Texas › Brazoria County › Sweeny
Paradigm At Sweeny
109 N Mckinney, Sweeny, TX 77480
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 Sweeny is a For-profit, limited liability company nursing home in Sweeny, Texas, certified for 90 beds and caring for about 60 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (9, 5, 8 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 24.4 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $50K.
Reported nurse staffing is 2.9 hours per resident per day (0.6 RN), close to the Texas median of 3.3; nursing staff turnover is 75.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Brazoria Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 14 | 25 | 28.7 |
| Citations per 100 beds | 24.4 | 14.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 75.0% | 56.4% | 52.1% | 45.8% |
| Fines listed | $50,189 | $20,965 | $16,801 | — |
County and state figures are medians across facilities (13 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: 4 Jul 2025, 21 Mar 2024.
Severity mix: J ×2 K ×2 G ×1 D ×9 E ×8
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 |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation (under dispute review) | Deficient, Provider has no plan of correction |
| 11 May 2026 | 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 | 5 Jun 2026 |
| 11 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 5 Jun 2026 |
| 4 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Standard survey | 22 Jul 2025 |
| 4 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Standard survey | 22 Jul 2025 |
| 4 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 22 Jul 2025 |
| 4 Jul 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 22 Jul 2025 |
| 4 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Jul 2025 |
| 4 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 22 Jul 2025 |
| 4 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 11 Jun 2024 |
| 4 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 11 Jun 2024 |
| 4 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 11 Jun 2024 |
| 21 Mar 2024 | 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 | 29 Mar 2024 |
| 21 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 29 Mar 2024 |
| 21 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 29 Mar 2024 |
| 21 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 | 29 Mar 2024 |
| 21 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Mar 2024 |
| 8 Mar 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 16 Mar 2024 |
| 14 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 5 Jan 2024 |
| 2 Feb 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 12 Feb 2023 |
| 2 Feb 2023 | 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 | 12 Feb 2023 |
| 2 Feb 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 12 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Jul 2026 | Fine | $38,284 | |
| 4 Jul 2025 | Fine | $11,905 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 75.0%, RNs 69.2%; 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 | 20.6% | 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 | 1.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 24.8% | 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% | 10/01/2022 |
| Sweeny 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 Brazoria County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Laurel Court | Alvin | 125 | 5 | 5 | 2 | 9 | 7.2 | — | 19 Mar 2026 |
| Creekside Village | Richwood | 119 | 4 | 5 | 3 | 11 | 9.2 | — | 10 Apr 2026 |
| Oak Village Healthcare | Lake Jackson | 74 | 4 | 4 | 2 | 9 | 12.2 | — | 10 Jun 2026 |
| Tuscany Village | Pearland | 132 | 4 | 4 | 4 | 7 | 5.3 | $14K | 22 Aug 2025 |
| Brazos Healthcare Center | Lake Jackson | 120 | 3 | 3 | 3 | 14 | 11.7 | — | 23 Dec 2025 |
| Cypress Woods Care Center | Angleton | 105 | 3 | 4 | 1 | 20 | 19.0 | $22K | 13 Jan 2026 |
| The Lev At Winchester | Alvin | 94 | 3 | 4 | 1 | 14 | 14.9 | — | 5 Dec 2025 |
| Woodlake Nursing Center | Clute | 93 | 3 | 3 | 2 | 12 | 12.9 | $21K | 15 Jan 2026 |
All 13 facilities in Brazoria County
Questions and answers
How many deficiencies has Paradigm At Sweeny been cited for?
22 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At Sweeny been fined?
Yes. CMS lists fines totalling $50K in the period covered.
How does staffing at Paradigm At Sweeny compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At Sweeny?
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 Sweeny Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At Sweeny last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 4 Jul 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.