE OFFICER2008-01-01
ZERWAS, JOHNIndividualCORPORATE OFFICER2013-01-01
FREUDENBERGER, JOSEPHIndividualW-2 MANAGING EMPLOYEE2007-06-19

Other facilities in Houston

NameOverallBeds
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.