Paradigm at the Oak
507 West Ave · Schulenburg, TX · 78956 · 9797434150
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).
- Federal penalties on record: $110,298 in fines in the last 24 months.
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.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$110,298 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 4 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.93 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 4 · $110,298 |
Inspection citations (55 in the current record)
-
Potential for harm · E March 5, 2026 · found via complaint
Honor 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.
Corrected April 2, 2026 · Resident Rights
-
Immediate jeopardy · J February 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J February 20, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J February 20, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 20, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 11, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · D December 29, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 31, 2025 · Infection Control
-
Potential for harm · D November 21, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected November 22, 2025 · Resident Rights
-
Potential for harm · D November 21, 2025 · 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 November 22, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E November 21, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 22, 2025 · Pharmacy Service
-
Potential for harm · E November 21, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 22, 2025 · Nutrition and Dietary
-
Potential for harm · F November 21, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 22, 2025 · Environmental
-
Potential for harm · E June 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E March 31, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 30, 2025 · Pharmacy Service
-
Potential for harm · E March 31, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 30, 2025 · Pharmacy Service
-
Potential for harm · E January 28, 2025
Honor 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.
Corrected February 28, 2025 · Resident Rights
-
Potential for harm · D January 28, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 28, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E January 28, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 28, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 28, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · E January 28, 2025
Provide activities to meet all resident's needs.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 28, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 28, 2025
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 February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2025 · Quality of Life and Care
-
Potential for harm · D January 28, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected February 28, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2026 | Fine | $19,121 |
| November 21, 2025 | Fine | $4,410 |
| January 17, 2025 | Fine | $16,149 |
| November 7, 2024 | Fine | $70,618 |
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 675971 · certified since June 5, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.