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Nursing HomeMedicaid Investigative

Paradigm at Katy

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1480 Katy Flewellen, Katy, TX 77494125 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 62 Google reviews

5
4
3
2
1
Paradigm at Katy Nursing Home in Katy, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 8.0)

Bottom 25% in Texas · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in PARADIGM HEALTHCARE chain · $170,645 in fines

Source: Medicare data

What this means for your family

While the facility is noted for its cleanliness and a welcoming front-office staff, the recent trend of highly critical reviews regarding medical neglect and staff unresponsiveness is alarming. Families should conduct an in-person inspection and specifically ask about protocols for call-light response times and wound care management.

Google Reviews

Google Reviews

62 reviews on Google
Families often praise the facility for its clean environment and the kindness of the front desk and administrative staff. However, there are extremely serious allegations regarding medical neglect, unresponsiveness to call lights, and lack of professional conduct during critical patient events.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Friendly and welcoming reception staff
  • Compassionate nursing and CNA care
  • Specialized capabilities for vent and dialysis patients

Concerns

  • Serious allegations of medical neglect and patient death (mentioned by 3 reviewers)
  • Slow response to call lights (mentioned by 2 reviewers)
  • Unprofessional or insensitive staff behavior (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.22025(15)4.92026(48)

Distribution · 63 analyzed

5
52
4
3
3
0
2
1
1
7
10 reviews posted between Apr 16, 2026Apr 17, 2026 · 10 were 5-star

How They Respond to Reviews

33%response rate
Good

The owner provides highly personalized and empathetic responses to detailed reviews, often mirroring the reviewer's specific language. While some short reviews receive templated replies, negative reviews are handled with professional empathy and a clear call to action for direct resolution.

Questions for Your Tour

  • 1It is wonderful to see how clean and well-maintained the facility looks; how do you manage your daily cleaning and maintenance schedules?
  • 2We noticed the reception staff is very welcoming; how do you ensure that same level of friendliness is maintained by the nursing and CNA teams during night shifts?
  • 3With your specialized capabilities for vent and dialysis patients, what specific protocols are in place to ensure rapid response to medical emergencies?
  • 4How do you ensure that call lights are answered promptly, especially during busy shift changes or late at night?
  • 5What steps is the facility taking to improve communication between the clinical staff and family members regarding daily care updates?
  • 6What kind of daily activities or social programs do you have planned to keep residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

The staff has been very caring and attentive to her needs. They try to keep us informed about her condition and are willing to answer our questions when we have them.

Long-term resident's family · 2026★★★★★

The nurses and CNAs are always attentive, rooms are clean, diapers are changed. The place is always clean when I visit!

Visiting family member · 2025★★★★★

Only facility of its kind that handles Vent and Dialysis Patients. The nursing and respiratory teams are awesome!

Resident's family · 2025★★★★★
Source: 62 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.24hrs
OK
Registered nurses for medical care
Total Nursing
4.42hrs
OK
All nurses + aides combined
Staff Turnover
100%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility83.8%
Worse than Avg
Here
83.8%
US
95.5%
TX
98.0%
Fort bend
97.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Fort bend
1.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
19.4%
TX
14.2%
Fort bend
10.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility87.5%
Worse than Avg
Here
87.5%
US
93.4%
TX
96.9%
Fort bend
97.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility22.6%
Worse than Avg
Here
22.6%
US
19.5%
TX
18.4%
Fort bend
13.1%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility13.2%
Worse than Avg
Here
13.2%
US
4.9%
TX
4.0%
Fort bend
6.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility48.4%
Worse than Avg
Here
48.4%
US
79.7%
TX
88.0%
Fort bend
83.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility72.2%
Worse than Avg
Here
72.2%
US
81.8%
TX
89.2%
Fort bend
79.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
1.6%
TX
1.5%
Fort bend
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
6penalties
Well above state avg (9.1)
25 complaint-triggered
$170,645 in fines

Paradigm at Katy shows concerning patterns with families filing 22 complaints that revealed deficiencies in treatment and care, medication management, and infection control. The facility has repeatedly struggled with the same issues across multiple surveys, including problems with call systems in bathrooms (cited five times), infection prevention (cited five times), and providing appropriate care according to doctor orders (cited four times). While the facility corrects deficiencies when cited, the recurring nature suggests ongoing operational challenges families should consider.

Dec 15, 2025Complaint
1
0919Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Nov 20, 2025Complaint
2
0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 1, 2025Routine
12
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure 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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

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.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

May 1, 2025Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Apr 4, 2025Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Feb 18, 2025Complaint
1
0880Immediate jeopardy · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Feb 18, 2025

$34,426

Fine

Nov 19, 2024

$50,449

Payment Denial

Nov 19, 2024

12-day denial

Fine

Mar 15, 2024

$14,701

Payment Denial

Mar 15, 2024

6-day denial

Fine

Jan 31, 2024

$71,069

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

KATY NURSING & REHABILITATION LLC

Administrator

NOSA AKPATA

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.1/5 · Rank 11 of 15 (Worst)

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Katy Nursing & Rehabilitation LLCManagerOakbend Medical CenterManagerZephyr Nh, LLCManagerPolstein, MosheManagerShkop, AharonManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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