The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Paradigm at the Prairies
El Campo, TX · Medicare-certified · 150 beds
Needs attention
Abuse citationFor-profitChain member
Data as of September 1, 2026
1 of 5 overall
Paradigm at the Prairies in El Campo, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 2.42 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, $40,186 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.4214 hrs/resident/day
Quality measures
Last inspection: July 21, 2026Penalties, last 24 months: $40,186recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.4214.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.43
- Nurse aides
- 1.59
- Weekend nursing
- 2.06
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 0%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21%12%Improving
Residents with a fall causing major injury
2.2%2.2%No change
Residents with pressure ulcers (bedsores)
6.8%5.6%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.8%1.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.9%7.5%Improving
Residents whose ability to walk got worse
8.2%3.2%Improving
Long-stay residents on antianxiety or sleep medication
19.3%15.3%Improving
Short-stay residents newly given an antipsychotic
0%3.7%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
17.6%3.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.7%—
Short-stay residents given the pneumonia vaccine
90.2%100%Improving
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited March 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
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 July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 5 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
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- PENALTY
A federal fine of $16,433 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $25,280 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $9,330 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 9 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
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- PENALTY
A federal fine of $23,753 was recorded.
- PENALTY
A federal fine of $23,322 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $53,583 in total fines · 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Mar 15, 2026
- $16,433
Federal fine
Mar 15, 2026
- $23,753
Federal fine
Jun 27, 2025
- $13,397
Federal fine
Dec 16, 2023
Operator & ownership
Recent ownership change · Jan 1, 2024
Now operated by Oakbend Medical Center, previously West Wharton County Hospital District.
- Ownership
- For profit - Corporation
- Chain
- Part of PARADIGM HEALTHCARE · 17 homes · 2 stars avg
- Occupancy
- 101.3 residents on an average day (68% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.