For profit - Corporation · 56 certified beds · CMS number 675420
Paradigm at the Brazos, Richmond, TX
CMS records 6 health deficiencies at Paradigm at the Brazos in Richmond, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 1, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 6deficiencies, 3 cycles (TX median 25)
- 2in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm at the Brazos as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at the Brazos may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (2 deficiencies)
Standard inspection Aug 1, 2025. CMS counts 2 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 1, 2025 · Standard inspection
2 deficiencies, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 22, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 22, 2025
Previous cycle: 0 deficiencies (standard inspection Aug 22, 2024)
Standard inspection Aug 22, 2024. CMS counts 0 health deficiencies and 1 fire safety deficiency in this cycle.
No health deficiencies in this cycle.
Earlier cycle: 4 deficiencies (standard inspection Jun 1, 2023)
Standard inspection Jun 1, 2023. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
Nov 30, 2023 · Complaint inspection
2 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 Dec 21, 2023
F914 · Visual privacy in bedrooms
Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 21, 2023
Jun 1, 2023 · Standard inspection
2 deficiencies, highest E
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 21, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 21, 2023
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.19 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.57 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.70 h
- Nursing staff turnover
- 21.4% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 5 of 5
CMS figures for Paradigm at the Brazos, copied as published; Texas medians are ours.
Facility details
- Address
- 2127 Preston St, Richmond, TX 77469
- Phone
- (281) 342-2801
- County
- Fort Bend
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Paradigm Healthcare
- Certified beds
- 56
- Average residents per day
- 40.6
- In Medicare/Medicaid since
- Aug 30, 1994
- 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.
- Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 1 time)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 1 time)
- How is privacy provided in shared rooms during care and dressing? (F914, cited 1 time)
Other nursing homes in Richmond and the same chain
- Cambridge Health and Rehabilitation Center
Richmond · 31 deficiencies - Richmond Health Care Center
Richmond · 23 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.