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.
March 28, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
March 28, 2024
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. Corrected April 8, 2024.
March 28, 2024
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2024.
August 9, 2023
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 August 18, 2023.
February 7, 2023
Tag F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2023.
February 7, 2023
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2023.
February 7, 2023
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 24, 2023.
February 7, 2023
Tag F0881Implement a program that monitors antibiotic use.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 24, 2023.
November 10, 2021
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
November 10, 2021
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 November 17, 2021.
November 10, 2021
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
November 10, 2021
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 November 17, 2021.
November 10, 2021
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
November 10, 2021
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
November 10, 2021
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
November 10, 2021
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
November 10, 2021
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 November 17, 2021.
November 10, 2021
Tag F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 17, 2021.
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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