Starfile / Texas

Paradigm at the Oak

507 West Ave, Schulenburg, TX 78956 · CCN 675971

Abuse icon

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

$227,267

Number of fines

4

Number of penalties

4

Payment denials

0

Chain

Chain

PARADIGM HEALTHCARE

Facilities in chain

18

Chain avg overall

2.10 / 5

Inspection citations (51)5 immediate jeopardy1 actual harm

1. DF0880Provide and implement an infection prevention and control program.2025-12-29 · Health · corrected 2025-12-31

   Potential for more than minimal harm

2. DF0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.2025-11-21 · Health · corrected 2025-11-22

   Potential for more than minimal harm

3. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-21 · Health · corrected 2025-11-22

   Potential for more than minimal harm

4. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-21 · Health · corrected 2025-11-22

   Potential for more than minimal harm

5. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-11-21 · Health · corrected 2025-11-22

   Potential for more than minimal harm

6. FF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2025-11-21 · Health · corrected 2025-11-22

   Potential for more than minimal harm

7. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-04 · Health · corrected 2025-06-05

   Potential for more than minimal harm

8. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-03-31 · Health · corrected 2025-04-30

   Potential for more than minimal harm

9. EF0760Ensure that residents are free from significant medication errors.2025-03-31 · Health · corrected 2025-04-30

   Potential for more than minimal harm

10. EF0584Honor 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.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

12. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

13. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

14. EF0679Provide activities to meet all resident's needs.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

16. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

17. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

18. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

19. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

20. EF0759Ensure medication error rates are not 5 percent or greater.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

21. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

22. EF0880Provide and implement an infection prevention and control program.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

23. DF0881Implement a program that monitors antibiotic use.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

24. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2025-01-28 · Health · corrected 2025-02-28

    Potential for minimal harm

25. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-01-28 · Health · corrected 2025-02-28

    Potential for more than minimal harm

26. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-17 · Health · corrected 2025-01-01

    Immediate jeopardy

27. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-11-07 · Health · corrected 2024-12-06

    Potential for more than minimal harm

28. GF0584Honor 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.2024-11-07 · Health · corrected 2024-12-06

    Actual harm

29. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-07 · Health · corrected 2024-12-06

    Immediate jeopardy

30. JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-11-07 · Health · corrected 2024-12-06

    Immediate jeopardy

31. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-11-07 · Health · corrected 2024-12-06

    Potential for more than minimal harm

32. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-11-07 · Health · corrected 2024-12-06

    Potential for more than minimal harm

33. JF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-11-07 · Health · corrected 2024-12-06

    Immediate jeopardy

34. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-12 · Health · corrected 2024-06-26

    Potential for more than minimal harm

35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

36. EF0584Honor 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.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

37. DF0641Ensure each resident receives an accurate assessment.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

38. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

39. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

40. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

41. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-09 · Health · corrected 2023-12-09

    Potential for more than minimal harm

42. BF0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.2023-11-09 · Health · corrected 2023-12-09

    Potential for minimal harm

43. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-15 · Health · corrected 2023-05-20

    Immediate jeopardy

44. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-05-15 · Health · corrected 2023-05-20

    Potential for more than minimal harm

45. EF0584Honor 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.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

46. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

47. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

48. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

49. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

50. DF0761Ensure 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.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

51. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-27 · Health · corrected 2022-10-23

    Potential for more than minimal harm

Ownership

Other facilities in Schulenburg

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