The nursing home failed to protect residents from abuse and neglect by others. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Paradigm at Sweeny
Sweeny, TX · Medicare-certified · 90 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Paradigm at Sweeny has a 1-star overall rating, with 1-star health inspection and staffing ratings despite 4-star quality measures. It has a recent abuse citation, $11,905 in fines in the last 24 months, and reported nurse staffing of 2.89 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
2.8885 hrs/resident/day
Quality measures
Last inspection: May 11, 2026Penalties, last 24 months: $11,905recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8885.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.45
- Nurse aides
- 1.80
- Weekend nursing
- 2.43
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 69%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21.9%32.3%Worsening
Residents with a fall causing major injury
1.8%0%Improving
Residents with pressure ulcers (bedsores)
9.4%1.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.9%4.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.4%16.3%Worsening
Residents whose ability to walk got worse
0%0%No change
Long-stay residents on antianxiety or sleep medication
34.6%27.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
6.2%15.8%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%95.1%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $11,905 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $11,905 in total fines.
- $11,905
Federal fine
Jul 4, 2025
Operator & ownership
Recent ownership change · Oct 1, 2022
Now operated by Paradigm at Sweeny, previously Sweeny House.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PARADIGM HEALTHCARE · 18 homes · 1.8 stars avg
- Occupancy
- 60.4 residents on an average day (67% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.