Paradigm Northwest
Nursing Home Facility
17600 Cali Dr, Houston, TX 77090
Paradigm Northwest is a senior care community located in Houston, TX. It provides nursing home care, continuing care (CCRC), and senior living for older adults in the Houston area. To learn more or schedule a tour, call (281) 440-9000.
Operated by Paradigm Healthcare, which runs 16 communities in our directory.
With 148 beds, Paradigm Northwest is one of the larger communities in the area, senior care communities in Houston average about 98 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 77% of its licensed beds. That is above the Houston average of roughly 68%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Houston average about 2.6 stars. Its most recent standard health inspection was in December 2025 and recorded 17 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Communities in Houston average about 3.7 hours. Nursing staff turnover over the past year was about 52%.
The community is located in Harris County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 33 problems at Paradigm Northwest. 5 findings involved harm to a resident, including 5 that put residents in immediate danger. 22 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $51,400.
Findings from the most recent inspection cycle
-
Put residents in immediate danger, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Put residents in immediate danger, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Show 9 more
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
-
Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
-
Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
-
Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
-
Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
-
Could cause more than minimal harm, a pattern
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Paradigm Northwest offers nursing home care, continuing care (CCRC), and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 148
- Occupancy 77%
- Nursing hours per resident/day 3.0
- Annual staff turnover 52%
- Last health inspection December 2025
Resident & family reviews
No one has shared a review of Paradigm Northwest yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.