Nursing HomeInspections

Paradigm at the Oak

Nursing home in Schulenburg, TX

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

Call (979) 743-4150Send a messageMap ↗

Public-record details

Address
507 West Ave, Schulenburg, TX 78956
Phone
(979) 743-4150
Listed under
For-profit
Medicare CCN
675971
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
90
Average residents per day
52
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
Jun 5, 2003
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 675971. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 2, 2026. CMS lists 60 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 9, 2023 to May 28, 2026): 28 from complaint inspections, 8 at the “actual harm” level or higher, including 7 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
May 28, 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
May 28, 2026Provide activities to meet all resident's needs.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Apr 2, 2026Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		C
Potential for minimal harm, widespread
Apr 2, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 2, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 2, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 2, 2026Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 2, 2026Honor 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.
Resident Rights		E
Potential for more than minimal harm, pattern
Apr 2, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 2, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 5, 2026Honor 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.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 20, 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		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 60. 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 $103,606 in the last three years.

Feb 20, 2026Fine: $12,429
Nov 21, 2025Fine: $4,410
Jan 17, 2025Fine: $16,149
Nov 7, 2024Fine: $70,618

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
3.18 hours
Registered nurse (RN) time per resident per day
0.30 hours
Nurse aide time per resident per day
1.91 hours
Total nurse staffing on weekends
2.89 hours
Nursing staff turnover (yearly)
39%
RN turnover (yearly)
50%
Administrators who left in the past year
2

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 Schulenburg

Schulenburg Regency Nursing Center111 College St · Schulenburg, TX 78956 · (979) 249-6537 · For-profit16 health citations in 3 inspection cycles · last standard inspection Mar 11, 2026 · $8,827 in CMS fines (3 yrs)Medicare & Medicaid certified4★ overall (CMS)

All 2 in Schulenburg →