Starfile / Texas

Paradigm at the Creek

1405 Valhalla Dr, Wharton, TX 77488 · CCN 455699

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$48,176

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

PARADIGM HEALTHCARE

Facilities in chain

18

Chain avg overall

2.10 / 5

Inspection citations (35)4 immediate jeopardy2 actual harm

1. KF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-04 · Health · corrected 2025-08-08

   Immediate jeopardy

2. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-16 · Health · corrected 2025-05-23

   Actual harm

3. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-30 · Health · corrected 2024-10-18

   Immediate jeopardy

4. EF0641Ensure each resident receives an accurate assessment.2024-09-30 · Health · corrected 2024-10-18

   Potential for more than minimal harm

5. JF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-30 · Health · corrected 2024-10-18

   Immediate jeopardy

6. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-28 · Health · corrected 2024-06-07

   Immediate jeopardy

7. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-05-08 · Health · corrected 2024-05-22

   Potential for more than minimal harm

8. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-08 · Health · corrected 2024-05-22

   Potential for more than minimal harm

9. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-08 · Health · corrected 2024-05-22

   Potential for more than minimal harm

10. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-05-08 · Health · corrected 2024-05-22

    Actual harm

11. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-05-08 · Health · corrected 2024-05-22

    Potential for more than minimal harm

12. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-05-08 · Health · corrected 2024-05-22

    Potential for more than minimal harm

13. FF0895Have a Compliance and Ethics Program.2024-05-08 · Health · corrected 2024-05-22

    Potential for more than minimal harm

14. FF0946Provide training in compliance and ethics.2024-05-08 · Health · corrected 2024-05-22

    Potential for more than minimal harm

15. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-28 · Health · corrected 2024-04-08

    Potential for more than minimal harm

16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-28 · Health · corrected 2024-04-08

    Potential for more than minimal harm

17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-28 · Health · corrected 2024-04-08

    Potential for more than minimal harm

18. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-03-28 · Health · corrected 2024-04-08

    Potential for more than minimal harm

19. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-28 · Health · corrected 2024-04-08

    Potential for more than minimal harm

20. DF0814Dispose of garbage and refuse properly.2024-03-28 · Health · corrected 2024-04-08

    Potential for more than minimal harm

21. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-09 · Health · corrected 2023-08-18

    Potential for more than minimal harm

22. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-02-07 · Health · corrected 2023-02-24

    Potential for more than minimal harm

23. EF0761Ensure 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.2023-02-07 · Health · corrected 2023-02-24

    Potential for more than minimal harm

24. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-02-07 · Health · corrected 2023-02-24

    Potential for more than minimal harm

25. EF0881Implement a program that monitors antibiotic use.2023-02-07 · Health · corrected 2023-02-24

    Potential for more than minimal harm

26. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

28. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

31. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

32. DF0759Ensure medication error rates are not 5 percent or greater.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

33. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

34. DF0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

35. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-11-10 · Health · corrected 2021-11-17

    Potential for more than minimal harm

Ownership

Other facilities in Wharton

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.