Paradigm at the Creek
State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-05-22 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-08-04 — IMMEDIATE JEOPARDY (tag F0656, severity K)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-05-16 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-30 — IMMEDIATE JEOPARDY (tag F0725, severity J)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2024-09-30 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-05-28 — IMMEDIATE JEOPARDY (tag F0678, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
2024-05-08 — ACTUAL HARM (tag F0697, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe, appropriate pain management for a resident who requires such services.
Staffing, from payroll records
Nursing hours / resident / day
2.59
state median 2.67
Weekend staffing gap
−13%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.13
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
23
with residents present
Nursing staff turnover
59%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $52,034 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-04 | Fine | $8,191 |
| 2025-05-16 | Fine | $8,402 |
| 2024-09-30 | Fine | $20,719 |
| 2024-05-08 | Fine | $14,722 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the PARADIGM HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- CONTINUING HEALTHCARE OF CUYAHOGA FALLS (CUYAHOGA FALLS, OH) —
- CONTINUING HEALTHCARE OF GAHANNA (GAHANNA, OH) —
- Paradigm at Stevens (Yoakum, TX) —
- PARADIGM AT BAY CITY (BAY CITY, TX) —
- PARADIGM AT KOUNTZE (KOUNTZE, TX) —
- Paradigm Northwest (Houston, TX) —
- PARADIGM AT FIRST COLONY (MISSOURI CITY, TX) —
- Paradigm at Woodwind Lakes (Houston, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-22 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2026-05-22 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2026-05-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-08-04 | F0656 | Resident Assessment and Care Planning Deficiencies | K | not recorded |
| 2025-05-16 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-09-30 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2024-09-30 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-09-30 | F0725 | Nursing and Physician Services Deficiencies | J | not recorded |
| 2024-05-28 | F0678 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-05-08 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-08 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-08 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-08 | F0697 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-08 | F0776 | Administration Deficiencies | D | not recorded |
| 2024-05-08 | F0835 | Administration Deficiencies | D | not recorded |
| 2024-05-08 | F0895 | Administration Deficiencies | F | not recorded |
| 2024-05-08 | F0946 | Administration Deficiencies | F | not recorded |
| 2024-03-28 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-28 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-28 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-28 | F0814 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-08-09 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-02-07 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-07 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-02-07 | F0805 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-02-07 | F0881 | Infection Control Deficiencies | E | not recorded |
| 2021-11-10 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2021-11-10 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2021-11-10 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-11-10 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-11-10 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-11-10 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-11-10 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-11-10 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2021-11-10 | F0807 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2021-11-10 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |