Texas › Fort Bend County › Richmond
Paradigm At the Brazos
2127 Preston St, Richmond, TX 77469
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 56 beds, Paradigm At the Brazos serves Richmond in Fort Bend County, Texas and has taken Medicare and Medicaid residents since 1994.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 3 and quality measures 5.
Inspectors recorded 6 health deficiencies across the three most recent survey cycles (2, 0, 4 by cycle, most recent first), none at the actual-harm level. That is 10.7 per 100 beds, fewer 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 3.2 hours per resident per day (0.6 RN), close to the Texas median of 3.3; nursing staff turnover is 21.4%.
Compared with county, state and nation
| Measure | This facility | Fort Bend Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 6 | 17 | 25 | 28.7 |
| Citations per 100 beds | 10.7 | 19.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.4 | 0.7 |
| Nursing staff turnover | 21.4% | 57.5% | 52.1% | 45.8% |
| Fines listed | $0 | $64,559 | $16,801 | — |
County and state figures are medians across facilities (15 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: 1 Aug 2025, 22 Aug 2024.
Severity mix: D ×4 E ×2
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 Aug 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 Aug 2025 |
| 1 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 22 Aug 2025 |
| 30 Nov 2023 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Complaint investigation | 21 Dec 2023 |
| 30 Nov 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 21 Dec 2023 |
| 1 Jun 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 21 Jun 2023 |
| 1 Jun 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 | 21 Jun 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 21.4%, RNs 28.6%; 0 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 | 9.2% | 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 | 0.0% | 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 | 8.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | 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, corporation. 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% | 06/01/2015 |
| Brazos Nursing & Rehabiliation | Operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| Ssc Richmond Operating Company LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2015 |
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 Fort Bend County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| S.P.J.S.T. Rest Home No 2 | Needville | 58 | 5 | 5 | 4 | 7 | 12.1 | — | 18 Dec 2025 |
| Oak Bend Medical Center | Richmond | 36 | 4 | 4 | 1 | 7 | 19.4 | $12K | 17 Jun 2026 |
| Richmond Health Care Center | Richmond | 92 | 4 | 4 | 2 | 23 | 25.0 | $78K | 10 Jul 2025 |
| Cambridge Health and Rehabilitation Center | Richmond | 158 | 3 | 2 | 2 | 26 | 16.5 | $68K | 25 Mar 2026 |
| Fort Bend Healthcare Center | Rosenberg | 56 | 3 | 3 | 1 | 15 | 26.8 | $23K | 9 Aug 2025 |
| Sugar Land Health Care Center | Sugar Land | 150 | 3 | 3 | 2 | 17 | 11.3 | $30K | 17 Dec 2025 |
| Windsor Quail Valley Post-Acute Healthcare | Missouri City | 120 | 3 | 3 | 2 | 16 | 13.3 | $52K | 5 Jun 2026 |
| Park Manor of Quail Valley | Missouri City | 125 | 2 | 2 | 2 | 24 | 19.2 | — | 24 Jun 2025 |
All 15 facilities in Fort Bend County
Questions and answers
How many deficiencies has Paradigm At the Brazos been cited for?
6 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 the Brazos been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Paradigm At the Brazos compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At the Brazos?
It is part of the Paradigm Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Oakbend Medical Center, Brazos Nursing & Rehabiliation and Ssc Richmond Operating Company LLC. Individual owners and managers are not listed on this site.
When was Paradigm At the Brazos last inspected?
The most recent survey or investigation in the CMS record is dated 1 Aug 2025; the most recent standard health survey was 1 Aug 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.