Skilled nursing facility · CMS certification number 455714
Paradigm Northwest
Houston, Texas · Medicare and Medicaid · 148 certified beds in Care Compare
Download Paradigm Northwest’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 4 · Fines: 4 · Fines, total amount: $51,400.00 · Payment denials: 0. The most recent penalty on file: August 5, 2025, Fine, $13,679. Every penalty on file ↓
Paradigm Northwest: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on January 28, 2026.
- Net patient revenue rose from $8.1M in fiscal year 2023 to $8.9M in fiscal year 2024.
- Its result from service to patients: −$146K (2022), −$45K (2023), −$5K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $8.9M ranks 210th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
Paradigm Northwest: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1447110 | 2023 · report 1376807 | 2022 · report 1354204 | 2021 · report 1328790 | 2020 · report 1332583 | 2019 · report 1283106 | 2018 · report 1232653 | 2017 · report 1209894 | 2016 · report 1172633 | 2015 · report 1141528 | 2014 · report 1102748 | 2013 · report 1087725 | 2012 · report 1077991 | 2011 · report 1052699 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | October 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | — | 91 | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | January 28, 2026 | April 25, 2024 | June 23, 2023 | August 3, 2022 | September 16, 2022 | April 29, 2021 | June 26, 2019 | August 21, 2018 | August 10, 2017 | August 17, 2016 | July 24, 2015 | March 25, 2015 | September 11, 2014 | December 19, 2013 |
| Total patient revenue | $11,876,462 | $12,229,540 | $2,732,738 | $11,515,093 | $13,150,882 | $12,332,625 | $11,598,972 | $10,525,979 | $8,351,044 | $9,346,947 | $8,023,261 | $9,252,592 | $10,175,456 | $10,888,835 |
| Contractual allowances and discounts | $2,948,114 | $4,125,070 | $1,014,621 | $3,802,047 | $4,142,758 | $2,933,418 | $2,765,728 | $2,428,519 | $1,538,841 | $1,516,273 | $1,118,591 | $1,463,244 | $1,793,816 | $1,915,205 |
| Net patient revenue | $8,928,348 | $8,104,470 | $1,718,117 | $7,713,046 | $9,008,124 | $9,399,207 | $8,833,244 | $8,097,460 | $6,812,203 | $7,830,674 | $6,904,670 | $7,789,348 | $8,381,640 | $8,973,630 |
| Total operating expenses | $8,933,239 | $8,148,980 | $1,864,349 | $8,320,570 | $9,166,993 | $9,067,825 | $7,598,358 | $7,575,145 | $6,834,170 | $7,365,798 | $7,097,467 | $8,494,252 | $10,146,211 | $10,095,599 |
| Net income from service to patients | −$4,891 | −$44,510 | −$146,232 | −$607,524 | −$158,869 | $331,382 | $1,234,886 | $522,315 | −$21,967 | $464,876 | −$192,797 | −$704,904 | −$1,764,571 | −$1,121,969 |
| Total other income | $693,686 | $1,128,302 | $205,501 | $2,134,856 | $1,863,976 | $555,934 | $270,072 | $230,542 | $7,253 | $10,624 | $2,926 | $3,954 | $6,836 | $2,353 |
| Net income after other income | $688,795 | $1,083,792 | $59,269 | $1,527,332 | $1,705,107 | $887,316 | $1,504,958 | $752,857 | −$14,714 | $475,500 | −$189,871 | −$700,950 | −$1,757,735 | −$1,119,616 |
| Net income | $688,795 | $1,083,792 | $59,269 | $1,527,332 | $1,705,107 | $887,316 | $1,504,958 | $752,857 | −$14,714 | $475,500 | −$189,871 | −$700,950 | −$1,757,735 | −$1,119,616 |
| Total facility beds, all components | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 | 148 |
| Bed days available, all components | 54,168 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,170 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 29,776 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 5,468 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 36,414 | 37,471 | 8,688 | 37,676 | 42,868 | 46,962 | 45,706 | 43,751 | 37,551 | 42,351 | 40,009 | 42,951 | 45,243 | 44,681 |
