| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E11 | F6 |
| Minimal | A· | B· | C2 |
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 | |
|---|---|---|---|---|---|---|
| Dec 18, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Sep 19, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Jul 28, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 28, 2023 | Health | Health Standard | 1 | Immediate jeopardy | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E11 | F6 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 18, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2026 | |
| Dec 18, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2026 | |
| Dec 18, 2025 | K-0355 |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 31, 2017 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 31, 2017 |
| Howard Leshikar | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Beverly Teplicek | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Valerie Varta | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Donnie Victorick | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | 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 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Fort Bend Healthcare Center 3010 Bamore Road, Rosenberg, TX 77471 CCN 675663 | 15.1 km | 56 | Aug 14, 2026 | 181 IJ | $23k | |
| Rosenberg Health & Rehabilitation Center 1419 Mahlmann St., Rosenberg, TX 77471 CCN 675046 | 17.7 km | 124 | Jun 10, 2026 | 397 IJ1 harm | $97k | |
| Cambridge Health and Rehabilitation Center 1106 Golfview, Richmond, TX 77469 CCN 675901 | 19.8 km | 158 | Jul 10, 2026 | 301 IJ3 harm | $35k | |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 20.8 km | 36 | Jun 17, 2026 | 13 | $12k | |
| Paradigm at the Brazos 2127 Preston St, Richmond, TX 77469 CCN 675420 | 21.2 km | 56 | Aug 1, 2025 | 11 | — | |
| Richmond Health Care Center 705 Jackson St, Richmond, TX 77469 CCN 676006Abuse icon | 21.3 km | 92 | Aug 7, 2026 | 321 IJ1 harm | $78k | |
| Ignite Medical Resort Sugar Land, LLC 1803 Wescott Avenue, Sugar Land, TX 77479 CCN 676384 | 28.2 km | 90 | Jun 30, 2026 | 273 IJ | $137k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676298 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676298 | 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
| Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Jan 15, 2026 |
| Dec 18, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 15, 2026 |
| Dec 18, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 15, 2026 |
| Dec 18, 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 Jan 15, 2026 |
| Dec 18, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2026 |
| Dec 18, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2026 |
| Dec 18, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Jan 15, 2026 |
| Sep 19, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 19, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 24, 2024 |
| Sep 19, 2024 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 24, 2024 |
| Sep 19, 2024 | 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 Oct 24, 2024 |
| Sep 19, 2024 | 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 Oct 24, 2024 |
| Sep 19, 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 24, 2024 |
| Sep 19, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Oct 24, 2024 |
| Jul 28, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Past non-compliance Apr 28, 2023 |
| Jul 28, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 31, 2023 |
| Jul 28, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.00 (case-mix index 1.28).
| Apr 13, 2025 |
| Spjst Rest Home | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 31, 2017 |
| Nheme Alkarra | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 31, 2017 |
| Joseph Freudenberger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 19, 2007 |
| Spjst Rest Home | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Mar 31, 2017 |
| Spjst Rest Home | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2017 |
| Nheme Alkarra | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2017 |
| Angela Parks | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 31, 2017 |
| 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 |
| Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714 | 148 | Aug 5, 2026 | 405 IJ | $51k |
| 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 |