Paradigm at the Brazos
Nursing home in Richmond, TX
Medicare & Medicaid certified5★ overall (CMS)
Public-record details
- Address
- 2127 Preston St, Richmond, TX 77469
- Phone
- (281) 342-2801
- Listed under
- For-profit, 4–5 star overall rating, No fines in 3 years
- Medicare CCN
- 675420
- Overall star rating
- 5 of 5 ★★★★★
- Health inspection rating
- 5 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 5 of 5
- Certified beds
- 56
- Average residents per day
- 41
- Ownership
- For-profit, corporation
- Legal business name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Aug 30, 1994
- 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
Inspection record
Most recent standard health inspection: Aug 1, 2025. CMS lists 6 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 1, 2023 to Aug 1, 2025): 2 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Aug 1, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Aug 1, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Nov 30, 2023 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D |
| Nov 30, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| Jun 1, 2023 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jun 1, 2023 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.19 hours
- Registered nurse (RN) time per resident per day
- 0.57 hours
- Nurse aide time per resident per day
- 1.75 hours
- Total nurse staffing on weekends
- 2.70 hours
- Nursing staff turnover (yearly)
- 21%
- RN turnover (yearly)
- 29%
- Administrators who left in the past year
- 0
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.