| Medicare discharges | 40 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 81 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 140 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 261 | 213 | 48 | 315 | 349 | 281 | 273 | 248 | 254 | 299 | 297 | 386 | 358 | 414 |
| Average length of stay, Medicare, in days | 29.25 | 38.57 | 53 | 25.48 | 29.86 | 50.63 | 113.06 | 103.3 | 68.57 | 58.45 | 41.03 | 39.32 | 42.74 | 44.22 |
| Average length of stay, Medicaid, in days | 367.6 | 281.07 | 282.39 | 710.55 | 388.55 | 493.71 | 659.02 | 809.41 | 597.32 | 301.57 | 255.33 | 193.17 | 291.43 | 207.5 |
| Average length of stay, all patients, in days | 139.52 | 175.92 | 181 | 119.61 | 122.83 | 167.12 | 167.42 | 176.42 | 147.84 | 141.64 | 134.71 | 111.27 | 126.38 | 107.93 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 410144 | 2009 · report 414847 | 2008 · report 359589 | 2007 · report 338044 | 2006 · report 305313 | 2005 · report 278030 | 2004 · report 237995 | 2003 · report 215296 | 2002 · report 237495 | 2001 · report 217274 | 2000 · report 242239 | 1997 · report 8333 | 1996 · report 8331 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | December 1, 2005 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | November 30, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1997 | December 31, 1996 |
| Report status | as submitted | settled | reopened | settled | settled | settled | settled | settled | settled | settled | settled | as submitted | reopened |
| Processed by CMS | July 19, 2011 | August 8, 2011 | November 25, 2009 | April 30, 2009 | March 25, 2008 | May 4, 2007 | December 2, 2005 | April 27, 2005 | November 29, 2005 | May 19, 2005 | February 3, 2006 | August 28, 1998 | August 5, 1999 |
| Net patient revenue | $9,183,933 | $9,426,413 | $9,139,590 | $8,851,884 | $8,535,930 | $6,067,197 | $5,948,587 | $5,011,362 | $6,491,769 | $6,798,352 | $6,812,706 | $7,707,085 | $7,265,779 |
| Total operating expenses | $10,519,089 | $10,130,499 | $8,488,434 | $9,025,283 | $9,765,055 | $6,032,030 | $6,689,773 | $5,369,692 | $6,120,392 | $6,423,394 | $5,457,170 | $6,226,816 | $5,955,873 |
| Net income from service to patients | −$1,335,156 | −$704,086 | $651,156 | −$173,399 | −$1,229,125 | $35,167 | −$741,186 | −$358,330 | $371,377 | $374,958 | $1,355,536 | $1,480,269 | $1,309,906 |
| Total other income | $1,891 | $7,090 | $8,753 | $13,275 | $9,711 | $10,647 | −$118 | $10,359 | $1,349,224 | $17,044 | $30,333 | $166,840 | $8,775 |
| Total other expenses | — | — | — | — | — | — | — | — | — | — | — | — | −$642 |
| Net income | −$1,333,265 | −$696,996 | $659,909 | −$160,124 | −$1,219,414 | $45,814 | −$741,304 | −$347,971 | $1,720,601 | $392,002 | $1,385,869 | $1,647,109 | $1,319,323 |
| Total facility beds, all components | 148 | 148 | 148 | 161 | 161 | 161 | 161 | 161 | 161 | 161 | 161 | 162 | 162 |
| Total patient days, all components | 46,034 | 47,913 | 40,165 | 50,412 | 52,836 | 41,866 | 41,184 | 36,110 | 45,819 | 52,750 | 53,705 | 55,157 | 55,713 |
| Total discharges, all components | 375 | 444 | 464 | 430 | 402 | 347 | 321 | 183 | 410 | 423 | 389 | 457 | 487 |
| Average length of stay, Medicare, in days | 41.06 | 33.95 | 44.97 | 40.32 | 50.52 | 50.44 | 46.48 | 77.11 | 41.39 | 48.83 | 50.86 | 26.24 | 25.87 |
| Average length of stay, Medicaid, in days | 248.23 | 291.81 | 191.36 | 311.63 | 341.97 | 243.47 | 275.36 | 281.32 | 279.11 | 306.78 | 382.44 | 374.8 | 208.17 |
