Paradigm At The Oak
Paradigm at the Oak in Schulenburg, TX — inspection on December 29, 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
bed would be last. It's always dirty to clean.
She explained that Infection can spread if staff does not wash their hands after changing gloves or after providing care.In an interview with the DON on 12/11/2025 at 2:56 PM, he stated I expect them to change their gloves and do hand hygiene between wounds. He stated that they should follow the rule of clean to dirty. He stated staff should perform hand hygiene before and after changing gloves. He explained there are not sinks in every room.
There are only two rooms in the long hall with sinks and one of them is an isolation room.
The shorter hall does not have any sinks in the rooms.
He stated that the staff should still use hand sanitizer gel. He stated that they should wash their hands as much as they can and reported that there is a lot of access to portable alcohol-based hand gel pumps.
Record review of the facility's Hand Hygiene policy with a revision date of 6/2019 reflected 1.
Hand hygiene/hand washing is done.
After: A.
After contact with soiled or contaminated articles, such as articles that are contaminated with body fluids. B.
After patient/resident contact. C.
After contact with a contaminated object or source where there is a concentration of microorganisms, such as, mucous membranes, non-intact skin, body fluids or wounds. H.
After removal of medical/surgical or utility gloves.
NOTE: Wash hands at end of procedures where glove changes are not required.
For procedures in which change of gloves, e.g., clean gloves to sterile gloves, is indicated follow the specific standard of practice.
However, hand washing may not be necessary until completion of the procedure. If glove hands become contaminated as gloves are changed hands can be washed.
Contact with a patient's/resident's intact skin (e.g. taking a pulse or blood pressure, performing physical examinations, lifting the patient/resident in bed.
Further review of page 4 of the Hand Hygiene policy procedures reflected 2.
Wash Hands. C.
Before putting on gloves, when changing into a fresh pair of gloves, and immediately after removing gloves.
Record review of the facility's Infection Control Program policy with a revision date of 6/2019 reflected the Major activities of the Infection Control Program: Surveillance of Infections with Implementation of Control Measures and Prevention of Infections.Prevention of spread of infections is accomplished by use of hand hygiene, standard precaution, transmission-based precautions and other barriers.
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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.