Nursing home report
Registered name: Paradigm at the Oak
Schulenburg, TX · Medicare-certified · 90 beds
Colonial Care Center in Schulenburg, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reported nurse staffing of 3.18 hours per resident per day, below the federal benchmark of 4.1, had $103,606 in fines in the last 24 months, and has a recent abuse citation.
Health inspections
Staffing
3.1809 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1809.
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 2 health deficiencies.
Health inspection found 8 health deficiencies.
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 $12,429 was recorded.
A federal fine of $19,121 was recorded.
Health inspection found 5 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $4,410 was recorded.
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 · $103,606 in total fines.
Federal fine
Feb 20, 2026
Federal fine
Nov 21, 2025
Federal fine
Jan 17, 2025
Federal fine
Nov 7, 2024
Now operated by Oakbend Medical Center, previously Schulenburg Nursing & Rehabilitation LLC.
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.
