nursing home in Wharton, TX
Paradigm at the Creek
1405 Valhalla Dr, Wharton, TX 77488 · (979) 532-1244
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Paradigm at the Creek at a glance
Paradigm at the Creek is a 120-bed for-profit nursing home in Wharton, Texas (Wharton County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 23, 2025) found 19 health citations. The Texas average is 9.4.
Federal regulators fined it 5 times in the past three years, totaling $74,934.
Nursing staff turnover is 58.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Paradigm Healthcare
- Medicare-certified since
- April 23, 1987
- Resident/family council
- Resident
- County
- Wharton County
- CMS Certification Number
- 455699
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.23 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.35 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.12 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.75 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 19 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 207 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $74,934 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 56 | 76 | 86 | |
| Occupancy | 46.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 20.4% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.3% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 0.9% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.9% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.1% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 94.1% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 43 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 7 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected July 6, 2026 |
| July 1, 2026 Complaint | 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 · Tag F0656 | E Potential harm, pattern | Corrected July 6, 2026 |
| July 1, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 6, 2026 |
| July 1, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 6, 2026 |
| May 22, 2026 Complaint | 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 · Tag F0600 | G Actual harm, isolated | Corrected March 6, 2026 |
| May 22, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected May 25, 2026 |
| May 6, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 1, 2026 |
| August 4, 2025 Complaint | 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 · Tag F0656 | K Immediate jeopardy, pattern | Corrected August 8, 2025 |
| May 23, 2025 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | F Potential harm, widespread | Corrected July 7, 2025 |
| May 23, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 23, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 30, 2025 |
| May 23, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 23, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 23, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 23, 2025 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected May 30, 2025 |
| May 23, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 23, 2025 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 23, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 23, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 23, 2025 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 23, 2025 Standard | 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 · Tag F0690 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 23, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected May 30, 2025 |
| May 16, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 23, 2025 |
| September 30, 2024 Complaint | 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 · Tag F0600 | J Immediate jeopardy, isolated | Corrected October 18, 2024 |
| September 30, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | J Immediate jeopardy, isolated | Corrected October 18, 2024 |
| September 30, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected October 18, 2024 |
| May 28, 2024 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected June 7, 2024 |
| May 8, 2024 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | G Actual harm, isolated | Corrected May 22, 2024 |
| May 8, 2024 Complaint | Have a Compliance and Ethics Program. Administration Deficiencies · Tag F0895 | F Potential harm, widespread | Corrected May 22, 2024 |
| May 8, 2024 Complaint | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | F Potential harm, widespread | Corrected May 22, 2024 |
| May 8, 2024 Complaint | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected May 22, 2024 |
| May 8, 2024 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected May 22, 2024 |
| May 8, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 22, 2024 |
| May 8, 2024 Complaint | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | D Potential harm, isolated | Corrected May 22, 2024 |
| May 8, 2024 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | D Potential harm, isolated | Corrected May 22, 2024 |
| March 28, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected April 8, 2024 |
| March 28, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 28, 2024 Complaint | 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 · Tag F0656 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 28, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected April 8, 2024 |
| March 28, 2024 Complaint | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 28, 2024 Complaint | 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 · Tag F0690 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 28, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 8, 2024 |
| March 28, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 8, 2024 |
| February 7, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected February 24, 2023 |
| February 7, 2023 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected February 24, 2023 |
| February 7, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 24, 2023 |
| February 7, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | E Potential harm, pattern | Corrected February 24, 2023 |
| February 7, 2023 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected February 24, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $74,934 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 25, 2026 | Fine | $22,900 |
| August 4, 2025 | Fine | $8,191 |
| May 16, 2025 | Fine | $8,402 |
| September 30, 2024 | Fine | $20,719 |
| May 8, 2024 | Fine | $14,722 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| OAKBEND MEDICAL CENTER Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| FREUDENBERGER, JOSEPH Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| SOUTHWEST LTC WHARTON LTD Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| WHARTON NURSING & REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 12/30/2021 |
| FREUDENBERGER, JOSEPH Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Paradigm at the Creek
Wharton Nursing and Rehabilitation Center
1220 Sunny Lane, Wharton, TX 77488 · 2 mi
Government · 120 beds · Part of Wellsential Health
★★★★★1Much below averageParadigm at the Prairies
106 del Norte Dr., El Campo, TX 77437 · 12.8 mi
For-profit · 150 beds · Part of Paradigm Healthcare
- Abuse citation
★★★★★1Much below averageS.p.j.s.t. Rest Home No 2
8611 Main St, Needville, TX 77461 · 17.4 mi
Non-profit · 58 beds
- CMS high performer
★★★★★5Much above averageS.p.j.s.t. Rest Home 3
248 Wisteria Lane, El Campo, TX 77437 · 18.7 mi
Non-profit · 57 beds
- CMS high performer
★★★★★5Much above averageArbor Hills Rehabilitation and Healthcare Center
535 S Austin Road, Eagle Lake, TX 77434 · 22.8 mi
For-profit · 80 beds · Part of Nexion Health
★★★★★4Above averageFort Bend Healthcare Center
3010 Bamore Road, Rosenberg, TX 77471 · 23 mi
For-profit · 56 beds · Part of Cantex Continuing Care
★★★★★3Average
Frequently asked questions
What is Paradigm at the Creek's rating?
Paradigm at the Creek has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Paradigm at the Creek receive?
Its most recent standard health inspection found 19 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Paradigm at the Creek accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Paradigm at the Creek?
It is for profit - limited liability company and part of Paradigm Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Paradigm at the Creek and how do I contact it?
Paradigm at the Creek is at 1405 Valhalla Dr, Wharton, TX 77488. Phone: (979) 532-1244.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.