Nursing home report
Schulenburg, TX · Medicare-certified · 90 beds
Paradigm at the Oak (Schulenburg, TX) has a 1-star overall rating, with 1-star health inspection and staffing ratings despite a 4-star quality measures rating. It reports nurse staffing below the federal benchmark (3.24 vs 4.1 hours per resident per day), $112,673 in fines in the last 24 months, and a recent abuse citation.
Health inspections
Staffing
3.2436 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2436.
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).
Long-stay residents on antipsychotic medication
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 pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 607 — 42 CFR §483.12 — S/S: J
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited February 2026 — isolated incident, immediate jeopardy to residents.
F-Tag 610 — 42 CFR §483.12 — S/S: J
The home failed to run its operations effectively and efficiently using its available resources. Cited November 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 835 — 42 CFR §483.70 — S/S: J
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
A federal fine of $19,121 was recorded.
Health inspection found 5 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $6,785 was recorded.
A federal fine of $16,149 was recorded.
A federal fine of $70,618 was recorded.
On record with Medicare: 4 fines · $112,673 in total fines.
Federal fine
Feb 20, 2026
Federal fine
Nov 21, 2025
Federal fine
Jan 17, 2025
Federal fine
Nov 7, 2024
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.
