Texas › Wharton County › El Campo
Paradigm At the Prairies
106 Del Norte Dr., El Campo, TX 77437
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 150 beds, Paradigm At the Prairies serves El Campo in Wharton County, Texas and has taken Medicare and Medicaid residents since 2004.
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 28 health deficiencies across the three most recent survey cycles (19, 5, 4 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 18.7 per 100 beds, about the same as the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $62K and 1 payment denial.
Reported nurse staffing is 2.4 hours per resident per day (0.4 RN), below the Texas median of 3.3; nursing staff turnover is 51.4%.
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 | 28 | 28 | 25 | 28.7 |
| Citations per 100 beds | 18.7 | 18.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.4 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 51.4% | 58.8% | 52.1% | 45.8% |
| Fines listed | $62,430 | $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: 16 Apr 2025, 29 Feb 2024.
Severity mix: J ×3 G ×1 D ×16 E ×7 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 |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 30 Jun 2026 |
| 2 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Jun 2026 |
| 2 Jun 2026 | 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 | 30 Jun 2026 |
| 20 Apr 2026 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 22 Apr 2026 |
| 20 Apr 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 22 Apr 2026 |
| 20 Apr 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 22 Apr 2026 |
| 15 Mar 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 | 13 Apr 2026 |
| 15 Mar 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 13 Apr 2026 |
| 18 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 26 Dec 2025 |
| 18 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 26 Dec 2025 |
| 18 Nov 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint investigation | 26 Dec 2025 |
| 18 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Dec 2025 |
| 18 Nov 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 26 Dec 2025 |
| 18 Nov 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 | 26 Dec 2025 |
| 18 Nov 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 | Complaint investigation | 26 Dec 2025 |
| 18 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 26 Dec 2025 |
| 18 Nov 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 | Complaint investigation | 26 Dec 2025 |
| 30 Aug 2025 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 22 Sep 2025 |
| 27 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 25 Jul 2025 |
| 16 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Apr 2025 |
| 16 Apr 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 | Complaint investigation | 25 Apr 2025 |
| 29 Feb 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 | 8 Mar 2024 |
| 29 Feb 2024 | F0814 | Dispose of garbage and refuse properly. | D | Complaint investigation | 8 Mar 2024 |
| 29 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 8 Mar 2024 |
| 26 Jan 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Complaint investigation | 2 Feb 2024 |
| 16 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 24 Dec 2023 |
| 12 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Feb 2023 |
| 12 Jan 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Feb 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Mar 2026 | Payment denial | — | 8 days |
| 15 Mar 2026 | Fine | $25,280 | |
| 27 Jun 2025 | Fine | $23,753 | |
| 16 Dec 2023 | Fine | $13,397 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 51.4%, RNs 0.0%; 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 | 13.3% | 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 | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.7% | 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, individual. Chain: Paradigm Healthcare (17 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | 100% | 01/01/2024 |
| El Campo 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 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 Creekabuse icon | Wharton | 120 | 1 | 1 | 1 | 44 | 36.7 | $52K | 1 Jul 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 Prairies been cited for?
28 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At the Prairies been fined?
Yes. CMS lists fines totalling $62K in the period covered, plus 1 payment denial.
How does staffing at Paradigm At the Prairies compare?
Reported total nurse staffing is 2.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At the Prairies?
It is part of the Paradigm Healthcare chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Oakbend Medical Center and El Campo Nursing & Rehabilitation LLC. Individual owners and managers are not listed on this site.
When was Paradigm At the Prairies last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 16 Apr 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.