Paradigm at Kountze
Nursing Home · Kountze, TX
CMS certification number455594
Contact & location
604 FM 1293Kountze, TX 77625
Hardin County
- Phone
- (409) 246-3418
- ZIP code
- 77625 – all care providers
Facility details
- Certified beds
- 60
- Residents per day
- 48.2 (80% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities, avg 1.9★)
- Medicare certified since
- October 23, 1985
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.23 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.58 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.83 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.82 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.95 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 25.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- 14.3 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- August 13, 2025
- Health deficiencies (last cycle)
- 3.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 25 health · 5 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-08-13 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-13 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2025-08-13 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-05 |
| 2024-07-25 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-08-01 |
| 2024-07-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-15 |
| 2024-07-25 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2024-07-25 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-01 |
| 2023-06-14 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2023-06-15 |
| 2023-06-14 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-15 |
| 2023-06-14 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-15 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $16,801 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-25 | Fine | $16,801 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Oakbend Medical Center (organization) | 5%+ Direct Ownership Interest · 100% | |
| Council, Jeff (individual) | Corporate Officer · NOT APPLICABLE | |
| Crayton, Tom (individual) | Corporate Officer · NOT APPLICABLE | |
| Douds, Robert (individual) | Corporate Officer · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| Haley, Jeff (individual) | Corporate Officer · NOT APPLICABLE | |
| Martin, Melissa (individual) | Corporate Officer · NOT APPLICABLE | |
| Mefford, Ruthanne (individual) | Corporate Officer · NOT APPLICABLE | |
| Petrosewicz, Norma (individual) | Corporate Officer · NOT APPLICABLE | |
| Popatia, Amirali (individual) | Corporate Officer · NOT APPLICABLE | |
| Uthman, Edward (individual) | Corporate Officer · NOT APPLICABLE | |
| Zerwas, John (individual) | Corporate Officer · NOT APPLICABLE | |
| Kountze Nursing & Rehabilitation LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Paradigm at Kountze?
Paradigm at Kountze has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Paradigm at Kountze have?
It has 60 certified beds and cares for about 48 residents per day.
Has Paradigm at Kountze been fined?
Yes. CMS lists 1 penalty totaling $16,801 in the last three years.
Who owns Paradigm at Kountze?
It is part of Paradigm Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Paradigm at Kountze?
(409) 246-3418. The facility is located at 604 FM 1293, Kountze, TX 77625.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.