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Nursing Homes · Medicare certified

Paradigm at the Oak

507 West Ave · Schulenburg, TX 78956 · 90 certified beds

(979) 743-4150

NPI 1942918917 (opens in a new tab)

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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

1.0

Staffing

1.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (67)

Records from September 2022 to May 2026.

  • September 27, 2022

    Tag F0677

    Provide 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 F0690

    Provide 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 F0689

    Ensure 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 F0761

    Ensure 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 F0584

    Honor 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 F0812

    Procure 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 F0656

    Develop 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.

See the source data on data.cms.gov (opens in a new tab)

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.

See the source data on data.cms.gov (opens in a new tab)

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.

Nursing Homes

Texas median$5,627/mo

Nearby alternatives

Other licensed providers in Schulenburg.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Paradigm at the Oak in Schulenburg, TX · Inspections page 4 · ElderCareCosts