Texas › Fayette County › Schulenburg
Paradigm At the Oak
507 West Ave, Schulenburg, TX 78956
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 the Oak, in Schulenburg, Texas, is certified for 90 beds under for-profit, corporation ownership and belongs to the Paradigm Healthcare chain.
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 2.
Inspectors recorded 60 health deficiencies across the three most recent survey cycles (22, 29, 9 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 66.7 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $104K.
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 39.0%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Fayette Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 60 | 21 | 25 | 28.7 |
| Citations per 100 beds | 66.7 | 21.4 | 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 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 39.0% | 43.6% | 52.1% | 45.8% |
| Fines listed | $103,606 | $8,827 | $16,801 | — |
County and state figures are medians across facilities (5 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: 2 Apr 2026, 28 Jan 2025.
Severity mix: J ×6 K ×1 G ×1 D ×25 E ×22 F ×2 B ×2 C ×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 |
|---|---|---|---|---|---|
| 28 May 2026 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 19 Jun 2026 |
| 28 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Jun 2026 |
| 2 Apr 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 16 Apr 2026 |
| 2 Apr 2026 | 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 | 16 Apr 2026 |
| 2 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Apr 2026 |
| 2 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Apr 2026 |
| 2 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Apr 2026 |
| 2 Apr 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 3 Apr 2026 |
| 2 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 16 Apr 2026 |
| 2 Apr 2026 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 16 Apr 2026 |
| 5 Mar 2026 | 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 | Complaint investigation | 2 Apr 2026 |
| 20 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 11 Feb 2026 |
| 20 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 11 Feb 2026 |
| 20 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | J | Complaint investigation | 11 Feb 2026 |
| 20 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 11 Feb 2026 |
| 20 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 2 Apr 2026 |
| 29 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Dec 2025 |
| 21 Nov 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | 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 | 22 Nov 2025 |
| 10 Jul 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 | Complaint investigation | 15 Jul 2025 |
| 10 Jul 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 15 Jul 2025 |
| 4 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 5 Jun 2025 |
| 31 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 30 Apr 2025 |
| 31 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 30 Apr 2025 |
| 28 Jan 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 | 28 Feb 2025 |
| 28 Jan 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 | 28 Feb 2025 |
| 28 Jan 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 28 Feb 2025 |
| 28 Jan 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 | 28 Feb 2025 |
| 28 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Feb 2025 |
| 28 Jan 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 | 28 Feb 2025 |
| 28 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 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 | 28 Feb 2025 |
| 28 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 28 Feb 2025 |
| 28 Jan 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 28 Feb 2025 |
| 17 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 1 Jan 2025 |
| 7 Nov 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 | 6 Dec 2024 |
| 7 Nov 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 6 Dec 2024 |
| 7 Nov 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J | Complaint investigation | 6 Dec 2024 |
| 7 Nov 2024 | 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. | G | Complaint investigation | 6 Dec 2024 |
| 7 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 6 Dec 2024 |
| 7 Nov 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 6 Dec 2024 |
| 7 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Dec 2024 |
| 12 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 26 Jun 2024 |
| 9 Nov 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 Dec 2023 |
| 9 Nov 2023 | 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 | 9 Dec 2023 |
| 9 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 9 Dec 2023 |
| 9 Nov 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 9 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Feb 2026 | Fine | $12,429 | |
| 21 Nov 2025 | Fine | $4,410 | |
| 17 Jan 2025 | Fine | $16,149 | |
| 7 Nov 2024 | Fine | $70,618 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 39.0%, RNs 50.0%; 2 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 | 16.1% | 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 | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 12.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.6% | 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, 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% | 01/01/2023 |
| Schulenburg Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2023 |
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 Fayette County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Monument Rehabilitation and Nursing Center | La Grange | 104 | 4 | 4 | 2 | 21 | 20.2 | $8K | 28 Jan 2026 |
| Schulenburg Regency Nursing Center | Schulenburg | 146 | 4 | 4 | 2 | 16 | 11.0 | $9K | 11 Mar 2026 |
| Avir At La Grange | La Grange | 98 | 3 | 3 | 1 | 21 | 21.4 | — | 27 May 2026 |
| Flatonia Healthcare Centerabuse icon | Flatonia | 70 | 1 | 2 | 4 | 15 | 21.4 | $15K | 4 Dec 2025 |
All 5 facilities in Fayette County
Questions and answers
How many deficiencies has Paradigm At the Oak been cited for?
60 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At the Oak been fined?
Yes. CMS lists fines totalling $104K in the period covered.
How does staffing at Paradigm At the Oak 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 Oak?
It is part of the Paradigm Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Oakbend Medical Center and Schulenburg Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At the Oak last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 2 Apr 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.