For profit - Corporation · 150 certified beds · CMS number 676040
Paradigm at the Prairies, El Campo, TX
CMS records 32 health deficiencies at Paradigm at the Prairies in El Campo, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 9, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 3 fines totaling $53,583 and 1 payment denial in the last three years.
- 32deficiencies, 3 cycles (TX median 25)
- 23in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $53,583fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm at the Prairies as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at the Prairies may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (23 deficiencies)
Standard inspection Jul 9, 2026. CMS counts 23 health deficiencies and 10 fire safety deficiencies in this cycle.
Jul 21, 2026 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 20, 2026
Jul 9, 2026 · Standard inspection
5 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Aug 7, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Aug 7, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 7, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 7, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 7, 2026
Jun 2, 2026 · Complaint inspection
3 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 30, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 30, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 30, 2026
Apr 20, 2026 · Complaint inspection
3 deficiencies, highest E
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2026
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2026
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2026
Mar 15, 2026 · Complaint inspection
2 deficiencies, highest J
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 13, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 13, 2026
Nov 18, 2025 · Complaint inspection
9 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 26, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 26, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2025
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 26, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 26, 2025
Previous cycle: 4 deficiencies (standard inspection Apr 16, 2025)
Standard inspection Apr 16, 2025. CMS counts 4 health deficiencies and 6 fire safety deficiencies in this cycle.
Aug 30, 2025 · Complaint inspection
1 deficiency, highest E
F850 · Full-time social worker in larger homes
Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 22, 2025
Jun 27, 2025 · Complaint inspection
1 deficiency, highest G
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jul 25, 2025
Apr 16, 2025 · Standard + complaint inspection
2 deficiencies, highest D
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 25, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 25, 2025
Earlier cycle: 5 deficiencies (standard inspection Feb 29, 2024)
Standard inspection Feb 29, 2024. CMS counts 5 health deficiencies and 6 fire safety deficiencies in this cycle.
Feb 29, 2024 · Standard + complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 8, 2024
Jan 26, 2024 · Complaint inspection
1 deficiency, highest C
F577 · Seeing inspection results
Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Feb 2, 2024
Dec 16, 2023 · Complaint inspection
1 deficiency, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 24, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Paradigm at the Prairies; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 2 | Jul 9, 2026; Nov 18, 2025 |
| F600 Freedom from abuse and neglect | 2 | Mar 15, 2026; Jun 27, 2025 |
| F690 Bladder, bowel, and catheter care | 2 | Apr 16, 2025; Feb 29, 2024 |
| F761 Drug labeling and secure storage | 2 | Jul 9, 2026; Nov 18, 2025 |
| F880 Infection prevention and control program | 2 | Nov 18, 2025; Feb 29, 2024 |
| F921 Safe, functional, sanitary building | 2 | Jul 9, 2026; Jun 2, 2026 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 15, 2026 | Fine | $16,433 |
| Mar 15, 2026 | Payment Denial | 8 days from Apr 14, 2026 |
| Jun 27, 2025 | Fine | $23,753 |
| Dec 16, 2023 | Fine | $13,397 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.42 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.40 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.06 h
- Nursing staff turnover
- 51.4% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Paradigm at the Prairies, copied as published; Texas medians are ours.
Facility details
- Address
- 106 Del Norte Dr., El Campo, TX 77437
- Phone
- (979) 543-6762
- County
- Wharton
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Paradigm Healthcare
- Certified beds
- 150
- Average residents per day
- 101.3
- In Medicare/Medicaid since
- Sep 15, 2004
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often are rooms cleaned and bed linens changed? (F584, cited 2 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
- How does the home support residents who need help with toileting or incontinence? (F690, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
Other nursing homes in El Campo and the same chain
- S.p.j.s.t. Rest Home 3
El Campo · 7 deficiencies - Paradigm at the Oak
Schulenburg · 60 deficiencies - Nazareth Living Care Center
El Paso · 56 deficiencies - Paradigm at Katy
Katy · 51 deficiencies - Paradigm at the Creek
Wharton · 43 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.