Nursing homeActive
Paradigm at Katy
1480 Katy Flewellen, Katy, TX 774942813940088125 certified beds · 82 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
13
since 2023
Deficiencies
51
● 2● 42● 7
Penalties · 3 yrs
$241,445
5 fines · 2 actions
Last survey
2025-12-15
Complaint
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 |
|---|---|---|---|---|
| 2025-12-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-01 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2025-04-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-02-18 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-11-19 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2024-07-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-29 | Complaint | 022 | CMS-2567 (Care Compare) | — |
| 2024-04-25 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-04-06 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-15 | Standard | 290 | CMS-2567 (Care Compare) | — |
| 2024-01-31 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2023-02-01 | Standard | 0100 | 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.
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 2026-01-14Record 676064-20251215-F919
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 676064-20251120-F610
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 2025-12-12Record 676064-20251120-F880
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 2025-05-31Record 676064-20250501-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-F656
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 2025-05-31Record 676064-20250501-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-F679
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-F690
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-F693
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-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 2025-05-31Record 676064-20250501-F761
F814Dispose of garbage and refuse properly.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-31Record 676064-20250501-F814
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 2025-05-31Record 676064-20250501-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-25Record 676064-20250404-F689
F880Provide and implement an infection prevention and control program.Scope/severity KHarm
Infection control
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-03-05Record 676064-20250218-F880
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 2024-12-31Record 676064-20241119-F684
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity KHarm
Environment
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-12-31Record 676064-20241119-F919
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 676064-20241119-F655
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-05Record 676064-20240719-F835
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-21Record 676064-20240529-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-21Record 676064-20240529-F698
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-21Record 676064-20240529-F609
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 2024-06-21Record 676064-20240529-F695
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 676064-20240425-F908
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-15Record 676064-20240425-F919
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 2024-06-15Record 676064-20240406-F919
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 2024-04-15Record 676064-20240315-F677
F680Ensure the activities program is directed by a qualified professional.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676064-20240315-F680
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676064-20240315-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676064-20240315-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676064-20240315-F690
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 2024-04-15Record 676064-20240315-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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676064-20240315-F761
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 2024-04-15Record 676064-20240315-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 676064-20240315-F921
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-04-15Record 676064-20240315-F636
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-04-15Record 676064-20240315-F638
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity KHarm
Dignity & rights
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-23Record 676064-20240131-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-02-23Record 676064-20240131-F684
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 2024-02-23Record 676064-20240131-F755
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 2023-03-01Record 676064-20230201-F558
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-07Record 676064-20230201-F565
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 676064-20230201-F576
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 676064-20230201-F640
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 676064-20230201-F641
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 2023-03-01Record 676064-20230201-F695
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 676064-20230201-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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 676064-20230201-F761
F770Provide timely, quality laboratory services/tests to meet the needs of residents.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-03-01Record 676064-20230201-F770
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 2023-02-22Record 676064-20230201-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-25 | Civil money penalty | $70,800 | CMS · Penalties |
| 2025-02-18 | Civil money penalty | $34,426 | CMS · Penalties |
| 2024-11-19 | Civil money penalty | $50,449 | CMS · Penalties |
| 2024-11-19 | Denial of payment for new admissions Payment denial for 12 days, from 2024-12-19 | — | CMS · Penalties |
| 2024-03-15 | Civil money penalty | $14,701 | CMS · Penalties |
| 2024-03-15 | Denial of payment for new admissions Payment denial for 6 days, from 2024-06-15 | — | CMS · Penalties |
| 2024-01-31 | Civil money penalty | $71,069 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.01
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day4.41
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours4.14
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover91%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover92%
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 | 9.6% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.9% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.4% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.9% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.9% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.2% | 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% | — | — |
| Katy Nursing & Rehabilitation LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oakbend Medical Center Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Polstein, Moshe Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shkop, Aharon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zephyr Nh, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Crayton, Tom Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Crayton, Tom Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dorman, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dorman, John Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Freudenberger, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Freudenberger, Joseph Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Haley, Jeff Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Haley, Jeff Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hughes, Ruston Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Katy Nursing & Rehabilitation LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| King, Abby Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| King, Abby Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| King, Elizabeth Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| King, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lev 1 Pack Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pisani, Adam Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pisani, Adam Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Polstein, Moshe Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Popatia, Amirali Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Popatia, Amirali Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| R, Jose Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shkop, Aharon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stuart, Julius Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Stuart, Julius Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Uthman, Edward Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Uthman, Edward Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Zos Chanukah Atied Family Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zos Chanukah LLC Organization | ADP OF THE SNF | 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 Fort Bend.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Heritage Park of Katy Nursing and Rehabilitation Katy | 2.3 mi | 2026-02-19 | 0132 |
| Ignite Medical Resort Katy, LLC Katy | 3.1 mi | 2026-06-29 | 0202 |
| Sterling Oaks Rehabilitation Katy | 3.4 mi | 2026-05-28 | 0180 |
| Falcon Point Post Acute Katy | 3.3 mi | 2026-03-27 | 2290 |
| Mason Creek Transitional Care of Katy Katy | 5.4 mi | 2026-05-14 | 1113 |
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 |