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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E13 | F1 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 5, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 10, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 21, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Dec 10, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 18, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Aug 12, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Aug 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 5, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 20, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Sep 26, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Sep 13, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| May 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 14, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jul 28, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jul 28, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 5, 2025 | Civil money penalty (fine) | $13,679 | — | 455714|Fine|135646 |
| Aug 5, 2025 | Civil money penalty (fine) | $13,679 | — | 455714|Fine|135647 |
| Dec 20, 2024 | Civil money penalty (fine) | $14,433 | — | 455714|Fine|113494 |
| Feb 14, 2024 | Civil money penalty (fine) | $9,609 | — | 455714|Fine|112361 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D20 | E13 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 5, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 6, 2026 | Complaint |
| Apr 10, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 11, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 35 facilities.
17 facilities in 2 states. CMS chain ID 620.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2022 |
| Northwest Nursing & Rehabilitation LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Aharon Shkop | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Joseph Freudenberger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Stevens 204 Walter St, Yoakum, TX 77995 CCN 455544 | 106 | May 15, 2026 | 541 open | — | |
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 | Jul 23, 2026 | 41 | — | |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Park Manor of Cypress Station 420 Lantern Bend Dr., Houston, TX 77090 CCN 675986Abuse icon | 0.9 km | 125 | Mar 20, 2026 | 301 IJ3 harm | $11k | |
| The Heights of North Houston 303 Hollow Tree Lane, Houston, TX 77090 CCN 676356 | 1.1 km | 131 | Jun 18, 2026 | 352 IJ1 harm | $32k | |
| Villa Toscana at Cypress Woods 15015 Cypress Woods Medical Dr, Houston, TX 77014 CCN 676239 | 3.5 km | 120 | Jul 8, 2026 | 462 IJ | $41k | |
| The Village at Gleannloch Farms 9505 North Pointe Blvd, Spring, TX 77379 CCN 676234 | 9 km | 35 | Sep 10, 2025 | 16 | — | |
| Champions Healthcare at Willowbrook 13500 Breton Ridge, Houston, TX 77070 CCN 676236Abuse icon | 11.2 km | 98 | Jul 28, 2026 | 301 IJ2 harm1 open | $40k | |
| Avir at Veterans Memorial 1424 Fallbrook Drive, Houston, TX 77038 CCN 676252SFF CandidateAbuse icon | 11.4 km | 120 | Aug 7, 2026 | 395 IJ2 harm | $48k | |
| Misty Willow Healthcare and Rehabilitation Center 12921 Misty Willow Dr, Houston, TX 77070 CCN 676251 | 12.7 km | 124 | Mar 9, 2026 | 338 IJ | $64k | |
| North Houston Transitional Care 9814 Grant Rd, Houston, TX 77070 CCN 676434 | 13.1 km | 70 | Aug 19, 2026 | 182 IJ | $12k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455714 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455714 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Apr 10, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 11, 2026 | Complaint |
| Apr 10, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 11, 2026 | Complaint |
| Jan 21, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 28, 2026 | Complaint |
| Dec 11, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 16, 2025 |
| Dec 11, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 16, 2025 |
| Dec 11, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 16, 2025 |
| Dec 11, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 16, 2025 |
| Dec 11, 2025 | F-0578 | 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 Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 16, 2025 |
| Dec 11, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2025 |
| Dec 11, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2025 |
| Dec 11, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 16, 2025 |
| Dec 11, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 16, 2025 |
| Dec 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 16, 2025 |
| Dec 10, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2025 | Complaint |
| Dec 10, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 11, 2025 | Complaint |
| Aug 18, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 22, 2025 | Complaint |
| Aug 18, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 22, 2025 | Complaint |
| Aug 12, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Aug 7, 2025 | Complaint |
| Aug 12, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 15, 2025 | Complaint |
| Aug 5, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 18, 2025 | Complaint |
| Jun 12, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 13, 2025 | Complaint |
| Mar 5, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 25, 2025 | Complaint |
| Dec 20, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 10, 2025 | Complaint |
| Sep 26, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 14, 2024 |
| Sep 26, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 18, 2024 | Complaint |
| Sep 26, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 18, 2024 | Complaint |
| Sep 26, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 18, 2024 | Complaint |
| Sep 26, 2024 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Oct 18, 2024 |
| Sep 13, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| Sep 13, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 26, 2024 | Complaint |
| May 8, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 23, 2024 | Complaint |
| Feb 14, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Feb 19, 2024 | Complaint |
| Feb 14, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 19, 2024 | Complaint |
| Jul 28, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 26, 2023 |
| Jul 28, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 31, 2023 |
| Jul 28, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 31, 2023 |
| Jul 28, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 31, 2023 |
| Jul 28, 2023 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.72 (case-mix index 1.60).
| Oct 1, 2022 |
| Joseph Freudenberger | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Oct 1, 2022 |
| Jul 23, 2026 |
41 |
| — |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 | Aug 13, 2025 | 302 IJ1 open | $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 36 | Jun 17, 2026 | 13 | $12k |
| The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800 | 180 | Nov 17, 2025 | 342 IJ1 harm | $31k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |
| Robstown Nursing and Rehabilitation Center 603 E Ave J, Robstown, TX 78380 CCN 455838 | 94 | Aug 26, 2026 | 253 IJ | $12k |
| Aug 13, 2025 |
302 IJ1 open |
| $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |
| Paradigm at Woodwind Lakes 7215 Windfern Rd, Houston, TX 77040 CCN 675085SFF | 180 | Not rated | Jun 5, 2026 | 461 IJ4 harm | $90k |
| Paradigm at Faith Memorial 811 Garner Rd, Pasadena, TX 77502 CCN 675321 | 112 | Apr 23, 2026 | 322 IJ | $19k |
| Paradigm at Sweeny 109 N Mckinney, Sweeny, TX 77480 CCN 675344SFF CandidateAbuse icon | 90 | Jul 1, 2026 | 304 IJ1 harm | $50k |
| Paradigm at the Pines 705 Hwy 418 W, Silsbee, TX 77656 CCN 675391 | 90 | Dec 10, 2025 | 381 IJ | $8,281 |