Nursing home report
Wharton, TX · Medicare-certified · 120 beds
Paradigm at the Creek (Wharton, TX) has a 1 out of 5 overall rating, with 1-star health inspection, staffing, and quality ratings. It reports nurse staffing below the federal benchmark (3.23 vs 4.1 hours per resident per day), $37,312 in fines over the last 24 months, and a recent federal penalty; recent cited problems included care planning, abuse prevention, and not having enough nursing staff on every shift.
Health inspections
Staffing
3.2261 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2261.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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 August 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 725 — 42 CFR §483.35 — S/S: J
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $8,191 was recorded.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $8,070 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $8,402 was recorded.
A federal fine of $8,278 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $20,719 was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $14,722 was recorded.
On record with Medicare: 4 fines · $52,034 in total fines.
Federal fine
Aug 4, 2025
Federal fine
May 16, 2025
Federal fine
Sep 30, 2024
Federal fine
May 8, 2024
The most recent standard health inspection was more than two years ago.
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.
