The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Nursing home report
PARADIGM AT THE BRAZOS
RICHMOND, TX · Medicare-certified · 56 beds
In good standing
For-profitChain member
5 of 5 overall
Paradigm at the Brazos in Richmond, TX has an overall 5-star rating, with 5 stars for health inspections and quality measures, but 3 stars for staffing; reported nurse staffing is 3.19 hours per resident per day, below the 4.1-hour federal benchmark, and there were no fines in the last 24 months. Recent inspection issues cited food handling, pest control, and timely reporting of suspected abuse, neglect, or theft.
Facility ratings
Health inspections
Staffing
3.1888 hrs/resident/day
Quality measures
Last inspection: August 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1888.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.90
- Nurse aides
- 1.77
- Weekend nursing
- 2.60
Hours per resident per day.
Total staff turnover: 23%
Registered nurse turnover: 13%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.5%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
2.3%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.1%Worsening
Residents whose ability to walk got worse
8.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
25.4%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
9.2%Worsening
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
98.1%Steady
Short-stay residents given the pneumonia vaccine
99%Worsening
What the inspectors found
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: D
The home failed to provide bedroom privacy when residents needed it. Cited November 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 914 — 42 CFR §483.90 — S/S: D
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited November 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: D
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
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PARADIGM HEALTHCARE · 18 homes · 1.9 stars avg
- Occupancy
- 40.4 residents on an average day (72% of 56 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.