Paradigm At The Creek
1405 Valhalla Dr, Wharton, TX 77488 · Wharton County
For-profit · 120 certified beds · 47% occupancy · (979) 532-1244
Paradigm At The Creek reviews: what the government record shows
The U.S. government (CMS) rates Paradigm At The Creek 1 out of 5 stars overall, much below average. Its nurse staffing is 1% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 4 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
- 1 of 5 stars
- Nurse staffing
- 3.23 hrs/resident/day (-1% vs TX median)
- Antipsychotic drug use
- Not reported
- Falls with major injury
- 1.8% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $52,034
- Inspection findings
- 44 cited, 4 immediate-jeopardy
- Federal abuse-warning flag
- Yes
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.23 hrs/resident/day is below the Texas median of 3.27.
- !Currently carries the federal abuse-warning icon on CMS Care Compare.
- !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $52,034 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·What was the abuse-warning finding, and what has changed since?
- ·Can we see the most recent inspection report and the plan of correction?
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 The Creek
Is Paradigm At The Creek a good nursing home?
Paradigm At The Creek in Wharton, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Paradigm At The Creek staffed?
Paradigm At The Creek reports 3.23 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Paradigm At The Creek been fined or flagged for abuse?
Paradigm At The Creek has paid approximately $52,034 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.
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.
3.23 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 58.8% · RN turnover: 71.4%
Safety & compliance flags
- Federal abuse warning icon
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.
- Immediate jeopardyTag F0656 · Aug 4, 2025ComplaintCorrected Aug 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Actual harmTag F0600 · May 22, 2026ComplaintCorrected Mar 6, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0812 · May 23, 2025Corrected May 30, 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 F0656 · Jul 1, 2026Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0760 · Jul 1, 2026Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0610 · May 22, 2026ComplaintCorrected May 25, 2026
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0584 · May 23, 2025Corrected May 30, 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 F0686 · May 23, 2025Corrected May 30, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · May 23, 2025Corrected May 30, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0921 · May 23, 2025Corrected May 30, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Showing the 10 most recent and serious of 44 findings. See the full inspection history on Medicare.gov.
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 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.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
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.