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
2 of 5 overall
Paradigm at Sweeny in Sweeny, TX has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality rating. It reports 3.06 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $11,905 in fines in the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.062 hrs/resident/day
Quality measures
Last inspection: July 4, 2025Penalties, last 24 months: $11,905recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.062.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.89
- Weekend nursing
- 2.55
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.2%Worsening
Residents with a fall causing major injury
2.1%Improving
Residents with pressure ulcers (bedsores)
3.4%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18%Worsening
Residents whose ability to walk got worse
9.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
31.9%Improving
Short-stay residents newly given an antipsychotic
2.5%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
12.6%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
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.
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PARADIGM HEALTHCARE · 18 homes · 1.9 stars avg
- Occupancy
- 60.8 residents on an average day (68% 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.