| Average length of stay, all patients, in days | 122.76 | 107.91 | 86.56 | 117.24 | 131.43 | 120.65 | 128.3 | 197.32 | 111.75 | 124.7 | 138.06 | 120.69 | 114.4 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
Paradigm Northwest: nurse staffing hours by quarter →
Who owns Paradigm Northwest, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: OAKBEND MEDICAL CENTER (organization), 100%%, since 10/01/2022
- CORPORATE OFFICER: FREUDENBERGER, JOSEPH (individual), NOT APPLICABLE, since 10/01/2022
- OPERATIONAL/MANAGERIAL CONTROL: NORTHWEST NURSING & REHABILITATION LLC (organization), NOT APPLICABLE, since 10/01/2022; SHKOP, AHARON (individual), NOT APPLICABLE, since 10/01/2022
- W-2 MANAGING EMPLOYEE: FREUDENBERGER, JOSEPH (individual), NOT APPLICABLE, since 10/01/2022
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of OAKBEND MEDICAL CENTER (enrollment ID O20221103002567).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: OAKBEND MEDICAL CENTER (organization), 100.00%, since 10/01/2022
- CORPORATE OFFICER: JOSEPH FREUDENBERGER (individual), 100.00%, since 10/01/2022
- OPERATIONAL/MANAGERIAL CONTROL: AHARON SHKOP (individual), 100.00%, since 10/01/2022; NORTHWEST NURSING & REHABILITATION LLC (organization), 100.00%, since 10/01/2022
- W-2 MANAGING EMPLOYEE: JOSEPH FREUDENBERGER (individual), 100.00%, since 10/01/2022
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: OAKBEND MEDICAL CENTER; NORTHWEST NURSING & REHABILITATION LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: JOSEPH FREUDENBERGER; AHARON SHKOP; JOSEPH FREUDENBERGER.
Changes in ownership
- May 15, 2023, enrollment ownership file; no longer listed: TERPAX, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST); ANDREW E SHANE (DIRECTOR); ANDREW E SHANE (OFFICER); TEXAS HOLDCO, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); WYNN G SIMS (OFFICER); CHRISTOPHER S STENGER (OTHER); CHRISTOPHER S STENGER (OPERATIONAL/MANAGERIAL CONTROL); SSC EQUITY HOLDINGS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); JERRALD S ROLES (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SAVASENIORCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); LADONNA PALMER (W-2 MANAGING EMPLOYEE); MASTER TENANT PARENT HOLDCO, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); STEVEN E WICKS (W-2 MANAGING EMPLOYEE); STEVEN E WICKS (OFFICER); PROTO EQUITY HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SANDRA ANN PECOT (W-2 MANAGING EMPLOYEE); first listed: OAKBEND MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since October 1, 2022; JOSEPH FREUDENBERGER (W-2 MANAGING EMPLOYEE), associated since October 1, 2022; JOSEPH FREUDENBERGER (OFFICER), associated since October 1, 2022; AHARON SHKOP (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; NORTHWEST NURSING & REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- August 5, 2026: A deficiency was cited under tag F 0609, scope and severity D. NH_HealthCitations_Oct2026.csv
Inspections of Paradigm Northwest
- Cycle 1: health December 11, 2025 (13 deficiencies), fire safety December 11, 2025 (4)
- Cycle 2: health September 26, 2024 (11 deficiencies), fire safety September 26, 2024 (1)
- Cycle 3: health July 28, 2023 (10 deficiencies), fire safety July 28, 2023 (1)
Deficiencies cited at Paradigm Northwest
34 deficiencies on file, by tag, newest citation first
every one from a health inspection; 23 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: August 5, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected August 6, 2026).
- F 0677, quality of life and care: April 10, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected April 11, 2026); September 13, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 26, 2024).
- F 0686, quality of life and care: April 10, 2026 (E, from a complaint, Deficient, Provider has date of correction, corrected April 11, 2026).
- F 0880, infection control: April 10, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected April 11, 2026); December 11, 2025 (D, Deficient, Provider has date of correction, corrected December 16, 2025); March 5, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected March 25, 2025); September 26, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 18, 2024).
- F 0657, resident assessment and care planning: January 21, 2026 (D, from a complaint, Deficient, Provider has date of correction, corrected January 28, 2026).
- F 0578, resident rights: December 11, 2025 (D, Deficient, Provider has date of correction, corrected December 16, 2025).
- F 0644, resident assessment and care planning: December 11, 2025 (D, Deficient, Provider has date of correction, corrected December 16, 2025).
- F 0656, resident assessment and care planning: December 11, 2025 (D, Deficient, Provider has date of correction, corrected December 16, 2025); August 12, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected August 15, 2025); June 12, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected June 13, 2025); February 14, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected February 19, 2024).
- F 0692, quality of life and care: December 11, 2025 (D, Deficient, Provider has date of correction, corrected December 16, 2025).
- F 0759, pharmacy service: December 11, 2025 (D, Deficient, Provider has date of correction, corrected December 16, 2025); July 28, 2023 (E, Deficient, Provider has date of correction, corrected August 31, 2023).
- F 0695, quality of life and care: December 10, 2025 (D, from a complaint, Deficient, Provider has date of correction, corrected December 11, 2025).
- F 0812, nutrition and dietary: December 10, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected December 11, 2025); September 26, 2024 (E, from a complaint, Deficient, Provider has date of correction, corrected October 18, 2024).
- F 0580, resident rights: August 18, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2025).
- F 0684, quality of life and care: August 18, 2025 (J, from a complaint, Deficient, Provider has date of correction, corrected August 22, 2025).
- F 0689, quality of life and care: August 12, 2025 (J, from a complaint, Past Non-Compliance, corrected August 7, 2025); July 28, 2023 (E, Deficient, Provider has date of correction, corrected August 31, 2023).
- F 0925, environmental: August 5, 2025 (E, from a complaint, Deficient, Provider has date of correction, corrected August 18, 2025); July 28, 2023 (E, Deficient, Provider has date of correction, corrected August 31, 2023).
- F 0678, quality of life and care: December 20, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected January 10, 2025).
- F 0607, freedom from abuse, neglect, and exploitation: September 26, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected October 18, 2024).
- F 0814, nutrition and dietary: September 26, 2024 (C, Deficient, Provider has date of correction, corrected October 18, 2024).
- F 0550, resident rights: September 13, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected September 26, 2024); May 8, 2024 (D, from a complaint, Deficient, Provider has date of correction, corrected May 23, 2024).
- F 0755, pharmacy service: February 14, 2024 (J, from a complaint, Deficient, Provider has date of correction, corrected February 19, 2024).
- F 0921, environmental: July 28, 2023 (E, Deficient, Provider has date of correction, corrected August 31, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| August 5, 2025 | Fine | $13,679 | 135646 | ||
| August 5, 2025 | Fine | $13,679 | 135647 | ||
| December 20, 2024 | Fine | $14,433 | 113494 | ||
| February 14, 2024 | Fine | $9,609 | 112361 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Paradigm Northwest in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: OAKBEND MEDICAL CENTER
- Date First Approved to Provide Medicare and Medicaid Services: 1987-09-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Harris
- Telephone Number: 2814409000
- Chain Name: PARADIGM HEALTHCARE
- Chain ID: 620
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: None
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 116.5
- Overall Rating: 1
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in Houston
Report a figure on Paradigm Northwest’s record that differs from its CMS file, quoting 455714.