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F
Critical

Paradigm Northwest

17600 Cali Dr · Houston, TX 77090

2814409000 · For profit - Corporation

148 beds99.8 residents126 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Paradigm Northwest receives an overall staffing grade of F (Critical). With 3.2399 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.1945 HPRD, below the recommended 0.75. It is 0.66 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.99% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2399 HPRD — needs 0.24 more hours per resident per day.
⚠️RN staffing (0.1945 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2399hrs/resident/day▼ 0.66
CMS benchmark: 3.48
RN HPRD
0.1945hrs/resident/day▼ 0.49
Recommended: 0.75
Weekend Drop-off
16.99%
3.4033 weekday → 2.825 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6333hrs/resident/day
Direct care aides
LPN HPRD
1.048hrs/resident/day
Licensed practical nurses
Consistency
0.3665std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Harris County Average-0.34 HPRD
3.58
03.24 HPRD
vs. Texas State Average-0.16 HPRD
3.40
03.24 HPRD
vs. National Average-0.66 HPRD
3.90
03.24 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Paradigm Northwest ★
Houston · This facility
—
F
3.23990.1945★☆☆☆☆
THE WOODLANDS NURSING AND REHABILITATION CENTER
The Woodlands
10.4 mi
D
3.44120.3864★★★☆☆
Fallbrook Rehabiliation and Care Center
Houston
10.6 mi
C
3.2110.5207★☆☆☆☆
Oakmont Healthcare and Rehabilitation of Humble
Humble
11.5 mi
D
3.44820.3686☆☆☆☆☆
Sharpville Residence and Rehabilitation Center
Houston
21.8 mi
D
3.37830.3292★★★★☆
The Lev At town Park
Houston
22.1 mi
D
3.03760.3409★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

13
Inspections
28
Total Deficiencies
$45,087
Fines Assessed
Dec 11, 2025Health
6 deficiencies cited
▼
Dec 10, 2025Health
1 deficiency cited
▼
Aug 18, 2025Health
2 deficiencies cited· Includes actual harm
▼
Aug 12, 2025Health
2 deficiencies cited· Includes actual harm
▼
Aug 5, 2025Health
1 deficiency cited
▼
Jun 12, 2025Health
1 deficiency cited
▼
Mar 5, 2025Health
1 deficiency cited
▼
Dec 20, 2024Health
1 deficiency cited· Includes actual harm
▼
Sep 26, 2024Health
4 deficiencies cited
▼
Sep 13, 2024Health
2 deficiencies cited
▼
May 8, 2024Health
1 deficiency cited
▼
Feb 14, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jul 28, 2023Health
4 deficiencies cited
▼

Penalty History

Aug 5, 2025Fine
$21,045
Dec 20, 2024Fine
$14,433
Feb 14, 2024Fine
$9,609
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.