Nursing Homes · Schulenburg, TX
Nursing Homes · Medicare certified
Paradigm at the Oak
507 West Ave · Schulenburg, TX 78956 · 90 certified beds
Are you the operator? Claim this profile.
About Paradigm at the Oak
Paradigm at the Oak is a nursing home in Schulenburg, Texas. Its capacity is 90 beds, below the Fayette County median of 98 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 67 citations, the most recent on May 28, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 3.10 hours per resident per day. It is one of 2 nursing homes listed in Schulenburg. 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 (67)
Records from September 2022 to May 2026.
November 21, 2025
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 November 22, 2025.
November 21, 2025
Tag F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 22, 2025.
July 10, 2025
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 15, 2025.
July 10, 2025
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 15, 2025.
June 4, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 5, 2025.
March 31, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2025.
March 31, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 30, 2025.
January 28, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0584Honor 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0679Provide activities to meet all resident's needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 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 D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0688Provide 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0919Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
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 February 28, 2025.
January 28, 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 February 28, 2025.
January 28, 2025
Tag F0881Implement a program that monitors antibiotic use.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected February 28, 2025.
January 28, 2025
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 February 28, 2025.
Penalties (4)
Total fines: $103,606
February 20, 2026 · Fine
CMS recorded a civil money penalty of $12,429 against this nursing home on February 20, 2026.
November 21, 2025 · Fine
CMS recorded a civil money penalty of $4,410 against this nursing home on November 21, 2025.
January 17, 2025 · Fine
CMS recorded a civil money penalty of $16,149 against this nursing home on January 17, 2025.
November 7, 2024 · Fine
CMS recorded a civil money penalty of $70,618 against this nursing home on November 7, 2024.
Staffing
3.10 nurse hours per resident per day in Q2 2026, down from 3.24 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 Schulenburg.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Advertisement
Check availability and pricing at Paradigm at the Oak
We'll email you Paradigm at the Oak and similar options nearby, with local costs. You can also ask them to contact you, or call (979) 743-4150.
Sponsored
Talk to an advisor at no cost