Paradigm At Westbury has received an F grade based on CMS data, with a score of 1/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Houston facility should carefully review its inspection history and quality metrics.
With 3.29 total nurse hours per resident per day, Paradigm At Westbury falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 45 deficiencies at Paradigm At Westbury, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.29 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.36 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.97 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 2.88 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Nov 23, 2025 · Resident Rights Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Nov 23, 2025 · Quality of Life and Care Deficiencies
- Tag 0695 Severity KProvide safe and appropriate respiratory care for a resident when needed.Aug 27, 2025 · Quality of Life and Care Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMay 1, 2025 · Resident Rights Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Mar 27, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 11.4% | 4.5% | Worse |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 17.5% | 14.5% | Worse |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 15.8% | 14.0% | Worse |
| Excessive weight loss | 5.9% | 7.5% | Better |
| New/worsened incontinence | 17.4% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $118,093
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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