Paradigm at the Oak
507 West Ave · Schulenburg, TX · 78956 · 9797434150
90 certified beds For profit - Limited Liability company Chain: Paradigm Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $110,298 in fines in the last 24 months.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$110,298 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 4 · $110,298 |
Inspection citations (55 in the current record)
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Potential for harm · E March 5, 2026 · 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 April 2, 2026 · Resident Rights
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Immediate jeopardy · J February 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J February 20, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J February 20, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · D December 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 31, 2025 · Infection Control
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Potential for harm · D November 21, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected November 22, 2025 · Resident Rights
-
Potential for harm · D November 21, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 22, 2025 · Pharmacy Service
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Potential for harm · E November 21, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 22, 2025 · Nutrition and Dietary
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Potential for harm · F November 21, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 22, 2025 · Environmental
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Potential for harm · E June 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 31, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · E March 31, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 30, 2025 · Pharmacy Service
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Potential for harm · E January 28, 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 February 28, 2025 · Resident Rights
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Potential for harm · D January 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 28, 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 February 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · E January 28, 2025
Provide activities to meet all resident's needs.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 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 February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D January 28, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 28, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2026 | Fine | $19,121 |
| November 21, 2025 | Fine | $4,410 |
| January 17, 2025 | Fine | $16,149 |
| November 7, 2024 | Fine | $70,618 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675971 · certified since June 5, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.