Paradigm at Westbury
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 148 Google reviews
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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 (9 vs median 8.0)
- High staff turnover (63%)
- High RN turnover (65%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in PARADIGM HEALTHCARE chain · $118,093 in fines
What this means for your family
This facility is an excellent choice for short-term rehabilitation, as multiple families report significant physical progress through their therapy programs. However, you must be extremely vigilant regarding nursing care; families should specifically ask about the current nurse-to-patient ratios and how call lights are monitored during night shifts to prevent neglect.
Google Reviews
Google Reviews
148 reviews on Google“Families considering Paradigm at Westbury will find a facility with highly praised physical therapy and dietary departments, with many reviewers noting significant physical improvements for rehab patients. However, there are serious, recurring allegations regarding nursing neglect, specifically involving delayed response to call lights and hygiene care. While some recent reviews highlight improved management, others warn of severe issues including theft of belongings and medical negligence.”
Quality Themes
Tap a score for detailsStrengths
- Excellent rehabilitation and physical therapy services
- Attentive and friendly dietary/kitchen staff
- Welcoming and professional administrative/social work team
- Clean and well-maintained environment
Concerns
- Nursing neglect regarding hygiene and call light response times (mentioned by 5 reviewers)
- Allegations of theft of resident belongings and medication (mentioned by 3 reviewers)
- Unprofessional or rude behavior from certain staff members (mentioned by 4 reviewers)
- Difficulty communicating with staff due to language barriers (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 150 analyzed
How They Respond to Reviews
The owner provides highly personalized responses to positive reviews, often mentioning specific staff members and departments named by the reviewer. For negative reviews, they use a professional, empathetic tone and consistently provide specific contact information or hotlines to move the conversation offline.
Questions for Your Tour
- 1We've heard wonderful things about your physical therapy and rehab services; could you tell us more about how that team works with new residents?
- 2Since the administration is so responsive to feedback, how does the leadership team ensure that call light response times and hygiene care stay consistent for every resident?
- 3What specific protocols do you have in place to ensure medication management is handled accurately and securely every single day?
- 4How does the nursing staff communicate important medical updates or changes in care to family members to ensure we are always on the same page?
- 5We've heard the kitchen staff is very friendly; could you tell us a bit about the daily meal schedule and how much input residents have in their diet?
- 6In the event of a medical emergency after hours, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“I had a skilled stay with Paradigm at Westbury very very excellent work The social worker chrissy is the best , DON, Cna, dietary , laundry, front desk, maintenance , activities were all very amazing special shout out to therapy because I couldn't walk when I first admitted and now I am leaving walking”
“The rooms are large, nice and clean. I was able to see my loved one receive physical therapy and saw them improve physically and cognitively.”
“They don’t have enough nurses, so if you miss yourself, I have to get cleaned up. It could take up to several, and I do mean several hours.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
11
measures
3
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents with pressure sores (bedsores)
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Paradigm at Westbury has concerning patterns with 55 deficiencies in 19 surveys, most notably 34 triggered by family complaints. Recurring issues include medication management errors, problems maintaining a clean and safe environment, and food safety violations. While the facility reports correcting most issues, the persistent nature of complaints about medication errors and environmental cleanliness suggests ongoing care quality concerns families should investigate thoroughly before considering placement.
Nov 24, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Aug 28, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
May 2, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Mar 28, 2025Routine5
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 28, 2025Complaint5
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Jan 28, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Aug 28, 2025
$14,596
Fine
Jan 15, 2025
$81,075
Fine
Jan 7, 2024
$14,563
Ownership & Operations
Who Operates This Facility
Oakbend Medical Center
government
WESTBURY PLACE NURSING & REHABILITATION LLC
CIARA RIDDLE
Chain Affiliation
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 12 of 15 (Worst)
Ownership & Management
Owners
Oakbend Medical Center
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
148 reviews from families & visitors
Official Website
Visit paradigmatwestbury.com
Medicare data downloads
Original nursing home datasets
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