Paradigm At The Brazos
2127 Preston St, Richmond, TX 77469 · Fort Bend County
For-profit · 56 certified beds · 73% occupancy · (281) 342-2801
The U.S. government (CMS) rates Paradigm At The Brazos 5 out of 5 stars overall — much above average. Its nurse staffing is 2% below the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
3.19 nurse hours per resident per day. 2% below the Texas median of 3.27.
Nursing staff turnover: 21.4% · 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.
- Potential for harmTag F0812 · Aug 1, 2025Corrected Aug 22, 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 F0609 · Aug 1, 2025Corrected Aug 22, 2025
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 F0925 · Jun 1, 2023Corrected Jun 21, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0914 · Nov 30, 2023ComplaintCorrected Dec 21, 2023
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies
- Potential for harmTag F0921 · Nov 30, 2023ComplaintCorrected Dec 21, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0755 · Jun 1, 2023Corrected Jun 21, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Showing the 6 most recent and serious of 6 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 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 2026-08-09. See the Texas 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 - corporation). It is part of the Paradigm Healthcare chain, which operates 18 facilities, with a chain-average CMS rating of 1.8 stars.