Nursing home report
Wharton, TX · Medicare-certified · 120 beds
Paradigm at the Creek (Wharton, TX) has a 1-star overall rating, with 1-star scores for health inspections, staffing, and quality measures. It reports 3.17 nursing hours per resident per day versus the 4.1 federal benchmark, had $51,789 in fines in the last 24 months, and has a recent federal penalty; recent cited problems included care planning, abuse prevention, and insufficient nursing staff.
Health inspections
Staffing
3.1746 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1746.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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.
A federal fine of $8,070 was recorded.
Health inspection found 1 health deficiency.
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 · $51,789 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.
