Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

December 29, 2025 Complaint Investigation

November 21, 2025 Complaint Investigation

Fines and Penalties by Year

2025 1 penalties totaling $16,149

$16,149
Jan 17, 2025

Fine

2021 2 penalties totaling $46,830

$24,510
Jul 8, 2021

Fine

$22,320
Jul 8, 2021

Fine

2020 1 penalties totaling $9,750

$9,750
Nov 9, 2020

Fine

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Health Violations by Year

2025 19 violations

Tag 0755 E Mar 31, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 30, 2025
Tag 0760 E Mar 31, 2025

Ensure that residents are free from significant medication errors.

✓ Corrected: Apr 30, 2025
Tag 0584 E Jan 28, 2025

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.

✓ Corrected: Feb 28, 2025
Tag 0656 D Jan 28, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 28, 2025
Tag 0657 E Jan 28, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 28, 2025
Tag 0677 D Jan 28, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 28, 2025
Tag 0679 E Jan 28, 2025

Provide activities to meet all resident's needs.

✓ Corrected: Feb 28, 2025
Tag 0686 D Jan 28, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 28, 2025
Tag 0688 D Jan 28, 2025

Provide 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.

✓ Corrected: Feb 28, 2025
Tag 0690 D Jan 28, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Feb 28, 2025
Tag 0695 D Jan 28, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 28, 2025
Tag 0757 D Jan 28, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Feb 28, 2025
Tag 0759 E Jan 28, 2025

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 28, 2025
Tag 0812 E Jan 28, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 28, 2025
Tag 0880 E Jan 28, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 28, 2025
Tag 0881 D Jan 28, 2025

Implement a program that monitors antibiotic use.

✓ Corrected: Feb 28, 2025
Tag 0912 B Jan 28, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Feb 28, 2025
Tag 0919 D Jan 28, 2025

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Feb 28, 2025
Tag 0689 K Jan 17, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 1, 2025

2024 1 violations

Tag 0755 D Jun 12, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jun 26, 2024

2023 10 violations

Tag 0550 D Nov 9, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Dec 9, 2023
Tag 0584 E Nov 9, 2023

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.

✓ Corrected: Dec 9, 2023
Tag 0641 D Nov 9, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Dec 9, 2023
Tag 0645 D Nov 9, 2023

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Dec 9, 2023
Tag 0699 D Nov 9, 2023

Provide care or services that was trauma informed and/or culturally competent.

✓ Corrected: Dec 9, 2023
Tag 0810 D Nov 9, 2023

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

✓ Corrected: Dec 9, 2023
Tag 0812 F Nov 9, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Dec 9, 2023
Tag 0912 B Nov 9, 2023

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Dec 9, 2023
Tag 0600 J May 15, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: May 20, 2023
Tag 0607 D May 15, 2023

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 20, 2023

2022 7 violations

Tag 0584 E Sep 27, 2022

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.

✓ Corrected: Oct 23, 2022
Tag 0656 D Sep 27, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Oct 23, 2022
Tag 0677 E Sep 27, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Oct 23, 2022
Tag 0689 E Sep 27, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 23, 2022
Tag 0690 D Sep 27, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 23, 2022
Tag 0761 D Sep 27, 2022

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.

✓ Corrected: Oct 23, 2022
Tag 0812 E Sep 27, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 23, 2022

2021 11 violations

Tag 0584 D Jul 8, 2021

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.

✓ Corrected: Jul 9, 2021
Tag 0600 F Jul 8, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Jul 9, 2021
Tag 0607 E Jul 8, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Jul 9, 2021
Tag 0609 D Jul 8, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 9, 2021
Tag 0641 D Jul 8, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Jul 9, 2021
Tag 0689 D Jul 8, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jul 9, 2021
Tag 0812 F Jul 8, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jul 9, 2021
Tag 0908 F Jul 8, 2021

Keep all essential equipment working safely.

✓ Corrected: Jul 9, 2021
Tag 0912 B Jul 8, 2021

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jul 9, 2021
Tag 0947 E Jul 8, 2021

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Jul 9, 2021
Tag 0626 D Jun 3, 2021

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Jun 4, 2021

2020 8 violations

Tag 0637 E Nov 9, 2020

Assess the resident when there is a significant change in condition

Tag 0880 E Nov 9, 2020

Provide and implement an infection prevention and control program.

Tag 0580 D Apr 22, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: May 22, 2020
Tag 0623 D Apr 22, 2020

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: May 22, 2020
Tag 0624 D Apr 22, 2020

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: May 22, 2020
Tag 0755 D Apr 22, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 22, 2020
Tag 0880 E Apr 22, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: May 22, 2020
Tag 0600 D Jan 9, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Feb 7, 2020

2019 23 violations

Tag 0557 E Oct 28, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Nov 19, 2019
Tag 0600 E Oct 28, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Nov 19, 2019
Tag 0725 E Oct 28, 2019

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: Nov 19, 2019
Tag 0761 D Oct 28, 2019

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.

✓ Corrected: Nov 19, 2019
Tag 0814 D Oct 28, 2019

Dispose of garbage and refuse properly.

