For profit - Corporation · 90 certified beds · CMS number 675971
Paradigm at the Oak, Schulenburg, TX
CMS records 60 health deficiencies at Paradigm at the Oak in Schulenburg, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 2, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 7 citations were at the immediate jeopardy level, 4 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $103,606 in the last three years.
- 60deficiencies, 3 cycles (TX median 25)
- 22in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $103,606fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm at the Oak as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at the Oak may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (22 deficiencies)
Standard inspection Apr 2, 2026. CMS counts 22 health deficiencies and 8 fire safety deficiencies in this cycle.
May 28, 2026 · Complaint inspection
2 deficiencies, highest E
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 19, 2026
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 19, 2026
Apr 2, 2026 · Standard inspection
8 deficiencies, highest E
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Apr 16, 2026
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 Apr 16, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 16, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 16, 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 Apr 16, 2026
F577 · Seeing inspection results
Requirement cited (CMS): Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 16, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2026
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 Apr 16, 2026
Mar 5, 2026 · Complaint inspection
1 deficiency, highest E
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 Apr 2, 2026
Feb 20, 2026 · Complaint inspection
5 deficiencies, highest J
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 Apr 2, 2026
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 11, 2026
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
- Past non-compliance (fixed before the inspection), Feb 11, 2026
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
- Past non-compliance (fixed before the inspection), Feb 11, 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
- Past non-compliance (fixed before the inspection), Feb 11, 2026
Dec 29, 2025 · Complaint inspection
1 deficiency, 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 Dec 31, 2025
Nov 21, 2025 · Complaint inspection
5 deficiencies, highest F
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 22, 2025
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 22, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 22, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2025
F627 · Permitted transfers, discharge planning, and return rights
Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 22, 2025
Previous cycle: 29 deficiencies (standard inspection Jan 28, 2025)
Standard inspection Jan 28, 2025. CMS counts 29 health deficiencies and 5 fire safety deficiencies in this cycle.
Jul 10, 2025 · Complaint inspection
2 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 15, 2025
Jun 4, 2025 · Complaint inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 5, 2025
Mar 31, 2025 · Complaint inspection
2 deficiencies, highest E
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2025
Jan 28, 2025 · Standard inspection
16 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F881 · Antibiotic stewardship
Requirement cited (CMS): Implement a program that monitors antibiotic use.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 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 Feb 28, 2025
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 Feb 28, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 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 Feb 28, 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 Feb 28, 2025
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
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 Feb 28, 2025
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
Jan 17, 2025 · Complaint inspection
1 deficiency, highest K
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), Jan 1, 2025
Nov 7, 2024 · Complaint inspection
7 deficiencies, highest J
F835 · Effective administration
Requirement cited (CMS): Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Dec 6, 2024
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 6, 2024
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 Dec 6, 2024
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 Dec 6, 2024
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 Dec 6, 2024
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Dec 6, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 6, 2024
Earlier cycle: 9 deficiencies (standard inspection Nov 9, 2023)
Standard inspection Nov 9, 2023. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 12, 2024 · Complaint inspection
1 deficiency, highest D
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 26, 2024
Nov 9, 2023 · Standard inspection
8 deficiencies, highest F
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Dec 9, 2023
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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Dec 9, 2023
F810 · Adaptive eating equipment and help
Requirement cited (CMS): Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 9, 2023
F699 · Trauma-informed, culturally competent care
Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 9, 2023
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 9, 2023
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 9, 2023
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 Dec 9, 2023
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 9, 2023
Tags cited in more than one inspection
12 tags cited on more than one inspection date at Paradigm at the Oak; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 6 | Apr 2, 2026; Mar 5, 2026; Jul 10, 2025; Jan 28, 2025; Nov 7, 2024; Nov 9, 2023 |
| F550 Dignity and the right to exercise rights | 3 | Apr 2, 2026; Nov 7, 2024; Nov 9, 2023 |
| F600 Freedom from abuse and neglect | 3 | Feb 20, 2026 (PNC); Jun 4, 2025; Nov 7, 2024 |
| F689 Accident prevention and supervision | 3 | May 28, 2026; Feb 20, 2026; Jan 17, 2025 (PNC) |
| F755 Pharmacy services and a consultant pharmacist | 3 | Nov 21, 2025; Mar 31, 2025; Jun 12, 2024 |
| F812 Food safety and sanitation | 3 | Apr 2, 2026; Jan 28, 2025; Nov 9, 2023 |
| F880 Infection prevention and control program | 3 | Apr 2, 2026; Dec 29, 2025; Jan 28, 2025 |
| F912 Minimum bedroom size | 3 | Apr 2, 2026; Jan 28, 2025; Nov 9, 2023 |
| F607 Abuse prevention policies | 2 | Feb 20, 2026 (PNC); Nov 7, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Feb 20, 2026 (PNC); Nov 7, 2024 |
| F679 Activities program | 2 | May 28, 2026; Jan 28, 2025 |
| F804 Palatable, attractive food at safe temperatures | 2 | Nov 21, 2025; Nov 7, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 20, 2026 | Fine | $12,429 |
| Nov 21, 2025 | Fine | $4,410 |
| Jan 17, 2025 | Fine | $16,149 |
| Nov 7, 2024 | Fine | $70,618 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.18 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.89 h
- Nursing staff turnover
- 39.0% (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 Oak, copied as published; Texas medians are ours.
Facility details
- Address
- 507 West Ave, Schulenburg, TX 78956
- Phone
- (979) 743-4150
- County
- Fayette
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Paradigm Healthcare
- Certified beds
- 90
- Average residents per day
- 52.2
- In Medicare/Medicaid since
- Jun 5, 2003
- 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 6 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 3 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
Other nursing homes in Schulenburg and the same chain
- Schulenburg Regency Nursing Center
Schulenburg · 17 deficiencies - Nazareth Living Care Center
El Paso · 56 deficiencies - Paradigm at Katy
Katy · 51 deficiencies - Paradigm at the Creek
Wharton · 43 deficiencies - Paradigm at Westbury
Houston · 42 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.