Paradigm at Sweeny
109 N McKinney · Sweeny, TX · 77480 · 9795483383
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).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
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.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.64 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $11,905 |
Inspection citations (19 in the current record)
-
Immediate jeopardy · K July 4, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K July 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 22, 2025 · Resident Assessment and Care Planning
-
Immediate jeopardy · J July 4, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 22, 2025 · Quality of Life and Care
-
Potential for harm · E July 4, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected July 22, 2025 · Resident Rights
-
Potential for harm · D July 4, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 22, 2025 · Resident Rights
-
Potential for harm · E July 4, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 22, 2025 · Nutrition and Dietary
-
Potential for harm · E June 4, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 4, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E June 4, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 21, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D March 21, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 29, 2024 · Pharmacy Service
-
Potential for harm · D March 21, 2024
Provide and implement an infection prevention and control program.
Corrected March 29, 2024 · Infection Control
-
Potential for harm · D March 21, 2024 · 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 March 29, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E March 21, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 29, 2024 · Nutrition and Dietary
-
Potential for harm · E March 8, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected March 16, 2024 · Quality of Life and Care
-
Actual harm · G December 14, 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 January 5, 2024 · Resident Rights
-
Potential for harm · D February 2, 2023
Keep residents' personal and medical records private and confidential.
Corrected February 12, 2023 · Resident Rights
-
Potential for harm · D February 2, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 12, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D February 2, 2023
Ensure that residents are free from significant medication errors.
Corrected February 12, 2023 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 4, 2025 | Fine | $11,905 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675344 · certified since May 31, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.