Complaint Investigation

Paradigm At The Prairies

August 30, 2025 · El Campo, TX · 106 Del Norte Dr.

Citations 1

CMS Rating 1/5

Beds 150

Provider ID 676040

Healthcare Facility

Paradigm At The Prairies

El Campo, TX · View full profile →

Source Document

Official CMS Inspection Report (Medicare.gov)

Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.

Inspection Summary

Paradigm at the Prairies in El Campo, TX — inspection on August 30, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0850

Administration Deficiencies

The facility failed to employ a full-time social worker from 6/25/25 to 8/30/25.

This

included:

Record review of the Facility Summary Report from the Texas Unified Licensure Information Portal (TULIP) dated 8/29/25 indicated the facility had a total licensed capacity of 150 beds.

Record review of an email sent from the DON on 8/30/25 at 11:00 a.m., indicated the previous Social Worker was employed from 5/27/25 to 6/25/25.

Record review of the termination letter not dated, for the previous SW indicated she was terminated on 6/25/25 and read in part .as an at-will employee, your employment may be terminated at any time, with or without cause or notice . during your 90-day introductory period, we have determined that this role is not the right fit .

Interview on 8/30/25 at 11:08 a.m., ADON A said the previous SW left a few months ago.

Both ADON A and ADON B said they were assisting with setting up dental, podiatry, and vision appointments for residents. ADON B said to her knowledge the dentist, podiatrist, and eye doctor came to the facility every 3 months for appointments or as needed.

Interview with the DON on 8/30/25 at 12:24 p.m., she said the previous SW was terminated back in June.

The DON said the Administrator, ADON A, ADON B, the MDS nurse and herself collaborate on social work duties.

The DON said she would handle the discharges, made sure home health was set up, and collaborate with doctors for medications the discharged residents needed.

The DON said ADON A, ADON B, and the MDS nurse assist with the dental, podiatry, and vision appointments.

The DON said she did not think there was a risk to residents due to the Administrator, ADON A, ADON B, MDS Coordinator and herself worked as team to cover social worker duties.

Record review of the facility's social services job description titled Social Services Director not dated read in part . the primary purpose of the Social Services Director is to assist the Administrator to plan, organize, develop and direct the overall operation of our Social Services Department.

Success in this position is measured by compliance with current federal, state, and local standards, guidelines, and regulations that govern our facility .

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?

F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.

Were these violations corrected?

Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.

How often do nursing home inspections happen?

CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.

What should families do about these violations?

Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in El Campo, TX, (5) Report new concerns to state authorities.

Where can I see the full inspection report?

Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Paradigm at the Prairies or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.

More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.