✓ Corrected: Nov 19, 2019
Tag 0557 D Aug 9, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Aug 30, 2019
Tag 0641 E Aug 9, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Aug 30, 2019
Tag 0657 E Aug 9, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Aug 30, 2019
Tag 0690 D Aug 9, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Aug 30, 2019
Tag 0695 E Aug 9, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Aug 30, 2019
Tag 0726 D Aug 9, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Aug 30, 2019
Tag 0759 E Aug 9, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Aug 30, 2019
Tag 0761 E Aug 9, 2019

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.

✓ Corrected: Aug 30, 2019
Tag 0791 E Aug 9, 2019

Provide or obtain dental services for each resident.

✓ Corrected: Aug 30, 2019
Tag 0812 F Aug 9, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 30, 2019
Tag 0842 E Aug 9, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Aug 30, 2019
Tag 0912 B Aug 9, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Aug 30, 2019
Tag 0925 C Aug 9, 2019

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Aug 30, 2019
Tag 0583 E Jul 2, 2019

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jul 26, 2019
Tag 0655 E Jul 2, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Jul 26, 2019

2018 25 violations

Tag 0550 E Aug 3, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Sep 14, 2018
Tag 0582 B Aug 3, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Sep 14, 2018
Tag 0583 D Aug 3, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 14, 2018
Tag 0584 E Aug 3, 2018

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.

✓ Corrected: Sep 14, 2018
Tag 0607 E Aug 3, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 14, 2018
Tag 0609 E Aug 3, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Sep 14, 2018
Tag 0622 B Aug 3, 2018

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Sep 14, 2018
Tag 0641 E Aug 3, 2018

Ensure each resident receives an accurate assessment.

✓ Corrected: Sep 14, 2018
Tag 0644 E Aug 3, 2018

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Sep 14, 2018
Tag 0656 E Aug 3, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 14, 2018
Tag 0657 E Aug 3, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 14, 2018
Tag 0660 B Aug 3, 2018

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Sep 14, 2018
Tag 0661 B Aug 3, 2018

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

✓ Corrected: Sep 14, 2018
Tag 0690 E Aug 3, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 14, 2018
Tag 0726 E Aug 3, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Sep 14, 2018
Tag 0727 F Aug 3, 2018

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Sep 14, 2018
Tag 0758 E Aug 3, 2018

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Sep 14, 2018
Tag 0759 E Aug 3, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Sep 14, 2018
Tag 0761 E Aug 3, 2018

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.

✓ Corrected: Sep 14, 2018
Tag 0812 F Aug 3, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 14, 2018

2017 20 violations

Tag 0164 D Jun 22, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Jun 23, 2017
Tag 0253 B Jun 22, 2017

Provide housekeeping and maintenance services.

✓ Corrected: Jun 23, 2017
Tag 0254 B Jun 22, 2017

Provide clean bed and bath linens that are in good condition.

✓ Corrected: Jun 23, 2017
Tag 0315 D Jun 22, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Aug 3, 2017
Tag 0328 E Jun 22, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Jun 23, 2017
Tag 0329 E Jun 22, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Jun 23, 2017
Tag 0332 E Jun 22, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

✓ Corrected: Jun 23, 2017
Tag 0354 C Jun 22, 2017

Use a registered nurse at least 8 hours a day, 7 days a week.

✓ Corrected: Jun 23, 2017
Tag 0371 F Jun 22, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jun 23, 2017
Tag 0372 C Jun 22, 2017

Dispose of garbage and refuse properly.

✓ Corrected: Jun 23, 2017
Tag 0431 E Jun 22, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jun 23, 2017
Tag 0441 E Jun 22, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jun 26, 2017
Tag 0458 B Jun 22, 2017

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Jun 23, 2017
Tag 0460 E Jun 22, 2017

Provide bedrooms that don't allow residents to see each other when privacy is needed.

✓ Corrected: Jun 23, 2017
Tag 0463 E Jun 22, 2017

Make sure that a working call system is available in each resident's room or bathroom and bathing area.

✓ Corrected: Jun 23, 2017
Tag 0465 E Jun 22, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jul 29, 2017
Tag 0468 E Jun 22, 2017

Put firmly secured handrails on each side of hallways.

✓ Corrected: Jun 23, 2017
Tag 0498 D Jun 22, 2017

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

✓ Corrected: Aug 3, 2017
Tag 0514 D Jun 22, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jun 27, 2017
Tag 0518 F Jun 22, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

✓ Corrected: Jun 30, 2017
🏥 Facility Summary

Paradigm at the Oak is a 1-star nursing home in Schulenburg, TX with 90 beds.

Most recent inspection: Data not available. No current violations on record.

📞 9797434150
📍 507 West Ave, Schulenburg, TX
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About Paradigm at the Oak

What violations has Paradigm at the Oak received?
Paradigm at the Oak has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Paradigm at the Oak?
Paradigm at the Oak has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Paradigm at the Oak last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Paradigm at the Oak safe?
Safety at Paradigm at the Oak should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Paradigm at the Oak?
Phone: 9797434150. Address: 507 West Ave, Schulenburg, TX. For visiting hours and admission information, call the facility directly.
What services does Paradigm at the Oak offer?
Paradigm at the Oak is a skilled nursing facility with 90 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Schulenburg, TX?
Compare Paradigm at the Oak with other nursing homes in Schulenburg, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.