Paradigm At The Oak
507 West Ave, Schulenburg, TX 78956 · Fayette County
For-profit · 90 certified beds · 58% occupancy · (979) 743-4150
The U.S. government (CMS) rates Paradigm At The Oak 1 out of 5 stars overall — much below average. Its nurse staffing is 3% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 7 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.
3.18 nurse hours per resident per day. 3% below the Texas median of 3.27.
Nursing staff turnover: 39% · RN turnover: 50%
Safety & compliance flags
- Federal abuse warning icon
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 F0600 · Feb 20, 2026ComplaintCorrected Feb 11, 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
- Immediate jeopardyTag F0607 · Feb 20, 2026ComplaintCorrected Feb 11, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0610 · Feb 20, 2026ComplaintCorrected Feb 11, 2026
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0925 · Nov 21, 2025ComplaintCorrected Nov 22, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0679 · May 28, 2026ComplaintCorrected Jun 19, 2026
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
- Potential for harmTag F0577 · Apr 2, 2026Corrected Apr 16, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
- Potential for harmTag F0584 · Apr 2, 2026Corrected Apr 16, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Apr 2, 2026Corrected Apr 16, 2026
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 F0880 · Apr 2, 2026Corrected Apr 16, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0584 · Mar 5, 2026ComplaintCorrected Apr 2, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 60 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Paradigm Healthcare chain (18 facilities), chain average overall rating 1.8★.