Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 44 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 31% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 17 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 Northwest will find a polarizing environment. While many reviewers praise the specialized respiratory/vent weaning capabilities and the compassion of the therapy and nursing teams, there are significant, recurring reports of neglect, including long wait times for hygiene care and issues with facility cleanliness.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
Tap a year to see what changed
Distribution · 50 analyzed
The owner uses highly templated, repetitive language to respond to almost all reviews. While they attempt to personalize the greeting with the reviewer's name, the body of the response relies on pre-written scripts regarding 'dignity, comfort, and care.'
Personalized based on this facility's data
Key Review Excerpts
“PNW, was just a stopping point in my husband’s journey. His trech was removed, and that was our ultimate goal! Initially, we had a few bumps in the road, but Megyn, the director, took control and we ended up having a wonderful experience!”
“The therapy team is fantastic! Great place to leave your loved ones for their rehab stay.”
“My loved one has been placed in this facility on a vent. Lisa and Megan have guided me through the entire process. I was so stressed out but have been relieved by the compassion everyone has and the RT team are amazing because I was lost.”
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
13
measures
2
measures
2
measures
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 whose walking got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents on antipsychotic medication
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
This facility shows a concerning pattern with 23 complaint-triggered deficiencies out of 36 total, indicating families have repeatedly filed reports about care issues. The most recurring problems involve care planning and assessment, infection control, and medication management, with one recent care planning deficiency still lacking a correction plan. While most issues appear to be addressed after identification, the high volume of family complaints and persistent problems in core care areas suggest ongoing quality concerns that warrant careful consideration.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Federal Penalties
Fine
Aug 5, 2025
$13,679
Fine
Aug 5, 2025
$13,679
Fine
Dec 20, 2024
$14,433
Fine
Feb 14, 2024
$9,609
Oakbend Medical Center
government
NORTHWEST NURSING & REHABILITATION LLC
MEGAN LOWE
Paradigm Healthcare
17 facilities nationwide
Chain avg rating: 2.1/5 · Rank 13 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
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
44 reviews from families & visitors
Official Website
Visit paradigmnorthwest.com
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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