Paradigm At Stevens
204 Walter St, Yoakum, TX 77995 · Lavaca County
For-profit · 106 certified beds · 36% occupancy · (361) 293-3544
Paradigm At Stevens reviews: what the government record shows
The U.S. government (CMS) rates Paradigm At Stevens 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median.
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
- 3.37 hrs/resident/day (+3% vs TX median)
- Antipsychotic drug use
- 25.7% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- None on record
- Inspection findings
- 38 cited
- 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 3.37 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.
- !Gives antipsychotic drugs to 25.7% of long-stay residents, well above the norm.
Questions to ask on your visit
- ·For any resident on an antipsychotic, is there a documented diagnosis and a plan to reduce it?
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 Stevens
Is Paradigm At Stevens a good nursing home?
Paradigm At Stevens in Yoakum, 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 Stevens staffed?
Paradigm At Stevens reports 3.37 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Paradigm At Stevens been fined or flagged for abuse?
Paradigm At Stevens 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
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.
3.37 nurse hours per resident per day. 3% above the Texas median of 3.27.
Nursing staff turnover: 46.2%
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.
- Potential for harmTag F0641 · May 15, 2026Corrected Jun 15, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0695 · May 15, 2026Corrected Jun 15, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0842 · May 15, 2026Corrected Jun 15, 2026
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 · May 15, 2026Corrected Jun 15, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0609 · Dec 31, 2025ComplaintCorrected Jan 15, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0584 · Sep 6, 2025ComplaintCorrected Sep 8, 2025
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.
Resident Rights Deficiencies
- Potential for harmTag F0813 · Sep 6, 2025ComplaintCorrected Sep 8, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Mar 7, 2025Corrected Apr 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0657 · Mar 7, 2025Corrected Apr 7, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0680 · Mar 7, 2025Corrected Apr 7, 2025
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 38 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.
This is far above both the Texas and national norm. It is worth asking the staff directly why, and whether every prescription has a documented medical reason and a plan to reduce it.
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.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
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 independently operated, not part of a multi-facility chain.