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Nursing HomeMedicaid

Paradigm at Kountze

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

604 Fm 1293, Kountze, TX 7762560 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 30 Google reviews

5
4
3
2
1
Paradigm at Kountze Nursing Home in Kountze, TX — Street View
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What this means for your family

This facility is an excellent choice for families prioritizing rehabilitation and emotional well-being, as the therapy team and nursing staff are exceptionally highly rated. When touring, you may want to ask about available common areas for residents, as some feedback suggests social time is often limited to the dining room.

Google Reviews

Google Reviews

30 reviews analyzed
Families considering Paradigm at Kountze can expect a highly compassionate, family-oriented environment where staff members are frequently praised for being attentive and professional. While the facility excels in rehabilitation and person-centered care, one reviewer noted a lack of communal spaces for residents outside of the dining room.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivities9.0MedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Excellent physical therapy and rehabilitation services
  • Warm, family-like atmosphere
  • Strong communication with family members
  • Engaging resident activities

Concerns

  • Lack of communal gathering spaces outside of the dining room

Rating Trends

Tap a year to see what changed

2345.02023(1)4.92024(14)5.02025(9)5.02026(10)

Distribution

5
20
4
1
3
0
2
0
1
0

How They Respond to Reviews

90%response rate
Good

The owner provides personalized responses that acknowledge specific details from the reviews, such as mentioning family members or specific staff qualities. While some responses use repetitive phrasing like 'exemplary care,' they consistently validate the reviewer's specific experience.

Questions for Your Tour

  • 1It is wonderful to see how much you engage with families through your online responses; how can we best stay in regular contact with the nursing team regarding daily updates?
  • 2We are looking for a place with a warm, family-like atmosphere; how do the staff members help new residents feel at home and part of the community?
  • 3Since the dining room seems to be a central hub for everyone, are there other quiet areas or cozy spots where residents can relax or socialize during the day?
  • 4We are very impressed by the reputation of your physical therapy services; how would a personalized rehab plan be coordinated for our loved one?
  • 5With the recent health inspections, what specific steps is the facility taking to strengthen staffing levels and ensure consistent care?
  • 6What kind of daily activities or social events are planned to keep the residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

My 98 year old nana had to come here for rehab. She was not happy about it. But after her stay, she cried and didn’t want to leave! She made so many friends and enjoyed herself every moment.

Rehab patient's family · 2024★★★★★

So grateful this facility was there to help me while I recovered from major surgery. Staff is so caring and helpful. Physical therapy personnel were excellent.

Rehab patient · 2024★★★★

Very quick to take care of my requests for my father's care. They keep me informed on any changes in his health.

Long-term resident's family · 2025★★★★★
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
81%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
17%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

17

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
19.5%
TX
18.4%
Hardin
30.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
15.4%
TX
9.4%
Hardin
18.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Hardin
10.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.5%
Better than Avg
Here
5.5%
US
15.3%
TX
14.9%
Hardin
16.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
14.4%
TX
16.1%
Hardin
16.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
19.4%
TX
14.2%
Hardin
18.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Hardin
88.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Hardin
89.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hardin
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
2penalties
Well below state avg (9.1)
3 complaint-triggered
$27,971 in fines

Paradigm at Kountze shows concerning patterns with families filing complaints about reporting suspected abuse and neglect issues. The facility has recurring problems across multiple areas including care planning and assessments, medication management, and nutrition services. Most deficiencies appear corrected, though some heating/ventilation system issues persist across surveys without resolution, suggesting ongoing maintenance challenges that families should discuss during visits.

Aug 13, 2025Routine
4
0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 25, 2024Routine
20
0689SevereCorrected

Quality of Life and Care Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0847ModerateCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657ModerateCorrected

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.

0803ModerateCorrected

Nutrition and Dietary Deficiencies

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0550MinorCorrected

Resident Rights Deficiencies

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

0656MinorCorrected

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0712MinorCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0770MinorCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0802MinorCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0849MinorCorrected

Administration Deficiencies

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.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 25, 2024Complaint
2
0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Jun 14, 2023Routine
4
0684SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0698MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0761MinorCorrected

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.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Apr 26, 2023Complaint
1
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Jul 25, 2024

$16,801

Fine

Jun 14, 2023

$11,170

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

for profit

Management Company

KOUTZE NURSING & REHABILITATION LLC

Administrator

VICTORIA L FULGHAM

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.1/5 · Rank 2 of 15

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Freudenberger, JosephW-2 Managing EmployeeCouncil, JeffOfficer / DirectorCrayton, TomOfficer / DirectorDouds, RobertOfficer / DirectorFreudenberger, JosephOfficer / Director
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.

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