Paradigm at Sweeny

109 N McKinney, Sweeny, TX 77480 · CCN 675344 · 90 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2025-07-04 IMMEDIATE JEOPARDY (tag F0600, severity K)
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.
2025-07-04 IMMEDIATE JEOPARDY (tag F0689, severity J)
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.
2025-07-04 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.
2023-12-14 ACTUAL HARM (tag F0580, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing, from payroll records

Nursing hours / resident / day

2.21

state median 2.67

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.47

registered nurses only

Contract (agency) staff

9%

share of all nursing hours

Nursing staff turnover

75%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $11,905 in fines.

DateTypeAmount
2025-07-04Fine$11,905

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:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 17 · Immediate jeopardy: 3

Survey dateTagCategorySeverityCorrected
2026-05-11F0690Quality of Life and Care DeficienciesDnot recorded
2026-05-11F0880Infection Control DeficienciesDnot recorded
2025-07-04F0582Resident Rights DeficienciesEnot recorded
2025-07-04F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2025-07-04F0628Resident Rights DeficienciesDnot recorded
2025-07-04F0656Resident Assessment and Care Planning DeficienciesKnot recorded
2025-07-04F0689Quality of Life and Care DeficienciesJnot recorded
2025-07-04F0812Nutrition and Dietary DeficienciesEnot recorded
2024-06-04F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-06-04F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-06-04F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-03-21F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-21F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2024-03-21F0755Pharmacy Service DeficienciesDnot recorded
2024-03-21F0812Nutrition and Dietary DeficienciesEnot recorded
2024-03-21F0880Infection Control DeficienciesDnot recorded
2024-03-08F0692Quality of Life and Care DeficienciesEnot recorded
2023-12-14F0580Resident Rights DeficienciesGnot recorded
2023-02-02F0583Resident Rights DeficienciesDnot recorded
2023-02-02F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-02-02F0760Pharmacy Service DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Paradigm at Sweeny, Sweeny” at medicare.gov/care-compare.