Houston, TX

Paradigm at Westbury

1-star overall rating with 1-star inspections with $118,093 in total fines with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

5201 S Willow Dr, Houston, TX

(713) 721-0297

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

148

Certified beds

Average residents

105

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Paradigm Healthcare

Operator or chain grouping

Approved since

1996-07-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.33

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.88

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.10

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

65%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

63%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,956

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

9.44

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

0

Baseline 7.66% · Performance 8.68% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.83

Baseline 74.40% · Performance 57.89% · Measure score 2.83 · Achievement 1.42 · Improvement 2.83

Adjusted total nurse staffing

0

Baseline 3.12 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.34%
10.72%
0.4 pts better
No Different than the National Rate · Eligible stays 48 · Observed rate 10.42% · Lower 95% interval 6.13%
Discharge to community 34.39%
50.57%
16.2 pts worse
Worse than the National Rate · Eligible stays 43 · Observed rate 16.28% · Lower 95% interval 22.36%
Medicare spending per beneficiary 1.19
1.02
0.2 pts worse
Drug regimen review with follow-up 97.14%
95.27%
1.9 pts better
Numerator 34 · Denominator 35
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 35
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened 2.86%
2.29%
0.6 pts worse
Numerator 1 · Denominator 35 · Adjusted rate 1.85%
Healthcare-associated infections requiring hospitalization 8.68%
7.12%
1.6 pts worse
No Different than the National Rate · Eligible stays 29 · Observed rate 20.69% · Lower 95% interval 5.04%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 96
Staff flu vaccination coverage 30.99%
42%
11 pts worse
Numerator 53 · Denominator 171
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
97.1%
2.9 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
97.9%
2.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.0%
3.3%
2.3 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.0% · Q3 1.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
2.7%
2.7 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 5.9%
3.3%
2.6 pts worse
5.4%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 7.1% · Q3 4.5% · Q4 3.4% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 5.1%
18.9%
13.8 pts better
19.6%
14.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 3.1% · Q3 4.5% · Q4 3.4% · 4Q avg 5.1%
Percentage of long-stay residents who received an antipsychotic medication 17.5%
10.8%
6.7 pts worse
16.7%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 18.8% · Q3 19.6% · Q4 10.0% · 4Q avg 17.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 16.1%
15.4%
0.7 pts worse
16.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 0.0% · Q3 30.5% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 15.8%
16.1%
0.3 pts better
14.9%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 19.3% · Q3 14.9% · Q4 13.7% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.5%
0.5 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.3%
0.8%
0.5 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.4%
15.0%
2.4 pts worse
19.8%
2.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 16.5% · Q3 14.8% · Q4 10.5% · 4Q avg 17.4%
Percentage of long-stay residents with pressure ulcers 11.4%
4.2%
7.2 pts worse
5.1%
6.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 14.8% · Q3 10.4% · Q4 10.4% · 4Q avg 11.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
89.7%
5.2 pts better
81.7%
13.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 100.0% · Q4 78.5% · 4Q avg 94.9%
Percentage of short-stay residents who had an outpatient emergency department visit 12.0%
12.0%
About the same
12.0%
About the same
Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 16.1% · Expected 15.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.5%
0.2 pts worse
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 3.0% · Q4 1.2% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.0%
88.0%
10 pts better
79.7%
18.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.2%
25.9%
2.7 pts better
23.9%
0.7 pts better
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 32.3% · Expected 33.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-28 · Fire 2025-03-28

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-01-07 · Fire 2024-01-07

18 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-10-07 · Fire 2022-10-07

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-16

E · Potential for more than minimal harm 2025-03-28

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-16

E · Potential for more than minimal harm 2025-03-28

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-18

C · Minimal harm 2025-03-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-20

E · Potential for more than minimal harm 2024-01-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-29

D · Potential for more than minimal harm 2024-01-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-12-21

F · Potential for more than minimal harm 2022-10-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-10-06

D · Potential for more than minimal harm 2022-10-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-10-21

C · Minimal harm 2022-10-07

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-10-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-24

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-12

D · Potential for more than minimal harm 2025-11-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-12-12

K · Immediate jeopardy 2025-08-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-05-02

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-06

E · Potential for more than minimal harm 2025-03-28

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-03-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-03-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-23

E · Potential for more than minimal harm 2025-03-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-28

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-04-23

G · Actual harm 2025-01-28

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-30

L · Immediate jeopardy 2025-01-15

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-01-25

D · Potential for more than minimal harm 2024-10-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-10-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-07-03

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-07-10

F · Potential for more than minimal harm 2024-06-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-06-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-30

E · Potential for more than minimal harm 2024-06-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-06-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-06-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-06-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-06-06

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-04-30

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-05-02

D · Potential for more than minimal harm 2024-04-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-05-02

D · Potential for more than minimal harm 2024-04-30

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-05-02

K · Immediate jeopardy 2024-02-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-07

K · Immediate jeopardy 2024-02-05

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-29

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-02-05

G · Actual harm 2024-01-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-08

F · Potential for more than minimal harm 2024-01-07

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-01-08

D · Potential for more than minimal harm 2024-01-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-10

E · Potential for more than minimal harm 2023-11-03

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-11-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-10-17

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-10-24

D · Potential for more than minimal harm 2023-10-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-10-24

D · Potential for more than minimal harm 2023-05-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-06-09

E · Potential for more than minimal harm 2022-10-07

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-10-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-10-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-10-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-10-07

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-10-21

E · Potential for more than minimal harm 2022-10-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-21

D · Potential for more than minimal harm 2022-10-07

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-10-21

D · Potential for more than minimal harm 2022-10-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-10-21

D · Potential for more than minimal harm 2022-10-07

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-10-21

Penalties and ownership

What sits behind the stars

$22,455 2025-08-28

Fine

Fine · fine $22,455

Fine

$81,075 2025-01-15

Fine

Fine · fine $81,075

Fine

$14,563 2024-01-07

Fine

Fine · fine $14,563

Fine

Ownership

Oakbend Medical Center

5% Or Greater Direct Ownership Interest · Organization

100% 32 facilities 2015-02-28
Beard, Barry

Corporate Director · Individual

0% 4 facilities 2012-01-01
Council, Jeff

Corporate Director · Individual

0% 7 facilities 2013-01-01
Crayton, Tom

Corporate Director · Individual

0% 8 facilities 2013-01-01
Freudenberger, Joseph

Corporate Officer · Individual

0% 35 facilities 2007-06-19
Freudenberger, Joseph

W-2 Managing Employee · Individual

0% 35 facilities 2007-06-19
Martin, Melissa

Corporate Director · Individual

0% 9 facilities 2015-01-01
Mcclamroch, James

Corporate Director · Individual

0% 2 facilities 2013-01-01
Mefford, Ruthanne

Corporate Director · Individual

0% 7 facilities 2015-01-01
Murray, Mark

Corporate Director · Individual

0% 2 facilities 2011-01-01
Petrosewicz, Norma

Corporate Director · Individual

0% 7 facilities 2013-01-01
Tape, May

Corporate Director · Individual

0% 2 facilities 2008-01-15
Uthman, Edward

Corporate Director · Individual

0% 8 facilities 2008-01-01
Westbury Place Nursing & Rehabilitation, LLC

Operational/Managerial Control · Organization

0% 1 facilities 2018-12-01

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Fines
$57,184
#3

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Staffing
3 / 5
Fines
$34,418

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