Paradigm At The Creek
1405 Valhalla Dr, Wharton, TX 77488 · Wharton County
For-profit · 120 certified beds · 47% occupancy · (979) 532-1244
The U.S. government (CMS) rates Paradigm At The Creek 1 out of 5 stars overall — much below average. Its nurse staffing is 1% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
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.
3.23 nurse hours per resident per day. 1% below the Texas median of 3.27.
Nursing staff turnover: 58.8% · RN turnover: 71.4%
Safety & compliance flags
- No health inspection in over 2 years
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.
- Immediate jeopardyTag F0656 · Aug 4, 2025ComplaintCorrected Aug 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Actual harmTag F0600 · May 22, 2026ComplaintCorrected Mar 6, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0610 · May 22, 2026ComplaintCorrected May 25, 2026
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0656 · Mar 28, 2024ComplaintCorrected Apr 8, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0695 · Mar 28, 2024Corrected Apr 8, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0689 · May 6, 2026ComplaintCorrected Jun 1, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0684 · Mar 28, 2024Corrected Apr 8, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0686 · Mar 28, 2024Corrected Apr 8, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
- Potential for harmTag F0690 · Mar 28, 2024ComplaintCorrected Apr 8, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0600 · Sep 30, 2024ComplaintCorrected Oct 18, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 38 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Paradigm Healthcare chain (18 facilities), chain average overall rating 1.8★.