For profit - Limited Liability company · 106 certified beds · CMS number 455544
Paradigm at Stevens, Yoakum, TX
CMS records 38 health deficiencies at Paradigm at Stevens in Yoakum, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 15, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 38deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Paradigm at Stevens as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Paradigm at Stevens may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection May 15, 2026. CMS counts 7 health deficiencies and 7 fire safety deficiencies in this cycle.
May 15, 2026 · Standard inspection
4 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 15, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 15, 2026
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 Jun 15, 2026
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 Jun 15, 2026
Dec 31, 2025 · Complaint inspection
1 deficiency, highest D
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 Jan 15, 2026
Sep 6, 2025 · Complaint inspection
2 deficiencies, highest D
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 8, 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 Sep 8, 2025
Previous cycle: 19 deficiencies (standard inspection Mar 7, 2025)
Standard inspection Mar 7, 2025. CMS counts 19 health deficiencies and 5 fire safety deficiencies in this cycle.
Mar 7, 2025 · Standard inspection
18 deficiencies, highest F
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 Apr 7, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 7, 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 7, 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 Apr 7, 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 7, 2025
F726 · Competent nurses and nurse aides
Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 2025
F700 · Bed rail safety
Requirement cited (CMS): Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 7, 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 Apr 7, 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 7, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 7, 2025
F685 · Vision and hearing services
Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 2025
F680 · Qualified activities director
Requirement cited (CMS): Ensure the activities program is directed by a qualified professional.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 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 Apr 7, 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 Apr 7, 2025
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 Apr 7, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 7, 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 Apr 7, 2025
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 7, 2025
Jan 17, 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 Jan 18, 2025
Earlier cycle: 12 deficiencies (standard inspection Jan 26, 2024)
Standard inspection Jan 26, 2024. CMS counts 12 health deficiencies and 4 fire safety deficiencies in this cycle.
May 30, 2024 · Complaint inspection
3 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2024
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 Jun 20, 2024
May 25, 2024 · Complaint inspection
1 deficiency, highest D
F624 · Preparing residents for a move
Requirement cited (CMS): Prepare residents for a safe transfer or discharge from the nursing home.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2024
Mar 27, 2024 · Complaint inspection
2 deficiencies, highest D
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 Apr 8, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2024
Jan 26, 2024 · Standard + complaint inspection
6 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 Feb 23, 2024
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 23, 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 Feb 23, 2024
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 23, 2024
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 Feb 23, 2024
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 Feb 23, 2024
Tags cited in more than one inspection
11 tags cited on more than one inspection date at Paradigm at Stevens; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 4 | May 15, 2026; Mar 7, 2025; May 30, 2024; Jan 26, 2024 |
| F641 Accurate resident assessments | 3 | May 15, 2026; Mar 7, 2025; Jan 26, 2024 |
| F842 Complete, confidential medical records | 3 | May 15, 2026; Mar 7, 2025; May 30, 2024 |
| F558 Accommodating individual needs and preferences | 2 | Mar 7, 2025; Jan 26, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Sep 6, 2025; Mar 7, 2025 |
| F607 Abuse prevention policies | 2 | Mar 7, 2025; Mar 27, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Dec 31, 2025; Mar 27, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Mar 7, 2025; Jan 26, 2024 |
| F690 Bladder, bowel, and catheter care | 2 | Mar 7, 2025; Jan 26, 2024 |
| F812 Food safety and sanitation | 2 | Mar 7, 2025; Jan 26, 2024 |
| F880 Infection prevention and control program | 2 | May 15, 2026; Jan 17, 2025 |
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
- 3.37 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.39 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.10 h
- Nursing staff turnover
- 46.2% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Paradigm at Stevens, copied as published; Texas medians are ours.
Facility details
- Address
- 204 Walter St, Yoakum, TX 77995
- Phone
- (361) 293-3544
- County
- Lavaca
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 106
- Average residents per day
- 38
- In Medicare/Medicaid since
- May 2, 1985
- 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 oxygen equipment and breathing treatments managed and checked? (F695, cited 4 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 3 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 3 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
Other nursing homes in Yoakum
- Yoakum Nursing and Rehabilitation Center
Yoakum · 29 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.