Ellery Care
D

Paradigm At Bay City

1800 13th St, Bay City, TX 77414 · Matagorda County

For-profit · 105 certified beds · 41% occupancy · (979) 245-6327

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Paradigm At Bay City reviews: what the government record shows

The U.S. government (CMS) rates Paradigm At Bay City 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
2 of 5 stars
Nurse staffing
3.36 hrs/resident/day (+3% vs TX median)
Antipsychotic drug use
18.6% of long-stay residents (TX median 8.3%)
Falls with major injury
2% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
None on record
Inspection findings
25 cited, 3 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A mixed record. The strengths and concerns below are worth weighing against a visit.

Strengths

  • ✓Nurse staffing of 3.36 hrs/resident/day is at or above the Texas median of 3.27.
  • ✓No federal fines on record in roughly the last three years.

Concerns

  • !CMS rates it just 2 of 5 stars overall.
  • !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Pressure-ulcer (bedsore) rate of 7.3% is well above the Texas median of 3.3%.

Questions to ask on your visit

  • ·Can we see the most recent inspection report and the plan of correction?
  • ·How often are residents repositioned, and who checks skin daily?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Paradigm At Bay City

Is Paradigm At Bay City a good nursing home?

Paradigm At Bay City in Bay City, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.

How is Paradigm At Bay City staffed?

Paradigm At Bay City reports 3.36 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Paradigm At Bay City been fined or flagged for abuse?

Paradigm At Bay City has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.36 nurse hours per resident per day. 3% above the Texas median of 3.27.

Total nurse
3.36 hrs
RN
0.68 hrs
LPN
0.54 hrs
Aide
2.14 hrs

Nursing staff turnover: 44.7% · RN turnover: 28.6%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

25
total findings
3
immediate jeopardy
0
caused actual harm
13
from complaints
  • Potential for harmTag F0677 · May 30, 2025Corrected Jun 5, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0761 · May 30, 2025Corrected Jun 5, 2025

    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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0880 · May 30, 2025Corrected Jun 5, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0842 · May 30, 2025ComplaintCorrected Jun 5, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0690 · Mar 28, 2024ComplaintCorrected Apr 20, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0755 · Mar 28, 2024Corrected Apr 20, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0761 · Mar 28, 2024ComplaintCorrected Apr 20, 2024

    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.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0814 · Mar 28, 2024ComplaintCorrected Apr 20, 2024

    Dispose of garbage and refuse properly.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0842 · Mar 28, 2024Corrected Apr 20, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0880 · Mar 28, 2024ComplaintCorrected Apr 20, 2024

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

Showing the 10 most recent and serious of 25 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

18.6%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
2%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
7.3%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is for-profit (for profit - limited liability company). It is part of the Paradigm Healthcare chain, which operates 17 facilities, with a chain-average CMS rating of 1.9 stars.