nursing home in Schulenburg, TX

Paradigm at the Oak

507 West Ave, Schulenburg, TX 78956 · (979) 743-4150

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★2
  • 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 Oak at a glance

Paradigm at the Oak is a 90-bed for-profit nursing home in Schulenburg, Texas (Fayette 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), worse than the state average of 3.4 hours.

Its most recent standard health inspection (April 2, 2026) found 22 health citations. The Texas average is 9.4.

Federal regulators fined it 4 times in the past three years, totaling $103,606.

Nursing staff turnover is 39% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
90
Certified for
Medicare and Medicaid
Chain / affiliated entity
Paradigm Healthcare
Medicare-certified since
June 5, 2003
Resident/family council
Resident
County
Fayette County
CMS Certification Number
675971

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)2 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 53.2 / 53.3 / 5Worse

Staffing

This facility3.18 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.18 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.30 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.91 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.89 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)39%55.3%45.8%Better
Registered nurse turnover (yearly) (lower is better)50%54.6%42.9%Worse
Administrators who left in the past year (lower is better)211Worse

Inspections

This facility22Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)2299Worse
Citations from complaint investigations (latest cycle) (lower is better)1443Worse
Weighted health inspection score ⓘ (lower is better)22910280.6Worse

Penalties

This facility4Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$103,606$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)421Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds90113107
Average residents per day527686
Occupancy58%67.6%80.9%

Long-stay residents

This facility3.7%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.7%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)4.4%3.8%4.6%Average
Long-stay residents given antipsychotic medication (lower is better)19.6%9.6%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.5%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)16.1%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)6.5%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)8.1%3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)2.1%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)34.8%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)8.1%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

This facility12.8%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)12.8%1.5%1.6%Worse
Short-stay residents given a pneumonia vaccine (higher is better)100%88.9%82%Better

Inspection citations

State inspectors cited this home for 60 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm, including 7 rated "immediate jeopardy".

DateCitationSeverityStatus
May 28, 2026
Complaint
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected June 19, 2026
May 28, 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 19, 2026
April 2, 2026
Fire safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Electrical Deficiencies · Tag K0901
F
Potential harm, widespread
Corrected June 17, 2026
April 2, 2026
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 June 17, 2026
April 2, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected June 17, 2026
April 2, 2026
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
D
Potential harm, isolated
Corrected June 17, 2026
April 2, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected June 17, 2026
April 2, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected June 17, 2026
April 2, 2026
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected June 17, 2026
April 2, 2026
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
No revisit needed
April 2, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 16, 2026
April 2, 2026
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
E
Potential harm, pattern
Corrected April 16, 2026
April 2, 2026
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 April 16, 2026
April 2, 2026
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 April 16, 2026
April 2, 2026
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected April 3, 2026
April 2, 2026
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected April 16, 2026
April 2, 2026
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected April 16, 2026
April 2, 2026
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
C
No harm, widespread
Corrected April 16, 2026
March 5, 2026
Complaint
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 April 2, 2026
February 20, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
J
Immediate jeopardy, isolated
Corrected February 11, 2026
February 20, 2026
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
J
Immediate jeopardy, isolated
Corrected February 11, 2026
February 20, 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
J
Immediate jeopardy, isolated
Corrected February 11, 2026
February 20, 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 February 11, 2026
February 20, 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 April 2, 2026
December 29, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected December 31, 2025
November 21, 2025
Complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
F
Potential harm, widespread
Corrected November 22, 2025
November 21, 2025
Complaint
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
E
Potential harm, pattern
Corrected November 22, 2025
November 21, 2025
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected November 22, 2025
November 21, 2025
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected November 22, 2025
November 21, 2025
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 November 22, 2025
July 10, 2025
Complaint
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 July 15, 2025
July 10, 2025
Complaint
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 July 15, 2025
June 4, 2025
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
E
Potential harm, pattern
Corrected June 5, 2025
March 31, 2025
Complaint
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
E
Potential harm, pattern
Corrected April 30, 2025
March 31, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
E
Potential harm, pattern
Corrected April 30, 2025
January 28, 2025
Fire safety
Establish an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0001
F
Potential harm, widespread
Corrected April 16, 2025
January 28, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected April 24, 2025
January 28, 2025
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
E
Potential harm, pattern
Corrected April 16, 2025
January 28, 2025
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
D
Potential harm, isolated
Corrected April 24, 2025
January 28, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
B
No harm, pattern
Waiver has been granted
January 28, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected February 28, 2025
January 28, 2025
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 February 28, 2025
January 28, 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 February 28, 2025
January 28, 2025
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected February 28, 2025
January 28, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected February 28, 2025
January 28, 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 February 28, 2025
January 28, 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 February 28, 2025
January 28, 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
D
Potential harm, isolated
Corrected February 28, 2025
January 28, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected February 28, 2025
January 28, 2025
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 February 28, 2025
January 28, 2025
Standard
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected February 28, 2025
January 28, 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 February 28, 2025
January 28, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected February 28, 2025
January 28, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected February 28, 2025
January 28, 2025
Standard
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Tag F0881
D
Potential harm, isolated
Corrected February 28, 2025
January 28, 2025
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
B
No harm, pattern
Corrected February 28, 2025
January 17, 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
K
Immediate jeopardy, pattern
Corrected January 1, 2025
November 7, 2024
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
J
Immediate jeopardy, isolated
Corrected December 6, 2024
November 7, 2024
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
J
Immediate jeopardy, isolated
Corrected December 6, 2024
November 7, 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 December 6, 2024
November 7, 2024
Complaint
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
G
Actual harm, isolated
Corrected December 6, 2024
November 7, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected December 6, 2024
November 7, 2024
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected December 6, 2024
November 7, 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
D
Potential harm, isolated
Corrected December 6, 2024
June 12, 2024
Complaint
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 June 26, 2024
November 9, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
B
No harm, pattern
Corrected December 9, 2023
November 9, 2023
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 December 9, 2023
November 9, 2023
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 December 9, 2023
November 9, 2023
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected December 9, 2023
November 9, 2023
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected December 9, 2023
November 9, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected December 9, 2023
November 9, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 9, 2023
November 9, 2023
Standard
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Tag F0810
D
Potential harm, isolated
Corrected December 9, 2023
November 9, 2023
Standard
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · Tag F0912
B
No harm, pattern
Corrected December 9, 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 4 federal penalties in the past three years, including $103,606 in fines.

DatePenaltyAmount / length
February 20, 2026Fine$12,429
November 21, 2025Fine$4,410
January 17, 2025Fine$16,149
November 7, 2024Fine$70,618

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
OAKBEND MEDICAL CENTER
Organization
5% or greater direct ownership interest100%01/01/2023
FREUDENBERGER, JOSEPH
Individual
corporate officerNOT APPLICABLE01/01/2023
SCHULENBURG NURSING & REHABILITATION LLC
Organization
operational/managerial controlNOT APPLICABLE01/01/2023
SHKOP, AHARON
Individual
operational/managerial controlNOT APPLICABLE01/01/2023

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Frequently asked questions

What is Paradigm at the Oak's rating?

Paradigm at the Oak 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 Oak receive?

Its most recent standard health inspection found 22 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Paradigm at the Oak 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 Oak?

It is for profit - corporation and part of Paradigm Healthcare. The ownership section on this page lists the owners and managers reported to CMS.

Where is Paradigm at the Oak and how do I contact it?

Paradigm at the Oak is at 507 West Ave, Schulenburg, TX 78956. Phone: (979) 743-4150.

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.