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Paradigm at Katy

Nursing Home Facility

1480 Katy Flewellen, Katy, TX 77494

Nursing Home Care Senior Living
Paradigm at Katy

Paradigm at Katy is a senior care community located in Katy, TX. It provides nursing home care and senior living for older adults in the Katy area. To learn more or schedule a tour, call (281) 394-0088.

Operated by Paradigm Healthcare, which runs 16 communities in our directory.

With 125 beds, Paradigm at Katy is one of the larger communities in the area, senior care communities in Katy average about 74 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 65% of its licensed beds, so availability is more likely here than at busier communities nearby.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Katy average about 2.0 stars. Its most recent standard health inspection was in May 2025 and recorded 14 deficiencies.

Residents receive about 4.4 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Communities in Katy average about 3.5 hours. Nursing staff turnover over the past year was about 91%, which is high and can affect continuity of care.

The community is located in Fort Bend County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 51 problems at Paradigm at Katy. 7 findings involved harm to a resident, including 6 that put residents in immediate danger. 21 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 5 times, a total of $241,445. Medicare also stopped paying for new admissions twice in that period.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Environmental

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Inspected December 2025, after a complaint. Corrected by January 14, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected November 2025, after a complaint. Corrected by December 12, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected November 2025, after a complaint. Corrected by December 12, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide activities to meet all resident's needs.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected May 2025. Corrected by May 31, 2025.

  • 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.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, 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.

    Inspected May 2025, after a complaint. Corrected by May 31, 2025.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected May 2025, after a complaint. Corrected by May 31, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, one or a few residents Nutrition and Dietary

    Dispose of garbage and refuse properly.

    Inspected May 2025. Corrected by May 31, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2025. Corrected by May 31, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Paradigm at Katy offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 125
  • Occupancy 65%
  • Nursing hours per resident/day 4.4
  • Annual staff turnover 91%
  • Last health inspection May 2025

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