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Paradigm Healthcare nursing homes
17 nursing homes with 1,924 beds in Texas (15), Ohio (2).
CMS affiliated entity 620 · data as of September 1, 2026
The group's record in brief
CMS links 17 certified nursing homes in 2 states to Paradigm Healthcare: 16 for profit, 0 nonprofit, 1 government run. 17 of them are certified for Medicaid.
Across the inspections on file, the group's homes carry 728 health citations; 66 citations were rated actual harm or immediate jeopardy, 44 of them immediate jeopardy. At their latest standard inspections the homes averaged 6.2 health deficiencies (national average 9.2).
14 homes in the group were fined in the last three years, $1,356,428 in all across 40 fines. Average nursing staff turnover across its homes was 54.8% (national 45.8%).
Staffing across the group
Daily payroll records from 17 homes in the group for January to March 2026, added up: hours worked by nursing staff divided by resident days. Weekend staffing ran 16% below weekdays.
| Hours per resident per day | This group | United States |
|---|---|---|
| All nursing staff | 3.20 | 3.75 |
| Registered nurses | 0.44 | 0.62 |
| Weekdays | 3.35 | 3.92 |
| Weekends | 2.83 | 3.33 |
| Share of nursing hours by contract staff | 1.4% | 5.3% |
Source: CMS Payroll Based Journal Daily Nurse Staffing. Weekend staffing in every state.
How the group's homes are rated
14 of its homes have a CMS overall rating. The national average is 3 stars. CMS's own chain averages: 2 overall, 2 health inspections, 1.5 staffing, 3.9 quality measures.
| Overall stars | Homes | |
|---|---|---|
| 5 of 5 | 1 | |
| 4 of 5 | 2 | |
| 3 of 5 | 1 | |
| 2 of 5 | 2 | |
| 1 of 5 | 8 |
Across the group: 66 citations rated actual harm or immediate jeopardy, and an average of 3.22 nursing staff hours per resident per day (national 3.86).
Every home in the group
| Home | City | State | Overall | Citations | Fines |
|---|---|---|---|---|---|
| Continuing Healthcare of Cuyahoga Falls | Cuyahoga Falls | OH | n/a | 91 | $178,725 |
| Continuing Healthcare of Gahanna | Gahanna | OH | n/a | 116 | $366,645 |
| Paradigm at Bay City | Bay City | TX | 4 | 19 | |
| Paradigm at the Prairies | El Campo | TX | 1 | 32 | $53,583 |
| Nazareth Living Care Center | El Paso | TX | 2 | 56 | |
| Paradigm Northwest | Houston | TX | 1 | 33 | $51,400 |
| Paradigm at Woodwind Lakes | Houston | TX | n/a | 39 | $89,541 |
| Paradigm at Westbury | Houston | TX | 1 | 42 | $108,038 |
| Paradigm at Katy | Katy | TX | 1 | 51 | $170,645 |
| Paradigm at Kountze | Kountze | TX | 4 | 25 | $16,801 |
| Paradigm at First Colony | Missouri City | TX | 1 | 39 | $64,559 |
| Paradigm at Faith Memorial | Pasadena | TX | 3 | 22 | $19,481 |
| Paradigm at the Brazos | Richmond | TX | 5 | 6 | |
| Paradigm at the Oak | Schulenburg | TX | 1 | 60 | $103,606 |
| Paradigm at the Pines | Silsbee | TX | 2 | 32 | $8,281 |
| Paradigm at Sweeny | Sweeny | TX | 1 | 22 | $50,189 |
| Paradigm at the Creek | Wharton | TX | 1 | 43 | $74,934 |
Group membership is CMS's: homes it links to one affiliated entity through common owners or operators, from the Provider Information file.