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Paradigm at Westbury

5201 S Willow Dr
Houston, TX 77035 · 7137210297 · Harris County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds148
OwnershipFor profit - Corporation
State rank#911

By the numbers

42
Health citations (3 cycles)
4
Immediate-jeopardy (J/K/L)
3
Actual-harm (G/H/I)
$108,038
Federal fines (CMPs)
The trend: Citations are trending down — 10 in the most recent cycle versus 22 two cycles ago.

Recent Health Citations

May 30, 2026 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
May 30, 2026 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
May 30, 2026 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
Ensure 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.
May 30, 2026 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
May 30, 2026 · Health survey · F-tag 0657
D — No actual harm
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.
May 30, 2026 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 30, 2026 · Health survey · F-tag 0692
G — Actual harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Details
Correction status: Corrected Jun 25, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Standard survey
Nov 24, 2025 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nov 24, 2025 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Aug 28, 2025 · Health survey · F-tag 0695
K — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Details
Correction status: Corrected Sep 17, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
May 2, 2025 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
Honor 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.
Mar 28, 2025 · Health survey · F-tag 0814
D — No actual harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Mar 28, 2025 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 28, 2025 · Health survey · F-tag 0760
E — No actual harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Mar 28, 2025 · Health survey · F-tag 0759
E — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Mar 28, 2025 · Health survey · F-tag 0755
E — No actual harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 28, 2025 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Jan 30, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jan 15, 2025 · Health survey · F-tag 0584
L — Immediate jeopardy
Resident Rights Deficiencies
Honor 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.
Details
Correction status: Corrected Jan 25, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Oct 15, 2024 · Health survey · F-tag 0657
D — No actual harm
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.
Oct 15, 2024 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Texas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.