Nursing homeActive
Paradigm at Westbury
5201 S Willow Dr, Houston, TX 770357137210297148 certified beds · 104 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
18
since 2023
Deficiencies
42
● 0● 35● 7
Penalties · 3 yrs
$108,038
4 fines
Last survey
2026-05-30
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-30 | Standard | 061 | CMS-2567 (Care Compare) | — |
| 2025-11-24 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-08-28 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-05-02 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-28 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-01-28 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-15 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-10-15 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-07-03 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-27 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-06-06 | Complaint | 050 | CMS-2567 (Care Compare) | — |
| 2024-04-30 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-02-05 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2024-01-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-07 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2023-11-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-03 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-10-17 | Complaint | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-25Record 675612-20260530-F692
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675612-20260530-F657
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675612-20260530-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675612-20260530-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675612-20260530-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675612-20260530-F883
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 675612-20260530-F887
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 675612-20251124-F550
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 675612-20251124-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-09-17Record 675612-20250828-F695
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-06Record 675612-20250502-F584
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 675612-20250328-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 675612-20250328-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 675612-20250328-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 675612-20250328-F812
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-23Record 675612-20250328-F814
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-01-30Record 675612-20250128-F689
F584Honor 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.Scope/severity LHarm
Dignity & rights
Widespread; immediate jeopardy to resident health or safety.Corrected 2025-01-25Record 675612-20250115-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-15Record 675612-20241015-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-15Record 675612-20241015-F657
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-10Record 675612-20240703-F584
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 675612-20240627-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-30Record 675612-20240627-F880
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 675612-20240606-F677
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 675612-20240606-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 675612-20240606-F755
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 675612-20240606-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-12Record 675612-20240606-F812
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-02Record 675612-20240430-F550
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-02Record 675612-20240430-F584
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-02Record 675612-20240430-F925
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-07Record 675612-20240205-F689
F926Have policies on smoking.Scope/severity KHarm
Environment
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-07Record 675612-20240205-F926
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-05Record 675612-20240129-F919
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-08Record 675612-20240107-F684
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 675612-20240107-F759
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 675612-20240107-F851
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-10Record 675612-20231107-F558
F808Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 675612-20231103-F808
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-08Record 675612-20231103-F812
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 675612-20231017-F583
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 675612-20231017-F677
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-30 | Civil money penalty | $26,180 | CMS · Penalties |
| 2025-08-28 | Civil money penalty | $14,596 | CMS · Penalties |
| 2025-01-15 | Civil money penalty | $52,699 | CMS · Penalties |
| 2024-01-07 | Civil money penalty | $14,563 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.36
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.39
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.07
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover62%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover63%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 9.7% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.1% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 15.5% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.1% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 4.1% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Oakbend Medical Center Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Westbury Place Nursing & Rehabilitation, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beard, Barry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Council, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Crayton, Tom Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Freudenberger, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Freudenberger, Joseph Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Martin, Melissa Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mcclamroch, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mefford, Ruthanne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Murray, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Petrosewicz, Norma Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tape, May Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Uthman, Edward Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Paradigm Healthcare — 17 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Harris.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Seven Acres Jewish Senior Care Services Houston | 2.4 mi | 2026-06-25 | 061 |
| Bayou Manor Houston | 2.7 mi | 2026-05-19 | 040 |
| Avir at Orem Houston | 3.0 mi | 2026-06-05 | 0181 |
| Houston Transitional Care Houston | 4.0 mi | 2026-06-24 | 1140 |
| Clarewood House Extended Care Center Houston | 4.6 mi | 2025-12-03 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |