Nursing Home Penalty Ledger › Chains

Paradigm Healthcare

17 nursing homes in 2 states, in CMS's provider file of 2026-09-01.

These are the homes CMS lists under this chain today. Where a home has changed owner since 2016, CMS's change-of-ownership file (edition 2026-06-01) gives the date its current owner took it over, and penalties from before that date are counted apart: they were against an earlier owner, not a penalty against this chain's management. The figure can be off both ways: a change between two companies in the same chain is counted the same way, and a change the file does not hold (it runs to changes effective by 2026-02-01) is not counted at all.

CMS's archive holds 133 fines totalling $4,350,031 and 33 payment denials against these homes, at 16 of the 17. CMS's current file no longer shows 116 of those penalties.

9 of the 17 homes changed owner since 2016. 24 of those penalties, $731,077 in fines, are dated before the home's current owner took it over, which leaves $3,618,954 in fines since.

These are counts, not rates. They are not adjusted for how many homes the chain has, how large they are, or which states inspect them.

HomeStateFinesTotalPayment denialsEarliestCurrent owner sinceBefore that
Continuing Healthcare of Cuyahoga FallsOH17$464,243620162017-08-011 ($3,185)
Continuing Healthcare of GahannaOH12$721,535420162017-08-011 ($61,880)
Nazareth Living Care CenterTX4$4,585020202021-05-013 ($2,940)
Paradigm at Bay CityTX4$79,454120162017-03-311 ($1,885)
Paradigm at First ColonyTX12$422,85662016none in CMS's file
Paradigm at KountzeTX3$39,02402022none in CMS's file
Paradigm at the BrazosTX00none in CMS's file
Paradigm NorthwestTX8$109,061120182022-10-013 ($15,571)
Paradigm at Faith MemorialTX3$98,41712023none in CMS's file
Paradigm at KatyTX7$243,09422021none in CMS's file
Paradigm at SweenyTX4$72,625120192022-10-011
Paradigm at the PinesTX3$77,68602017none in CMS's file
Paradigm at WestburyTX13$440,92242016none in CMS's file
Paradigm at Woodwind LakesTX14$481,470420162017-03-312 ($39,088)
Paradigm at the CreekTX10$211,02412019none in CMS's file
Paradigm at the OakTX7$271,581020202023-01-012 ($34,260)
Paradigm at the PrairiesTX12$612,454220162024-01-0110 ($572,268)

Chain names and membership: CMS Provider Information, processed 2026-09-01. Penalties: CMS's archive of monthly editions. Owner dates: CMS Skilled Nursing Facility Change of Ownership, edition 2026-06-01. Public record. A home with no link has no penalty CMS has stopped publishing, so it has no page here.

This page states records; it is not legal advice and makes no finding about the care at any home or the conduct of any company. Sources, all public domain: CMS Provider Information (chain names), CMS's monthly archive of the Provider Data Catalog (penalties), and Skilled Nursing Facility Change of Ownership (owner dates). Found an error? Open an issue at the repository; every figure is checked against the CMS edition it comes from and corrected there.