Paradigm at Stevens
204 Walter St · Yoakum, TX · 77995 · 3612933544
106 certified beds For profit - Corporation Chain: Paradigm Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.43 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
-
Potential for harm · D December 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 6, 2025 · found via complaint
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 September 8, 2025 · Resident Rights
-
Potential for harm · D September 6, 2025 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected September 8, 2025 · Nutrition and Dietary
-
Potential for harm · D March 7, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 7, 2025 · Resident Rights
-
Potential for harm · D March 7, 2025
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 April 7, 2025 · Resident Rights
-
Potential for harm · D March 7, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 7, 2025
Ensure each resident receives an accurate assessment.
Corrected April 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E March 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E March 7, 2025
Ensure the activities program is directed by a qualified professional.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · E March 7, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 7, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 7, 2025 · Quality of Life and Care
-
Potential for harm · E March 7, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 7, 2025 · Nursing and Physician Services
-
Potential for harm · E March 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 7, 2025 · Pharmacy Service
-
Potential for harm · D March 7, 2025
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 April 7, 2025 · Pharmacy Service
-
Potential for harm · F March 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 7, 2025 · Nutrition and Dietary
-
Potential for harm · D March 7, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D March 7, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 7, 2025 · Environmental
-
Potential for harm · D January 17, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 18, 2025 · Infection Control
-
Potential for harm · D May 30, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 20, 2024 · Quality of Life and Care
-
Potential for harm · D May 30, 2024 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected June 20, 2024 · Nursing and Physician Services
-
Potential for harm · D May 30, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 20, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455544 · certified since May 2, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.