PARADIGM AT THE BRAZOS

2127 PRESTON ST, RICHMOND, TX 77469 · CCN 675420 · 56 certified beds · Data as of 2026-07-01

CMS overall5 of 5CMS inspections5 of 5CMS staffing3 of 5CMS quality5 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.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

Get the full report Watch this facility

Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.54

state median 2.67

Weekend staffing gap

−3%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.31

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

21%

per year, per CMS

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

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for PARADIGM AT THE BRAZOS.

Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Corporation. 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) — CMS overallnot rated
CONTINUING HEALTHCARE OF GAHANNA (GAHANNA, OH) — CMS overallnot rated
Paradigm at Stevens (Yoakum, TX) — CMS overall1 of 5
PARADIGM AT BAY CITY (BAY CITY, TX) — CMS overall2 of 5
PARADIGM AT KOUNTZE (KOUNTZE, TX) — CMS overall4 of 5
Paradigm at the Creek (Wharton, TX) — CMS overall1 of 5
Paradigm Northwest (Houston, TX) — CMS overall1 of 5
PARADIGM AT FIRST COLONY (MISSOURI CITY, TX) — CMS overall1 of 5

Full citation history

By severity: Potential for more than minimal harm: 6

Survey date	Tag	Category	Severity	Corrected
2025-08-01	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-08-01	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-11-30	F0914	Environmental Deficiencies	D	not recorded
2023-11-30	F0921	Environmental Deficiencies	D	not recorded
2023-06-01	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-06-01	F0925	Environmental Deficiencies	E	not 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 THE BRAZOS, RICHMOND” at medicare.gov/care-compare.