Pure Grace Assisted Living Facility
Verified community28418 Champion Oaks Drive, Magnolia, TX 77354
Assisted Living
Call for pricing
Prices not published
About Paradigm Northwest
Paradigm Northwest in Houston, Texas provides skilled nursing and rehabilitation care tailored to each patient's recovery needs. Our experienced team focuses on restoring independence and confidence through personalized treatment plans, compassionate support, and evidence-based therapies designed to help patients thrive.
Community at a glance
Capacity
148 residents
Location
Houston, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
17600 Cali Dr, Houston, Texas 77090
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on December 11, 2025, state inspectors cited 12 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 58 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Paradigm Northwest 4 times in the last three years, $51,400 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 58 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 14 minutesBelow the Texas average |
| Nursing staff who left in the past year | 52%Below the Texas average |
1 administrator has left the home in the past year.
Inspections
29 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 10, 2026 · Complaint investigation · 3 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 11, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 11, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Apr 11, 2026
January 21, 2026 · Complaint investigation · 1 citation
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 28, 2026
December 11, 2025 · Standard inspection · 6 citations+
Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Dec 16, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Dec 16, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Dec 16, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 16, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 16, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Dec 16, 2025
December 10, 2025 · Complaint investigation · 2 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Dec 11, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 11, 2025
August 18, 2025 · Complaint investigation · 2 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Aug 22, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Aug 22, 2025
August 12, 2025 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Aug 7, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 15, 2025
August 5, 2025 · Complaint investigation · 1 citation+
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Aug 18, 2025
June 12, 2025 · Complaint investigation · 1 citation+
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 13, 2025
March 5, 2025 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Mar 25, 2025
December 20, 2024 · Complaint investigation · 1 citation+
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 10, 2025
September 26, 2024 · Complaint investigation · 1 citation+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Oct 18, 2024
September 26, 2024 · Standard inspection · 3 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Oct 18, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 18, 2024Dispose of garbage and refuse properly.
Minimal harm or risk, widespread (level C)Nutrition and DietaryCorrected Oct 18, 2024
September 13, 2024 · Complaint investigation · 2 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 26, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 26, 2024
May 8, 2024 · Complaint investigation · 1 citation+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 23, 2024
February 14, 2024 · Complaint investigation · 2 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Feb 19, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 19, 2024
Fines and payment denials
4 fines totaling $51,400 in the last three years.
- August 5, 2025Fine: $13,679
- August 5, 2025Fine: $13,679
- December 20, 2024Fine: $14,433
- February 14, 2024Fine: $9,609
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Oakbend Medical Center
- Medicare-certified beds
- 148
- Average residents per day
- 115
- Accepts
- Medicare and Medicaid
- First certified
- September 1, 1987
- Part of a chain
- Paradigm Healthcare, 17 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 455714
Location
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17600 Cali DrHouston, TX 77090
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Questions about Paradigm Northwest
How did Paradigm Northwest do on its last inspection?+
State inspectors visited on December 11, 2025 and cited 12 health deficiencies, 6 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Paradigm Northwest?+
Nurses and aides spend 2 hours 58 minutes with each resident per day, including 14 minutes from registered nurses. 52% of nursing staff left over the past year.
Has Paradigm Northwest been fined by Medicare?+
Yes. Medicare fined Paradigm Northwest 4 times in the last three years, totaling $51,400.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.