Texas › Wharton County › Wharton
Paradigm At the Creek
1405 Valhalla Dr, Wharton, TX 77488
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 120 beds, Paradigm At the Creek serves Wharton in Wharton County, Texas and has taken Medicare and Medicaid residents since 1987.
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 1.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (20, 9, 15 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 36.7 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $52K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 58.8%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Wharton Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 44 | 28 | 25 | 28.7 |
| Citations per 100 beds | 36.7 | 18.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 58.8% | 58.8% | 52.1% | 45.8% |
| Fines listed | $52,034 | $62,125 | $16,801 | — |
County and state figures are medians across facilities (4 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: 23 May 2025, 28 Mar 2024.
Severity mix: J ×3 K ×1 G ×3 D ×21 E ×13 F ×3
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 | 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 | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation (under dispute review) | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation (under dispute review) | Deficient, Provider has no plan of correction |
| 22 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Mar 2026 |
| 22 May 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 25 May 2026 |
| 6 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Jun 2026 |
| 4 Aug 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 | Complaint investigation | 8 Aug 2025 |
| 23 May 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 | 30 May 2025 |
| 23 May 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. | E | Standard survey | 30 May 2025 |
| 23 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Standard survey | 30 May 2025 |
| 23 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 May 2025 |
| 23 May 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 30 May 2025 |
| 23 May 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 30 May 2025 |
| 23 May 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 30 May 2025 |
| 23 May 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 | 30 May 2025 |
| 23 May 2025 | 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 | 30 May 2025 |
| 23 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 30 May 2025 |
| 23 May 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 30 May 2025 |
| 23 May 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 30 May 2025 |
| 16 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 May 2025 |
| 30 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 18 Oct 2024 |
| 30 Sep 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J | Complaint investigation | 18 Oct 2024 |
| 30 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 18 Oct 2024 |
| 28 May 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 7 Jun 2024 |
| 8 May 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 22 May 2024 |
| 8 May 2024 | F0895 | Have a Compliance and Ethics Program. | F | Complaint investigation | 22 May 2024 |
| 8 May 2024 | F0946 | Provide training in compliance and ethics. | F | Complaint investigation | 22 May 2024 |
| 8 May 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 22 May 2024 |
| 8 May 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 22 May 2024 |
| 8 May 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 | 22 May 2024 |
| 8 May 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 22 May 2024 |
| 8 May 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 22 May 2024 |
| 28 Mar 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 | 8 Apr 2024 |
| 28 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 8 Apr 2024 |
| 28 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 8 Apr 2024 |
| 28 Mar 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 8 Apr 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 | 8 Apr 2024 |
| 28 Mar 2024 | F0814 | Dispose of garbage and refuse properly. | D | Complaint investigation | 8 Apr 2024 |
| 9 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Aug 2023 |
| 7 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. | E | Standard survey | 24 Feb 2023 |
| 7 Feb 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 24 Feb 2023 |
| 7 Feb 2023 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 24 Feb 2023 |
| 7 Feb 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 24 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 4 Aug 2025 | Fine | $8,191 | |
| 16 May 2025 | Fine | $8,402 | |
| 30 Sep 2024 | Fine | $20,719 | |
| 8 May 2024 | Fine | $14,722 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.8%, RNs 71.4%; 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 | 9.3% | 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 | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.0% | 3.4% | 4.2% |
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% | 04/01/2017 |
| Southwest LTC Wharton Ltd | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| Wharton Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 12/30/2021 |
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 Wharton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| S.P.J.S.T. Rest Home 3 | El Campo | 57 | 5 | 5 | 3 | 7 | 12.3 | — | 18 Sep 2025 |
| Paradigm At the Prairiesabuse icon | El Campo | 150 | 1 | 1 | 1 | 28 | 18.7 | $62K | 2 Jun 2026 |
| Wharton Nursing and Rehabilitation Center | Wharton | 120 | 1 | 1 | 1 | 17 | 14.2 | $62K | 28 May 2026 |
All 4 facilities in Wharton County
Questions and answers
How many deficiencies has Paradigm At the Creek been cited for?
44 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At the Creek been fined?
Yes. CMS lists fines totalling $52K in the period covered.
How does staffing at Paradigm At the Creek 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 Creek?
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, Southwest LTC Wharton Ltd and Wharton Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At the Creek last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 23 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.