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.
January 28, 2025
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 February 28, 2025.
January 28, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 28, 2025
Tag F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 17, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K: pattern, immediate jeopardy. Corrected January 1, 2025.
November 7, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity J: isolated, immediate jeopardy. Corrected December 6, 2024.
November 7, 2024
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 December 6, 2024.
November 7, 2024
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 G: isolated, actual harm. Corrected December 6, 2024.
November 7, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 6, 2024.
November 7, 2024
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 December 6, 2024.
November 7, 2024
Tag F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity J: isolated, immediate jeopardy. Corrected December 6, 2024.
November 7, 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 December 6, 2024.
June 12, 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 June 26, 2024.
November 9, 2023
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 December 9, 2023.
November 9, 2023
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 December 9, 2023.
November 9, 2023
Tag F0699Provide care or services that was trauma informed and/or culturally competent.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2023.
November 9, 2023
Tag F0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2023.
November 9, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2023.
November 9, 2023
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2023.
November 9, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 9, 2023.
November 9, 2023
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 December 9, 2023.
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