Nursing HomeInspections

Paradigm at the Creek

Nursing home in Wharton, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (979) 532-1244Send a messageMap ↗

Public-record details

Address
1405 Valhalla Dr, Wharton, TX 77488
Phone
(979) 532-1244
Listed under
For-profit
Medicare CCN
455699
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
1 of 5
Certified beds
120
Average residents per day
56
Ownership
For-profit, limited Liability company
Legal business name
Oakbend Medical Center
Chain
Paradigm Healthcare (17 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 23, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455699. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 23, 2025. CMS lists 44 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 7, 2023 to Jul 1, 2026): 25 from complaint inspections, 7 at the “actual harm” level or higher, including 4 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jul 1, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection · under dispute review		D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection · under dispute review		D
Potential for more than minimal harm, isolated
Jul 1, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 1, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
May 22, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		E
Potential for more than minimal harm, pattern
May 22, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
May 6, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 4, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		K
Immediate jeopardy, pattern
May 23, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 23, 2025Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 23, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 23, 2025Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 44. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $52,034 in the last three years.

Aug 4, 2025Fine: $8,191
May 16, 2025Fine: $8,402
Sep 30, 2024Fine: $20,719
May 8, 2024Fine: $14,722

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.23 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
2.12 hours
Total nurse staffing on weekends
2.75 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
71%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Wharton

Wharton Nursing and Rehabilitation Center1220 Sunny Lane · Wharton, TX 77488 · (979) 532-5020 · Government-owned17 health citations in 3 inspection cycles · last standard inspection May 28, 2026 · $62,125 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 2 in Wharton →