nursing home in Sweeny, TX
Paradigm at Sweeny
109 N McKinney, Sweeny, TX 77480 · (979) 548-3383
★★★★★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 Sweeny at a glance
Paradigm at Sweeny is a 90-bed for-profit nursing home in Sweeny, Texas (Brazoria 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 2.9 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 4, 2025) found 9 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $50,189.
Nursing staff turnover is 75% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Paradigm Healthcare
- Medicare-certified since
- May 31, 1994
- Resident/family council
- Resident
- County
- Brazoria County
- CMS Certification Number
- 675344
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) | 2.89 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.80 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.43 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 75% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 69.2% | 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) | 9 | 9 | 9 | Average |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 322.3 | 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) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $50,189 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 113 | 107 | |
| Average residents per day | 60 | 76 | 86 | |
| Occupancy | 67.1% | 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) | 1.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 24.8% | 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) | 20.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 9.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 30.1% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 10.1% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 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) | 1.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.6% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 22 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Deficient, Provider has no plan of correction |
| May 11, 2026 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 June 5, 2026 |
| May 11, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 5, 2026 |
| July 4, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 22, 2025 |
| July 4, 2025 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected July 22, 2025 |
| July 4, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 22, 2025 |
| July 4, 2025 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected July 22, 2025 |
| July 4, 2025 Standard | 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 | K Immediate jeopardy, pattern | Corrected July 22, 2025 |
| July 4, 2025 Standard | 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 July 22, 2025 |
| July 4, 2025 Standard | 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 | J Immediate jeopardy, isolated | Corrected July 22, 2025 |
| July 4, 2025 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected July 22, 2025 |
| July 4, 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 | E Potential harm, pattern | Corrected July 22, 2025 |
| July 4, 2025 Standard | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Tag F0628 | D Potential harm, isolated | Corrected July 22, 2025 |
| June 4, 2024 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 | E Potential harm, pattern | Corrected June 11, 2024 |
| June 4, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected June 11, 2024 |
| June 4, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected June 11, 2024 |
| March 21, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 29, 2024 |
| March 21, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 29, 2024 |
| March 21, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected March 29, 2024 |
| March 21, 2024 Complaint | 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 | E Potential harm, pattern | Corrected March 29, 2024 |
| March 21, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected March 29, 2024 |
| March 21, 2024 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 March 29, 2024 |
| March 21, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 29, 2024 |
| March 21, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 29, 2024 |
| March 8, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected March 16, 2024 |
| December 14, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | G Actual harm, isolated | Corrected January 5, 2024 |
| February 2, 2023 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | D Potential harm, isolated | Corrected February 10, 2023 |
| February 2, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected February 12, 2023 |
| February 2, 2023 Standard | 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 February 12, 2023 |
| February 2, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected February 12, 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 2 federal penalties in the past three years, including $50,189 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 1, 2026 | Fine | $38,284 |
| July 4, 2025 | Fine | $11,905 |
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% | 10/01/2022 |
| FREUDENBERGER, JOSEPH Individual | corporate officer | NOT APPLICABLE | 10/01/2022 |
| SWEENY NURSING & REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| FREUDENBERGER, JOSEPH Individual | w-2 managing employee | NOT APPLICABLE | 10/01/2022 |
Other nursing homes near Paradigm at Sweeny
Oak Village Healthcare
204 Oak Drive S, Lake Jackson, TX 77566 · 14.2 mi
For-profit · 74 beds · Part of Gulf Coast LTC Partners
★★★★★4Above average- ★★★★★3Average
Country Village Care
721 W. Mulberry, Angleton, TX 77515 · 17 mi
Government · 136 beds · Part of Chambers County Public Hospital District No. 1
★★★★★1Much below averageParadigm at Bay City
1800 13th St, Bay City, TX 77414 · 17.4 mi
For-profit · 105 beds · Part of Paradigm Healthcare
★★★★★4Above averageCreekside Village
914 N Brazosport Blvd, Richwood, TX 77531 · 17.5 mi
For-profit · 119 beds · Part of Gulf Coast LTC Partners
★★★★★4Above averageWoodlake Nursing Center
603 E. Plantation Rd, Clute, TX 77531 · 17.8 mi
For-profit · 93 beds · Part of Gulf Coast LTC Partners
★★★★★3Average
Frequently asked questions
What is Paradigm at Sweeny's rating?
Paradigm at Sweeny 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 Sweeny receive?
Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Paradigm at Sweeny 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 Sweeny?
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 Sweeny and how do I contact it?
Paradigm at Sweeny is at 109 N McKinney, Sweeny, TX 77480. Phone: (979) 548-3383.
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.