Paradigm at the Prairies
106 Del Norte Dr · El Campo, TX · 77437 · 9795436762
150 certified beds For profit - Individual 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 (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $32,652 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.
2 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.
3 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.
Total nurse staffing below 3.0 hours per resident-day
2.60 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5
| Total nurse hours / resident-day | 2.60 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 2.23 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 3 · $46,049 |
Inspection citations (25 in the current record)
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Potential for harm · E April 20, 2026 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 22, 2026 · Resident Rights
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Potential for harm · D April 20, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected April 22, 2026 · Resident Rights
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Potential for harm · D April 20, 2026 · 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 April 22, 2026 · Nursing and Physician Services
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Immediate jeopardy · J March 15, 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 April 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 15, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 26, 2025 · Resident Rights
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Potential for harm · E November 18, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected December 26, 2025 · Resident Rights
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Potential for harm · D November 18, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 26, 2025 · Resident Rights
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Potential for harm · D November 18, 2025 · 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 December 26, 2025 · Resident Rights
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Potential for harm · D November 18, 2025 · found via complaint
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 December 26, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 26, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025 · 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 December 26, 2025 · Pharmacy Service
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Potential for harm · E November 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 26, 2025 · Infection Control
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Potential for harm · E November 18, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 26, 2025 · Environmental
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Potential for harm · E August 30, 2025 · found via complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected September 22, 2025 · Administration
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Actual harm · G June 27, 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 July 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 25, 2025 · Pharmacy Service
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Potential for harm · D April 16, 2025 · 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 25, 2025 · Quality of Life and Care
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Potential for harm · D February 29, 2024
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 8, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected March 8, 2024 · Nutrition and Dietary
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Potential for harm · D February 29, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 8, 2024 · Infection Control
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No harm found · C January 26, 2024 · found via complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected February 2, 2024 · Resident Rights
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Immediate jeopardy · J December 16, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 24, 2023 · Quality of Life and Care
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Potential for harm · E January 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 3, 2023 · Nutrition and Dietary
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Potential for harm · E January 12, 2023
Provide and implement an infection prevention and control program.
Corrected February 3, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 15, 2026 | Fine | $9,330 |
| June 27, 2025 | Fine | $23,322 |
| December 16, 2023 | Fine | $13,397 |
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 676040 · certified since September 15, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.