Paradigm At Katy
Katy, Fort Bend County, Texas · CCN 676064 · For-profit (LLC) · part of Paradigm Healthcare (17 facilities, chain average 1.9 stars)
CMS rates Paradigm At Katy 1 of 5 overall as of August 2026. 125 certified beds, 82 residents a day on average. 51 citations on record from the current inspection cycles, 6 at immediate jeopardy; 5 fines totalling $241,445 and 2 payment denials.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 2 of 5 |
Staffing
| Total nurse staffing | 4.40888 hours per resident per day |
|---|---|
| Registered nurses | 1.01299 hours per resident per day |
| Weekend total | 4.14453 hours per resident per day |
| Nursing staff turnover | 91.1% (registered nurses 91.7%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-15 complaint survey |
Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-14 |
| 2025-11-20 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-12 |
| 2025-11-20 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-12 |
| 2025-05-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 complaint survey |
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | 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. Quality of Life and Care Deficiencies · tag F0693 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-05-01 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-31 |
| 2025-04-04 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-25 |
| 2025-02-18 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2025-03-05 |
| 2024-11-19 complaint survey |
Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-12-31 |
| 2024-11-19 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-12-31 |
| 2024-11-19 complaint survey |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-31 |
| 2024-07-19 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-05 |
| 2024-05-29 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-06-21 |
| 2024-05-29 complaint survey |
Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0698 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-06-21 |
| 2024-05-29 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-21 |
| 2024-05-29 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-21 |
| 2024-04-25 complaint survey |
Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-15 |
| 2024-04-25 complaint survey |
Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-15 |
| 2024-04-06 complaint survey |
Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-15 |
| 2024-03-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · tag F0680 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Provide 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. Quality of Life and Care Deficiencies · tag F0688 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · tag F0636 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-04-15 |
| 2024-03-15 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-04-15 |
| 2024-01-31 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-02-23 |
| 2024-01-31 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-02-23 |
| 2024-01-31 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-23 |
| 2023-02-01 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-07 |
| 2023-02-01 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · tag F0770 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-03-01 |
| 2023-02-01 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-02-22 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-25 | Fine | $70,800 |
| 2025-02-18 | Fine | $34,426 |
| 2024-11-19 | Payment denial for 12 days from 2024-12-19 | — |
| 2024-11-19 | Fine | $50,449 |
| 2024-03-15 | Payment denial for 6 days from 2024-06-15 | — |
| 2024-03-15 | Fine | $14,701 |
| 2024-01-31 | Fine | $71,069 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center Organization | 5% or greater direct ownership interest | 100% | 2025-02-01 |
| Katy Nursing & Rehabilitation LLC Organization | adp of the snf | — | 2025-02-01 |
| Lev 1 Pack Holdings LLC Organization | adp of the snf | — | 2025-12-02 |
| Zos Chanukah Atied Family Trust Organization | adp of the snf | — | 2025-12-02 |
| Zos Chanukah LLC Organization | adp of the snf | — | 2025-12-02 |
| Katy Nursing & Rehabilitation LLC Organization | operational/managerial control | — | 2025-01-01 |
| Oakbend Medical Center Organization | operational/managerial control | — | 2025-02-01 |
| Zephyr Nh, LLC Organization | operational/managerial control | — | 2023-06-01 |
| Polstein, Moshe Individual | adp of the snf | — | 2025-02-01 |
| R, Jose Individual | adp of the snf | — | 2025-02-01 |
| Shkop, Aharon Individual | adp of the snf | — | 2025-02-01 |
| Crayton, Tom Individual | corporate director | — | 2023-06-01 |
| Dorman, John Individual | corporate director | — | 2023-06-01 |
| Haley, Jeff Individual | corporate director | — | 2023-06-01 |
| King, Abby Individual | corporate director | — | 2023-06-01 |
| King, Elizabeth Individual | corporate director | — | 2023-06-01 |
| Pisani, Adam Individual | corporate director | — | 2023-06-01 |
| Popatia, Amirali Individual | corporate director | — | 2023-06-01 |
| Stuart, Julius Individual | corporate director | — | 2023-06-01 |
| Uthman, Edward Individual | corporate director | — | 2023-06-01 |
| Freudenberger, Joseph Individual | corporate officer | — | 2023-06-01 |
| Crayton, Tom Individual | managing control - governing body | — | 2024-01-01 |
| Dorman, John Individual | managing control - governing body | — | 2024-01-01 |
| Freudenberger, Joseph Individual | managing control - governing body | — | 2025-02-01 |
| Haley, Jeff Individual | managing control - governing body | — | 2024-01-01 |
| Hughes, Ruston Individual | managing control - governing body | — | 2024-01-01 |
| King, Abby Individual | managing control - governing body | — | 2024-01-01 |
| King, Elizabeth Individual | managing control - governing body | — | 2024-01-01 |
| Pisani, Adam Individual | managing control - governing body | — | 2024-01-01 |
| Popatia, Amirali Individual | managing control - governing body | — | 2024-01-01 |
| Stuart, Julius Individual | managing control - governing body | — | 2024-01-01 |
| Uthman, Edward Individual | managing control - governing body | — | 2024-01-01 |
| Polstein, Moshe Individual | operational/managerial control | — | 2025-02-01 |
| Shkop, Aharon Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Paradigm At Katy.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Fort Bend County.