Paradigm at the Brazos
2127 Preston St · Richmond, TX · 77469 · 2813422801
56 certified beds For profit - Corporation Chain: Paradigm Healthcare
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Cleaner inspection record than most facilities nationally.
- No federal fines or payment denials in CMS’s 3-year window.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.19 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.52 | 0.55–0.75 |
| Weekend hours / resident-day | 2.60 | ≈ weekday level |
| Nursing turnover / year | 23% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (6 in the current record)
-
Potential for harm · D August 1, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E August 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 22, 2025 · Nutrition and Dietary
-
Potential for harm · D November 30, 2023 · found via complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected December 21, 2023 · Environmental
-
Potential for harm · D November 30, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 21, 2023 · Environmental
-
Potential for harm · D June 1, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 21, 2023 · Pharmacy Service
-
Potential for harm · E June 1, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 21, 2023 · Environmental
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 675420 · certified since August 30, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.