SNF

Paradigm at Westbury

CCN: 675612 · Houston, TX 77035 · Harris County

Overview

Address
5201 S Willow Dr, Houston, TX 77035
Phone
7137210297
Certified beds
148
Avg daily residents
105 (71% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1996-07-09
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.29 4.10 3.10 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.36 0.72 0.34 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.97 0.91 0.91 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.96 2.48 1.85 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.33 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.88
hrs / resident / day
RN (weekend)
0.37
hrs / resident / day
Total nurse (adjusted, weekend)
2.71
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
63.3%
annual
RN turnover
64.7%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.45
higher acuity than avg
Case-Mix Index Ratio
1.06
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-03-28 9 5 9 173 1 173
Cycle 2/3 (prior) 2024-01-07 27 3 25 580 1 580
Total weighted health score
274.8
lower is better

Deficiencies (45)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

39 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-11-24 2025-12-12
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-11-24 2025-12-12
0695 Provide safe and appropriate respiratory care for a resident when needed. K 2025-08-28 2025-09-17
0584 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. D 2025-05-02 2025-05-06
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-03-28 2025-04-23
0759 Ensure medication error rates are not 5 percent or greater. E 2025-03-28 2025-04-23
0760 Ensure that residents are free from significant medication errors. E 2025-03-28 2025-04-23
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-03-28 2025-04-23
0814 Dispose of garbage and refuse properly. D 2025-03-28 2025-04-23
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-01-28 2025-01-30
0584 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. L 2025-01-15 2025-01-25
0641 Ensure each resident receives an accurate assessment. D 2024-10-15 2024-10-15
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-10-15 2024-10-15
0584 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. D 2024-07-03 2024-07-10
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-06-27 2024-06-30
0880 Provide and implement an infection prevention and control program. D 2024-06-27 2024-06-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2024-06-06 2024-06-12
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-06-06 2024-06-12
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2024-06-06 2024-06-12
0761 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. D 2024-06-06 2024-06-12
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-06-06 2024-06-12
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-04-30 2024-05-02
0584 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. D 2024-04-30 2024-05-02
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. E 2024-04-30 2024-05-02
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2024-02-05 2024-02-07
0926 Have policies on smoking. K 2024-02-05 2024-02-07
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2024-01-29 2024-02-05
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2024-01-07 2024-01-08
0759 Ensure medication error rates are not 5 percent or greater. D 2024-01-07 2024-01-08
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F 2024-01-07 2024-01-08
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-11-07 2023-11-10
0808 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. E 2023-11-03 2023-11-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-11-03 2023-11-08
0583 Keep residents' personal and medical records private and confidential. D 2023-10-17 2023-10-24
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-10-17 2023-10-24
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-05-05 2023-06-09
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. E 2022-10-07 2022-10-21
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2022-10-07 2022-10-21
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2022-10-07 2022-10-21
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2022-10-07 2022-10-21
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2022-10-07 2022-10-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-10-07 2022-10-21
0814 Dispose of garbage and refuse properly. D 2022-10-07 2022-10-21
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2022-10-07 2022-10-21
0880 Provide and implement an infection prevention and control program. E 2022-10-07 2022-10-21

Penalties (3)

Fines issued
3
last 3 years
Total fines
$118,093
Date Type Fine amount
2024-01-07 Fine $14,563
2025-08-28 Fine $22,455
2025-01-15 Fine $81,075

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 5.0% Medicaid 69.6% Other 25.4%

Operating performance

Operating Margin
-14.1%
Total Margin
0.9%
Occupancy Rate
67.8%
Cost per Resident Day
$38

Revenue & costs

Net Patient Revenue
$8.9M
Total Costs
$1.4M
Net Income
$90K

Balance sheet

Total Assets
$6.7M
Total Liabilities
$3.9M
Fund Balance
$2.8M
Current Ratio
1.24

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: PARADIGM HEALTHCARE

Chain ID
620
Facilities in chain
18
Legal business name
OAKBEND MEDICAL CENTER
Chain-average star ratings (for peer context)
Overall
2.1
Health
1.8
Staffing
1.8
QM
3.8

Owner / manager organizations (2)

Organization Role Association
OAKBEND MEDICAL CENTER 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/28/2015
WESTBURY PLACE NURSING & REHABILITATION, LLC OPERATIONAL/MANAGERIAL CONTROL since 12/01/2018

Owner / manager individuals (12)

Name Role Association
BEARD, BARRY CORPORATE DIRECTOR since 01/01/2012
COUNCIL, JEFF CORPORATE DIRECTOR since 01/01/2013
CRAYTON, TOM CORPORATE DIRECTOR since 01/01/2013
MARTIN, MELISSA CORPORATE DIRECTOR since 01/01/2015
MCCLAMROCH, JAMES CORPORATE DIRECTOR since 01/01/2013
MEFFORD, RUTHANNE CORPORATE DIRECTOR since 01/01/2015
MURRAY, MARK CORPORATE DIRECTOR since 01/01/2011
PETROSEWICZ, NORMA CORPORATE DIRECTOR since 01/01/2013
TAPE, MAY CORPORATE DIRECTOR since 01/15/2008
UTHMAN, EDWARD CORPORATE DIRECTOR since 01/01/2008
FREUDENBERGER, JOSEPH CORPORATE OFFICER since 06/19/2007
FREUDENBERGER, JOSEPH W-2 MANAGING EMPLOYEE since 06/19/2007

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $38 metrics.cost_per_resident_day
Cost Report Current Ratio 1.24 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 69.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.0% metrics.medicare_day_share
Cost Report Net Income ($) $89,728 metrics.net_income
Cost Report Net Patient Revenue ($) $8,900,878 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 67.8% metrics.occupancy_rate
Cost Report Operating Margin (%) -14.1% metrics.operating_margin
Cost Report Total Assets ($) $6,688,887 metrics.total_assets
Cost Report Total Costs ($) $1,408,384 metrics.total_costs
Cost Report Total Fund Balances ($) $2,761,447 metrics.fund_balance
Cost Report Total Liabilities ($) $3,927,440 metrics.total_liabilities
Cost Report Total Margin (%) 0.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.91431 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.84515 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.33600 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.09546 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.71176 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 105.4 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.91084 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.47546 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71794 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.10424 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.61745 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.8 Chain Average Staffing Rating
Provider Information Chain ID 620 Chain ID
Provider Information Chain Name PARADIGM HEALTHCARE Chain Name
Provider Information City/Town Houston City/Town
Provider Information CMS Certification Number (CCN) 675612 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Harris County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1996-07-09 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 29.6556 Latitude
Provider Information Legal Business Name OAKBEND MEDICAL CENTER Legal Business Name
Provider Information Location 5201 S Willow Dr,Houston,TX,77035 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -95.47 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 148 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 18 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.45395 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.05538 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 5201 S Willow Dr Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Paradigm at Westbury Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 610 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 173 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 9 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-28 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 173 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 9 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 3 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-07 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 580 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 25 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 580 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 27 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.37222 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 64.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.32910 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.97193 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.96143 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.05713 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.35717 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.29053 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 7137210297 Telephone Number
Provider Information Total Amount of Fines in Dollars 118093.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.88265 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 63.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 274.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 77035 ZIP Code