Paradigm at the Creek
1405 Valhalla Dr · Wharton, TX · 77488 · 9795321244
120 certified beds For profit - Limited Liability company Chain: Paradigm Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $37,312 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
1 immediate-jeopardy citation 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%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 4 · $52,034 |
Inspection citations (35 in the current record)
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Immediate jeopardy · K August 4, 2025 · 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 August 8, 2025 · Resident Assessment and Care Planning
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Actual harm · G May 16, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 23, 2025 · Quality of Life and Care
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Immediate jeopardy · J September 30, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J September 30, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 18, 2024 · Nursing and Physician Services
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Potential for harm · E September 30, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected October 18, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J May 28, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected June 7, 2024 · Quality of Life and Care
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Actual harm · G May 8, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · D May 8, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 22, 2024 · Resident Rights
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Potential for harm · D May 8, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 22, 2024 · Resident Rights
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Potential for harm · D May 8, 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 May 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2024 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected May 22, 2024 · Administration
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Potential for harm · D May 8, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 22, 2024 · Administration
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Potential for harm · F May 8, 2024 · found via complaint
Have a Compliance and Ethics Program.
Corrected May 22, 2024 · Administration
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Potential for harm · F May 8, 2024 · found via complaint
Provide training in compliance and ethics.
Corrected May 22, 2024 · Administration
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Potential for harm · D March 28, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 8, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 8, 2024 · Quality of Life and Care
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Potential for harm · E March 28, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 8, 2024 · Quality of Life and Care
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Potential for harm · E March 28, 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 April 8, 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 8, 2024 · Quality of Life and Care
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Potential for harm · D March 28, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected April 8, 2024 · Nutrition and Dietary
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Potential for harm · D August 9, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 18, 2023 · Quality of Life and Care
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Potential for harm · D February 7, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected February 24, 2023 · Resident Rights
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Potential for harm · E February 7, 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 February 24, 2023 · Pharmacy Service
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Potential for harm · E February 7, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected February 24, 2023 · Nutrition and Dietary
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Potential for harm · E February 7, 2023
Implement a program that monitors antibiotic use.
Corrected February 24, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 4, 2025 | Fine | $8,191 |
| May 16, 2025 | Fine | $8,402 |
| September 30, 2024 | Fine | $20,719 |
| May 8, 2024 | Fine | $14,722 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455699 · certified since April 23, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.