Paradigm at the Oak

507 West Ave, Schulenburg, TX 78956 · CCN 675971 · 90 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality2 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 7 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.

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Serious inspection findings

2026-02-20 — IMMEDIATE JEOPARDY (tag F0607, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2026-02-20 — IMMEDIATE JEOPARDY (tag F0610, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Respond appropriately to all alleged violations.

2026-02-20 — 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.

2025-01-17 — IMMEDIATE JEOPARDY (tag F0689, severity K)

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.

2024-11-07 — IMMEDIATE JEOPARDY (tag F0607, severity J)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2024-11-07 — ACTUAL HARM (tag F0584, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

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.

2024-11-07 — IMMEDIATE JEOPARDY (tag F0835, severity J)

Administration Deficiencies · correction not recorded in CMS data

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

2024-11-07 — 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.

Staffing, from payroll records

Nursing hours / resident / day

2.75

state median 2.67

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.20

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

39%

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

4 enforcement action(s), totaling $103,606 in fines.

Date	Type	Amount
2026-02-20	Fine	$12,429
2025-11-21	Fine	$4,410
2025-01-17	Fine	$16,149
2024-11-07	Fine	$70,618

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: No harm, potential for minimal harm: 3 · Actual harm: 1 · Potential for more than minimal harm: 49 · Immediate jeopardy: 7

Survey date	Tag	Category	Severity	Corrected
2026-05-28	F0679	Quality of Life and Care Deficiencies	E	not recorded
2026-05-28	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-04-02	F0550	Resident Rights Deficiencies	D	not recorded
2026-04-02	F0558	Resident Rights Deficiencies	D	not recorded
2026-04-02	F0577	Resident Rights Deficiencies	E	not recorded
2026-04-02	F0584	Resident Rights Deficiencies	E	not recorded
2026-04-02	F0644	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-04-02	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-04-02	F0880	Infection Control Deficiencies	E	not recorded
2026-04-02	F0912	Environmental Deficiencies	C	not recorded
2026-03-05	F0584	Resident Rights Deficiencies	E	not recorded
2026-02-20	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2026-02-20	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2026-02-20	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-02-20	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2026-02-20	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-12-29	F0880	Infection Control Deficiencies	D	not recorded
2025-11-21	F0627	Resident Rights Deficiencies	D	not recorded
2025-11-21	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-11-21	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-11-21	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-11-21	F0925	Environmental Deficiencies	F	not recorded
2025-07-10	F0584	Resident Rights Deficiencies	E	not recorded
2025-07-10	F0921	Environmental Deficiencies	E	not recorded
2025-06-04	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-03-31	F0755	Pharmacy Service Deficiencies	E	not recorded
2025-03-31	F0760	Pharmacy Service Deficiencies	E	not recorded
2025-01-28	F0584	Resident Rights Deficiencies	E	not recorded
2025-01-28	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-28	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-01-28	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-01-28	F0679	Quality of Life and Care Deficiencies	E	not recorded
2025-01-28	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-01-28	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-01-28	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-01-28	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-01-28	F0757	Pharmacy Service Deficiencies	D	not recorded
2025-01-28	F0759	Pharmacy Service Deficiencies	E	not recorded
2025-01-28	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-01-28	F0880	Infection Control Deficiencies	E	not recorded
2025-01-28	F0881	Infection Control Deficiencies	D	not recorded
2025-01-28	F0912	Environmental Deficiencies	B	not recorded
2025-01-28	F0919	Environmental Deficiencies	D	not recorded
2025-01-17	F0689	Quality of Life and Care Deficiencies	K	not recorded
2024-11-07	F0550	Resident Rights Deficiencies	E	not recorded
2024-11-07	F0584	Resident Rights Deficiencies	G	not recorded
2024-11-07	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-11-07	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	J	not recorded
2024-11-07	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-11-07	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-11-07	F0835	Administration Deficiencies	J	not recorded
2024-06-12	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-11-09	F0550	Resident Rights Deficiencies	D	not recorded
2023-11-09	F0584	Resident Rights Deficiencies	E	not recorded
2023-11-09	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-09	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-11-09	F0699	Quality of Life and Care Deficiencies	D	not recorded
2023-11-09	F0810	Nutrition and Dietary Deficiencies	D	not recorded
2023-11-09	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-11-09	F0912	Environmental Deficiencies	B	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 Oak, Schulenburg” at medicare.gov/care-compare.