Paradigm at Bay City

1800 13th St · Bay City, TX · 77414 · 9792456327

105 certified beds For profit - Limited Liability company Chain: Paradigm Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

3 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 72
Staffing 20% 74
Federal penalties 15% 65
Trend 10% 92
Context 5% 75

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: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.613.48 min · 4.1 strong
RN hours / resident-day0.820.55–0.75
Weekend hours / resident-day3.13≈ weekday level
Nursing turnover / year38%median 45%
Fines (3-yr window)1 · $50,359

Inspection citations (25 in the current record)

  • Potential for harm · E May 30, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · E May 30, 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 June 5, 2025 · Pharmacy Service

  • Potential for harm · D May 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 5, 2025 · Infection Control

  • Potential for harm · D May 30, 2025 · 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 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 20, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected June 6, 2024 · Resident Rights

  • Potential for harm · D May 20, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 6, 2024 · Quality of Life and Care

  • Potential for harm · D March 28, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 20, 2024 · Pharmacy Service

  • Potential for harm · D March 28, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected April 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 28, 2024 · found via complaint

    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 20, 2024 · Quality of Life and Care

  • Potential for harm · D March 28, 2024 · found via complaint

    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 20, 2024 · Pharmacy Service

  • Potential for harm · D March 28, 2024 · found via complaint

    Dispose of garbage and refuse properly.

    Corrected April 20, 2024 · Nutrition and Dietary

  • Potential for harm · D March 28, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 20, 2024 · Infection Control

  • Potential for harm · E January 12, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 12, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 20, 2024 · Quality of Life and Care

  • Immediate jeopardy · K August 3, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 4, 2023 · Resident Rights

  • Immediate jeopardy · K August 3, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · K August 3, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 4, 2023 · Quality of Life and Care

  • Potential for harm · D August 3, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 4, 2023 · Quality of Life and Care

  • Potential for harm · D February 9, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 9, 2023

    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 March 9, 2023 · Quality of Life and Care

  • Potential for harm · D February 9, 2023

    Ensure 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.

    Corrected March 9, 2023 · Quality of Life and Care

  • Potential for harm · D February 9, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 9, 2023 · Pharmacy Service

  • Potential for harm · D February 9, 2023

    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 March 9, 2023 · Pharmacy Service

  • Potential for harm · F February 9, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 9, 2023 · Nutrition and Dietary

  • Potential for harm · D February 9, 2023

    Provide and implement an infection prevention and control program.

    Corrected March 9, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
August 3, 2023Fine$50,359

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455582 · certified since August 12, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.