For profit - Limited Liability company · 90 certified beds · CMS number 675344
Paradigm at Sweeny, Sweeny, TX
CMS records 22 health deficiencies at Paradigm at Sweeny in Sweeny, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 4, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $50,189 in the last three years.
- 22deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $50,189fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm at Sweeny as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at Sweeny may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Jul 4, 2025. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.
Jul 1, 2026 · Complaint inspection
1 deficiency, highest J
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- No plan of correction on file
May 11, 2026 · Complaint inspection
2 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 Jun 5, 2026
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 Jun 5, 2026
Jul 4, 2025 · Standard inspection
6 deficiencies, highest K
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 Jul 22, 2025
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 22, 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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 22, 2025
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 Jul 22, 2025
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Jul 22, 2025
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 22, 2025
Previous cycle: 5 deficiencies (standard inspection Mar 21, 2024)
Standard inspection Mar 21, 2024. CMS counts 5 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 21, 2024 · Standard + complaint inspection
5 deficiencies, highest E
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 29, 2024
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 Mar 29, 2024
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 Mar 29, 2024
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 Mar 29, 2024
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 Mar 29, 2024
Earlier cycle: 8 deficiencies (standard inspection Feb 2, 2023)
Standard inspection Feb 2, 2023. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 4, 2024 · Complaint inspection
3 deficiencies, highest E
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 11, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 11, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 11, 2024
Mar 8, 2024 · Complaint inspection
1 deficiency, highest E
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 16, 2024
Dec 14, 2023 · Complaint inspection
1 deficiency, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jan 5, 2024
Feb 2, 2023 · Standard inspection
3 deficiencies, highest D
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 12, 2023
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 12, 2023
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 Feb 12, 2023
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Paradigm at Sweeny; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 2 | Jul 4, 2025; Feb 2, 2023 |
| F812 Food safety and sanitation | 2 | Jul 4, 2025; Mar 21, 2024 |
| F880 Infection prevention and control program | 2 | May 11, 2026; Mar 21, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 1, 2026 | Fine | $38,284 |
| Jul 4, 2025 | Fine | $11,905 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.89 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.63 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.43 h
- Nursing staff turnover
- 75.0% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Paradigm at Sweeny, copied as published; Texas medians are ours.
Facility details
- Address
- 109 N McKinney, Sweeny, TX 77480
- Phone
- (979) 548-3383
- County
- Brazoria
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Paradigm Healthcare
- Certified beds
- 90
- Average residents per day
- 60.4
- In Medicare/Medicaid since
- May 31, 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.
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 1 time)
Other nursing homes in Sweeny and the same chain
- 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.