Ellery Care
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Paradigm At The Oak

507 West Ave, Schulenburg, TX 78956 · Fayette County

For-profit · 90 certified beds · 58% occupancy · (979) 743-4150

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Paradigm At The Oak reviews: what the government record shows

The U.S. government (CMS) rates Paradigm At The Oak 1 out of 5 stars overall, much below average. Its nurse staffing is 3% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 7 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
3.18 hrs/resident/day (-3% vs TX median)
Antipsychotic drug use
19.6% of long-stay residents (TX median 8.3%)
Falls with major injury
3.7% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$103,606
Inspection findings
60 cited, 7 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 3.18 hrs/resident/day is below the Texas median of 3.27.
  • !Currently carries the federal abuse-warning icon on CMS Care Compare.
  • !Cited for 7 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $103,606 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 Oak

Is Paradigm At The Oak a good nursing home?

Paradigm At The Oak in Schulenburg, 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 Oak staffed?

Paradigm At The Oak reports 3.18 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Paradigm At The Oak been fined or flagged for abuse?

Paradigm At The Oak has paid approximately $103,606 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.

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

3.18 nurse hours per resident per day. 3% below the Texas median of 3.27.

Total nurse
3.18 hrs
RN
0.30 hrs
LPN
0.98 hrs
Aide
1.91 hrs

Nursing staff turnover: 39% · RN turnover: 50%

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.

60
total findings
7
immediate jeopardy
1
caused actual harm
28
from complaints
  • Immediate jeopardyTag F0600 · Feb 20, 2026ComplaintCorrected Feb 11, 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

  • Immediate jeopardyTag F0607 · Feb 20, 2026ComplaintCorrected Feb 11, 2026

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Immediate jeopardyTag F0610 · Feb 20, 2026ComplaintCorrected Feb 11, 2026

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Potential for harmTag F0925 · Nov 21, 2025ComplaintCorrected Nov 22, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies

  • Potential for harmTag F0679 · May 28, 2026ComplaintCorrected Jun 19, 2026

    Provide activities to meet all resident's needs.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0577 · Apr 2, 2026Corrected Apr 16, 2026

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Resident Rights Deficiencies

  • Potential for harmTag F0584 · Apr 2, 2026Corrected Apr 16, 2026

    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 F0812 · Apr 2, 2026Corrected Apr 16, 2026

    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 F0880 · Apr 2, 2026Corrected Apr 16, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0584 · Mar 5, 2026ComplaintCorrected Apr 2, 2026

    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

Showing the 10 most recent and serious of 60 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.

19.6%
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
3.7%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4.4%
of long-stay residents
Texas median 3.3% · National median 4.2%

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.

Total fines
$103,606
Number of fines
4
Payment denials
0

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 - corporation). It is part of the Paradigm Healthcare chain, which operates 17 facilities, with a chain-average CMS rating of 1.9 stars.