Skilled Nursing

Paradigm at the Oak

507 West Ave, Schulenburg, TX 78956

90beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for substantiated abuse or neglect of residents.

View full report

2.9h

Hrs/resident · weekday

Expected: 3.3h

3.0h

Hrs/resident · weekend

vs 2.9h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
67%
LPNs
CNAs
48%

Administrator turnover: 3 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0610Severity JFeb 20, 2026

Respond appropriately to all alleged violations.

Corrected: Feb 11, 2026

SeriousImmediate Jeopardy0607Severity JFeb 20, 2026

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected: Feb 11, 2026

SeriousImmediate Jeopardy0600Severity JFeb 20, 2026

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Feb 11, 2026

SeriousImmediate Jeopardy0689Severity KJan 17, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Jan 1, 2025

SeriousImmediate Jeopardy0835Severity JNov 7, 2024

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected: Dec 6, 2024

SeriousImmediate Jeopardy0607Severity JNov 7, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected: Dec 6, 2024

SeriousImmediate Jeopardy0600Severity JNov 7, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected: Dec 6, 2024

41 standard deficiencies in the last 3 years

View all
0584Severity EMar 5, 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.

0689Severity DFeb 20, 2026

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609Severity DFeb 20, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0880Severity DDec 29, 2025

Provide and implement an infection prevention and control program.

0925Severity FNov 21, 2025

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0804Severity ENov 21, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0755Severity ENov 21, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0655Severity DNov 21, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0627Severity DNov 21, 2025

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0600Severity EJun 4, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0760Severity EMar 31, 2025

Ensure that residents are free from significant medication errors.

0755Severity EMar 31, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0919Severity DJan 28, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

0912Severity BJan 28, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0881Severity DJan 28, 2025

Implement a program that monitors antibiotic use.

0880Severity EJan 28, 2025

Provide and implement an infection prevention and control program.

0812Severity EJan 28, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0759Severity EJan 28, 2025

Ensure medication error rates are not 5 percent or greater.

0757Severity DJan 28, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0695Severity DJan 28, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0690Severity DJan 28, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0688Severity DJan 28, 2025

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.

0686Severity DJan 28, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0679Severity EJan 28, 2025

Provide activities to meet all resident's needs.

0677Severity DJan 28, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0657Severity EJan 28, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity DJan 28, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0584Severity EJan 28, 2025

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.

0804Severity ENov 7, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0609Severity DNov 7, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0584Severity GNov 7, 2024

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.

0550Severity ENov 7, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755Severity DJun 12, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0912Severity BNov 9, 2023

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0812Severity FNov 9, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0810Severity DNov 9, 2023

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

0699Severity DNov 9, 2023

Provide care or services that was trauma informed and/or culturally competent.

0645Severity DNov 9, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

0641Severity DNov 9, 2023

Ensure each resident receives an accurate assessment.

0584Severity ENov 9, 2023

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.

0550Severity DNov 9, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

OAKBEND MEDICAL CENTER· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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