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Paradigm at the Oak

507 West Ave
Schulenburg, TX 78956 · 9797434150 · Fayette County
⚠ Abuse citation on record. This facility has been cited for abuse or neglect in the CMS data — see the citation list below.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds90
OwnershipFor profit - Corporation
State rank#1126

By the numbers

60
Health citations (3 cycles)
7
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$103,606
Federal fines (CMPs)
The trend: Citations are rising — 22 in the most recent cycle versus 9 two cycles ago.

Recent Health Citations

May 28, 2026 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 28, 2026 · Health survey · F-tag 0679
E — No actual harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Apr 2, 2026 · Health survey · F-tag 0912
C — Cited
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Apr 2, 2026 · Health survey · F-tag 0644
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Apr 2, 2026 · Health survey · F-tag 0558
D — No actual harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Apr 2, 2026 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 2, 2026 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Apr 2, 2026 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 2, 2026 · Health survey · F-tag 0584
E — No actual harm
Resident Rights Deficiencies
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.
Apr 2, 2026 · Health survey · F-tag 0577
E — No actual harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Mar 5, 2026 · Health survey · F-tag 0584
E — No actual harm
Resident Rights Deficiencies
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.
Feb 20, 2026 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 20, 2026 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 20, 2026 · Health survey · F-tag 0610
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Details
Correction status: Corrected Feb 11, 2026 — Past Non-Compliance
Inspection cycle: 1
Survey origin: Complaint investigation
Feb 20, 2026 · Health survey · F-tag 0607
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Details
Correction status: Corrected Feb 11, 2026 — Past Non-Compliance
Inspection cycle: 1
Survey origin: Complaint investigation
Feb 20, 2026 · Health survey · F-tag 0600
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Feb 11, 2026 — Past Non-Compliance
Inspection cycle: 1
Survey origin: Complaint investigation
Dec 29, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 21, 2025 · Health survey · F-tag 0655
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Nov 21, 2025 · Health survey · F-tag 0627
D — No actual harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Nov 21, 2025 · Health survey · F-tag 0804
E — No actual harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Texas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.