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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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 48% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 10 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 150 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
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 whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents with pressure sores (bedsores)
Residents vaccinated for the flu
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
Detailed Medicare record · up to 3-year lookback
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
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.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Federal Penalties
Fine
May 30, 2026
$26,180
Fine
Aug 28, 2025
$14,596
Fine
Jan 15, 2025
$81,075
Fine
Jan 7, 2024
$14,563
Oakbend Medical Center
government
WESTBURY PLACE NURSING & REHABILITATION LLC
CIARA RIDDLE
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 12 of 15 (Lowest rating)
Owners
Oakbend Medical Center
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
148 reviews from families & visitors
Official Website
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Medicare data downloads
Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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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