Texas › Matagorda County › Bay City
Paradigm At Bay City
1800 13th St, Bay City, TX 77414
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Paradigm At Bay City is a For-profit, limited liability company nursing home in Bay City, Texas, certified for 105 beds and caring for about 43 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (3, 7, 15 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 23.8 per 100 beds, about the same as the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Texas median of 3.3; nursing staff turnover is 44.7%.
Compared with county, state and nation
| Measure | This facility | Matagorda Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 25 | 28.7 |
| Citations per 100 beds | 23.8 | 23.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 44.7% | 54.2% | 52.1% | 45.8% |
| Fines listed | $0 | $10,761 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 May 2025, 28 Mar 2024.
Severity mix: K ×3 D ×17 E ×4 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 5 Jun 2025 |
| 30 May 2025 | 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. | E | Standard survey | 5 Jun 2025 |
| 30 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 5 Jun 2025 |
| 30 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 5 Jun 2025 |
| 20 May 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 6 Jun 2024 |
| 20 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Jun 2024 |
| 28 Mar 2024 | 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. | D | Complaint investigation | 20 Apr 2024 |
| 28 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 20 Apr 2024 |
| 28 Mar 2024 | 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. | D | Complaint investigation | 20 Apr 2024 |
| 28 Mar 2024 | F0814 | Dispose of garbage and refuse properly. | D | Complaint investigation | 20 Apr 2024 |
| 28 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 20 Apr 2024 |
| 28 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 20 Apr 2024 |
| 12 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 20 Jan 2024 |
| 12 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 20 Jan 2024 |
| 3 Aug 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 4 Aug 2023 |
| 3 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 4 Aug 2023 |
| 3 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 4 Aug 2023 |
| 3 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Aug 2023 |
| 9 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Mar 2023 |
| 9 Feb 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 9 Mar 2023 |
| 9 Feb 2023 | 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. | D | Standard survey | 9 Mar 2023 |
| 9 Feb 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 9 Mar 2023 |
| 9 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Mar 2023 |
| 9 Feb 2023 | 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. | D | Standard survey | 9 Mar 2023 |
| 9 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 9 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 44.7%, RNs 28.6%; 4 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Oakbend Medical Center. Chain: Paradigm Healthcare (17 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | 100% | 03/31/2017 |
| Bay City Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Matagorda County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Bay City | Bay City | 120 | 2 | 3 | 1 | 28 | 23.3 | $24K | 26 Feb 2026 |
| Matagorda Nursing & Rehabilitation Center | Bay City | 100 | 2 | 3 | 1 | 12 | 12.0 | $11K | 1 Jan 2026 |
All 3 facilities in Matagorda County
Questions and answers
How many deficiencies has Paradigm At Bay City been cited for?
25 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At Bay City been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Paradigm At Bay City compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At Bay City?
It is part of the Paradigm Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oakbend Medical Center and Bay City Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At Bay City last inspected?
The most recent survey or investigation in the CMS record is dated 30 May 2025; the most recent standard health survey was 30 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.