Nursing Homes · Medicare certified
Paradigm at the Creek
1405 Valhalla Dr · Wharton, TX 77488 · 120 certified beds
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About Paradigm at the Creek
Paradigm at the Creek is a nursing home in Wharton, Texas. Its capacity is 120 beds, the same as the Texas median for nursing homes. It is run by a for-profit operator and is part of Paradigm Healthcare. It is Medicare certified. Its public inspection record shows 38 citations, the most recent on May 22, 2026. CMS also lists 5 fines or payment denials against it. Nurse staffing averages 3.11 hours per resident per day. It is one of 2 nursing homes listed in Wharton. 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
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (38)
Records from November 2021 to May 2026.
May 22, 2026
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity G: isolated, actual harm. Corrected March 6, 2026.
May 22, 2026
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 25, 2026.
May 6, 2026
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 1, 2026.
August 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 August 8, 2025.
May 16, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected May 23, 2025.
September 30, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J: isolated, immediate jeopardy. Corrected October 18, 2024.
September 30, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 18, 2024.
September 30, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity J: isolated, immediate jeopardy. Corrected October 18, 2024.
May 28, 2024
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity J: isolated, immediate jeopardy. Corrected June 7, 2024.
May 8, 2024
Tag F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
May 8, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
May 8, 2024
Tag F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
May 8, 2024
Tag F0895Have a Compliance and Ethics Program.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
May 8, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
May 8, 2024
Tag F0697Provide safe, appropriate pain management for a resident who requires such services.
Severity G: isolated, actual harm. Corrected May 22, 2024.
May 8, 2024
Tag F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
May 8, 2024
Tag F0946Provide training in compliance and ethics.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected May 22, 2024.
March 28, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 28, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 28, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
Penalties (5)
Total fines: $52,034
July 25, 2026 · Fine
CMS recorded a civil money penalty of $22,900 against this nursing home on July 25, 2026.
August 4, 2025 · Fine
CMS recorded a civil money penalty of $8,191 against this nursing home on August 4, 2025.
May 16, 2025 · Fine
CMS recorded a civil money penalty of $8,402 against this nursing home on May 16, 2025.
September 30, 2024 · Fine
CMS recorded a civil money penalty of $20,719 against this nursing home on September 30, 2024.
May 8, 2024 · Fine
CMS recorded a civil money penalty of $14,722 against this nursing home on May 8, 2024.
Staffing
3.11 nurse hours per resident per day in Q2 2026, down from 3.17 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For 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 Wharton.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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