Texas › Lavaca County › Yoakum
Paradigm At Stevens
204 Walter St, Yoakum, TX 77995
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.
Certified for 106 beds, Paradigm At Stevens serves Yoakum in Lavaca County, Texas and has taken Medicare and Medicaid residents since 1985.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (7, 19, 12 by cycle, most recent first), none at the actual-harm level. That is 35.8 per 100 beds, more than 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 (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 46.2%.
Compared with county, state and nation
| Measure | This facility | Lavaca Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 26 | 25 | 28.7 |
| Citations per 100 beds | 35.8 | 23.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.1 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 46.2% | 33.3% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (6 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: 15 May 2026, 7 Mar 2025.
Severity mix: D ×31 E ×6 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 |
|---|---|---|---|---|---|
| 15 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Jun 2026 |
| 31 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 15 Jan 2026 |
| 6 Sep 2025 | 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. | D | Complaint investigation | 8 Sep 2025 |
| 6 Sep 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 8 Sep 2025 |
| 7 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | E | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0726 | 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. | E | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | 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. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | 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 | 7 Apr 2025 |
| 7 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 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. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 7 Apr 2025 |
| 7 Mar 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 7 Apr 2025 |
| 17 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Jan 2025 |
| 30 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 20 Jun 2024 |
| 30 May 2024 | F0727 | 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. | D | Complaint investigation | 20 Jun 2024 |
| 30 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Jun 2024 |
| 25 May 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 20 Jun 2024 |
| 27 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 8 Apr 2024 |
| 27 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Apr 2024 |
| 26 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Feb 2024 |
| 26 Jan 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 23 Feb 2024 |
| 26 Jan 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Feb 2024 |
| 26 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. | D | Complaint investigation | 23 Feb 2024 |
| 26 Jan 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 | Standard survey | 23 Feb 2024 |
| 26 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Feb 2024 |
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 46.2%, RNs —; 1 administrator 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 | 26.2% | 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 | 3.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 7.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.7% | 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.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dewitt Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2024 |
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 Lavaca County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shady Oak Nursing and Rehabilitation | Moulton | 61 | 5 | 5 | 2 | 14 | 23.0 | — | 5 Sep 2025 |
| Stevens Nursing and Rehabilitation Center of Halle | Hallettsville | 144 | 5 | 4 | 2 | 20 | 13.9 | — | 2 Jun 2026 |
| Shiner Nursing and Rehabilitation Center | Shiner | 95 | 3 | 3 | 2 | 29 | 30.5 | — | 20 Mar 2026 |
| Hallettsville Nursing and Rehabilitation Center | Hallettsville | 119 | 2 | 3 | 1 | 19 | 16.0 | $9K | 16 Jan 2026 |
| Yoakum Nursing and Rehabilitation Center | Yoakum | 110 | 2 | 3 | 1 | 26 | 23.6 | $14K | 29 May 2026 |
All 6 facilities in Lavaca County
Questions and answers
How many deficiencies has Paradigm At Stevens been cited for?
38 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At Stevens been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Paradigm At Stevens 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 Stevens?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dewitt Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At Stevens last inspected?
The most recent survey or investigation in the CMS record is dated 15 May 2026; the most recent standard health survey was 15 May 2026.
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.