Paradigm At The Brazos
2127 Preston St, Richmond, TX 77469 · Fort Bend County
For-profit · 56 certified beds · 73% occupancy · (281) 342-2801
The U.S. government (CMS) rates Paradigm At The Brazos 5 out of 5 stars overall — much above average. Its nurse staffing is 2% below the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.19 nurse hours per resident per day. 2% below the Texas median of 3.27.
Nursing staff turnover: 21.4% · RN turnover: 28.6%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · Aug 1, 2025Corrected Aug 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0609 · Aug 1, 2025Corrected Aug 22, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0925 · Jun 1, 2023Corrected Jun 21, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0914 · Nov 30, 2023ComplaintCorrected Dec 21, 2023
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies
- Potential for harmTag F0921 · Nov 30, 2023ComplaintCorrected Dec 21, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0755 · Jun 1, 2023Corrected Jun 21, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Showing the 6 most recent and serious of 6 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Paradigm Healthcare chain (18 facilities), chain average overall rating 1.8★.