Nursing Homes · Medicare certified
Paradigm at the Oak
507 West Ave · Schulenburg, TX 78956 · 90 certified beds
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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.
September 27, 2022
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 23, 2022.
September 27, 2022
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 October 23, 2022.
September 27, 2022
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 23, 2022.
September 27, 2022
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected October 23, 2022.
September 27, 2022
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 October 23, 2022.
September 27, 2022
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 October 23, 2022.
September 27, 2022
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 October 23, 2022.
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
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