Nursing Homes · Medicare certified
Paradigm at Sweeny
109 N Mckinney · Sweeny, TX 77480 · 90 certified beds
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About Paradigm at Sweeny
Paradigm at Sweeny is a nursing home in Sweeny, Texas. Its capacity is 90 beds, below the Brazoria County median of 119 for nursing homes. It is run by a nonprofit operator and is part of Paradigm Healthcare. It is Medicare certified. Its public inspection record shows 21 citations, the most recent on May 11, 2026. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.18 hours per resident per day. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (21)
Records from February 2023 to May 2026.
May 11, 2026
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm.
May 11, 2026
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm.
July 4, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected July 22, 2025.
July 4, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity K: pattern, immediate jeopardy. Corrected July 22, 2025.
July 4, 2025
Tag F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 22, 2025.
July 4, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 22, 2025.
July 4, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity K: pattern, immediate jeopardy. Corrected July 22, 2025.
July 4, 2025
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 22, 2025.
June 4, 2024
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 11, 2024.
June 4, 2024
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 11, 2024.
June 4, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 11, 2024.
March 21, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 29, 2024.
March 21, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 29, 2024.
March 21, 2024
Tag F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 29, 2024.
March 21, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 29, 2024.
March 21, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 29, 2024.
March 8, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 16, 2024.
December 14, 2023
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity G: isolated, actual harm. Corrected January 5, 2024.
February 2, 2023
Tag F0583Keep residents' personal and medical records private and confidential.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 12, 2023.
February 2, 2023
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 12, 2023.
Penalties (2)
Total fines: $11,905
July 1, 2026 · Fine
CMS recorded a civil money penalty of $38,284 against this nursing home on July 1, 2026.
July 4, 2025 · Fine
CMS recorded a civil money penalty of $11,905 against this nursing home on July 4, 2025.
Staffing
3.18 nurse hours per resident per day in Q2 2026, up from 3.06 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Paradigm Healthcare, a chain of 17 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.1 for health inspections, 1.5 for staffing, 4.0 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
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