About Paradigm at Katy

Paradigm at Katy is a nursing home in Katy, Texas. Its capacity is 125 beds, above the Fort Bend County median of 112 for nursing homes. It is run by a for-profit operator and is part of Paradigm Healthcare. It is Medicare certified. Its public inspection record shows 51 citations, the most recent on December 15, 2025. CMS also lists 7 fines or payment denials against it. Nurse staffing averages 4.26 hours per resident per day. It is one of 7 nursing homes listed in Katy. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

1.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (51)

Records from February 2023 to December 2025.

December 15, 2025
Tag F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 14, 2026.
November 20, 2025
Tag F0610
Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 12, 2025.
November 20, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 12, 2025.
May 1, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0679
Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0761
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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0814
Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
May 1, 2025
Tag F0693
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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 31, 2025.
April 4, 2025
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2025.
February 18, 2025
Tag F0880
Provide and implement an infection prevention and control program.
Severity K: pattern, immediate jeopardy. Corrected March 5, 2025.
November 19, 2024
Tag F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 31, 2024.
November 19, 2024
Tag F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected December 31, 2024.
November 19, 2024
Tag F0919
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity K: pattern, immediate jeopardy. Corrected December 31, 2024.
July 19, 2024
Tag F0835
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 5, 2024.

See the source data on data.cms.gov

Penalties (7)

Total fines: $241,445

May 25, 2026 · Fine
CMS recorded a civil money penalty of $70,800 against this nursing home on May 25, 2026.
February 18, 2025 · Fine
CMS recorded a civil money penalty of $34,426 against this nursing home on February 18, 2025.
November 19, 2024 · Fine
CMS recorded a civil money penalty of $50,449 against this nursing home on November 19, 2024.
November 19, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting December 19, 2024, lasting 12 days (triggered by inspection on November 19, 2024).
March 15, 2024 · Fine
CMS recorded a civil money penalty of $14,701 against this nursing home on March 15, 2024.
March 15, 2024 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting June 15, 2024, lasting 6 days (triggered by inspection on March 15, 2024).
January 31, 2024 · Fine
CMS recorded a civil money penalty of $71,069 against this nursing home on January 31, 2024.

See the source data on data.cms.gov

Staffing

4.26 nurse hours per resident per day in Q2 2026, down from 4.42 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Paradigm Healthcare, a chain of 17 nursing homes.

Average CMS star ratings across the chain: 2.1 overall, 2.1 for health inspections, 1.5 for staffing, 4.0 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Texas cost breakdown

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