Nursing Homes · Richmond, TX
Nursing Homes · Medicare certified
Paradigm at the Brazos
2127 Preston St · Richmond, TX 77469 · 56 certified beds
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About Paradigm at the Brazos
Paradigm at the Brazos is a nursing home in Richmond, Texas. Its capacity is 56 beds, below the Fort Bend County median of 112 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 6 citations, the most recent on August 1, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.36 hours per resident per day. It is one of 3 nursing homes listed in Richmond. 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
Certification
Medicare-certified.
Ratings
Overall
5.0Staffing
3.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (6)
Records from June 2023 to August 2025.
August 1, 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 August 22, 2025.
August 1, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2025.
November 30, 2023
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 21, 2023.
November 30, 2023
Tag F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 21, 2023.
June 1, 2023
Tag F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 21, 2023.
June 1, 2023
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 June 21, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.36 nurse hours per resident per day in Q2 2026, up from 3.19 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.
Nearby alternatives
Other licensed providers in Richmond.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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