Paradigm Northwest

Nursing Home · Houston, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number455714

Contact & location

17600 Cali Dr
Houston, TX 77090
Harris County
Phone
(281) 440-9000
ZIP code
77090 – all care providers

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Facility details

Certified beds
148
Residents per day
114.5 (77% occupied)
Ownership
For profit - Corporation
Legal name
Oakbend Medical Center
Chain
Paradigm Healthcare (17 facilities, avg 1.9★)
Medicare certified since
September 1, 1987
Participates in
Medicare and Medicaid

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.96 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.23 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.85 (state 0.95 · U.S. 0.86)
Nurse aides
1.88 (state 2.00 · U.S. 2.32)
Weekend total
2.63 (state 2.98 · U.S. 3.42)
Nursing staff turnover
52.3 (state 55.3 · U.S. 45.8)%
RN turnover
66.7 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
December 11, 2025
Health deficiencies (last cycle)
17.0 (state 9.3 · U.S. 9.3)
From complaints
11
Citations on record (3 years)
33 health · 6 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-04-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-04-11
2026-04-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-11
2026-04-10 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-04-11
2026-01-21 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-28
2025-12-11 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-16
2025-12-11 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 2025-12-16
2025-12-11 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 2025-12-16
2025-12-11 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-16
2025-12-11 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-16
2025-12-11 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-16
2025-12-10 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 · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-12-11
2025-12-10 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-11
2025-08-18 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-22
2025-08-18 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-22
2025-08-12 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 · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-07
2025-08-12 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-08-15
2025-08-05 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-08-18
2025-06-12 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-13
2025-03-05 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-25
2024-12-20 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-01-10
2024-09-26 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 · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-18
2024-09-26 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 2024-10-18
2024-09-26 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-18
2024-09-26 Dispose of garbage and refuse properly.
F0814 · Nutrition and Dietary Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2024-10-18
2024-09-13 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-26
2024-09-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-26
2024-05-08 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-23
2024-02-14 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2024-02-19
2024-02-14 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 · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-02-19
2023-07-28 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		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-31
2023-07-28 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-31
2023-07-28 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-31
2023-07-28 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
F0925 · Environmental Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-08-31

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

4 penalties in the last three years, including $51,400 in fines.

DateTypeAmount
2025-08-05Fine$13,679
2025-08-05Fine$13,679
2024-12-20Fine$14,433
2024-02-14Fine$9,609

Ownership & management

NameRoleSince
Oakbend Medical Center (organization)5%+ Direct Ownership Interest · 100%
Freudenberger, Joseph (individual)Corporate Officer · NOT APPLICABLE
Northwest Nursing & Rehabilitation LLC (organization)Operational/managerial Control · NOT APPLICABLE
Shkop, Aharon (individual)Operational/managerial Control · NOT APPLICABLE
Freudenberger, Joseph (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Paradigm Northwest?

Paradigm Northwest has a 1-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 Northwest have?

It has 148 certified beds and cares for about 115 residents per day.

Has Paradigm Northwest been fined?

Yes. CMS lists 4 penalties totaling $51,400 in the last three years.

Who owns Paradigm Northwest?

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 Northwest?

(281) 440-9000. The facility is located at 17600 Cali Dr, Houston, TX 77090.

Other nursing homes in Houston

Compare all nursing homes in Houston, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.