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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasParadigm at Sweeny

Paradigm at Sweeny

109 N McKinney, Sweeny, TX 774809795483383
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
5/5
Beds
90
certified
This facility has been flagged for abuse.
2 fine(s) totaling $22,436

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 90 certified beds with an average of 62.2 residents per day (69% occupancy)

• Last health inspection found 6 deficiencies (inspected Jul 4, 2025)

• Has been fined a total of $22,436 across 2 fine(s)

• Total nursing staff: 2.64 hours per resident per day

• Staff turnover rate: 61.5% (high)

• Part of the Paradigm Healthcare chain (18 facilities)

Paradigm at Sweeny is a 2-star Medicare and Medicaid certified nursing home in Sweeny, Texas with 90 certified beds. It has been operating since 1994. The facility scored below average compared to Texas facilities.

Beds
90
Avg Residents/Day
62.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 31, 1994
Sprinklers
Yes
Council
Resident
County
Brazoria
Last Inspection
Jul 4, 2025
Deficiencies (Cycle 1)
6
Weighted Score
271.0
Infection Citations
0

Deficiency Citations (22)

F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Jul 4, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 4, 2025Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Jul 4, 2025Corrected: NoCycle: 1
F0656Immediate Jeopardy

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 4, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 4, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 4, 2025Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jun 4, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 4, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 4, 2024Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Mar 8, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0580Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 14, 2023Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 20, 2023Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 20, 2023Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 24, 2023Corrected: NoCycle: 3
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 2, 2023Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 2, 2023Corrected: NoCycle: 3
Total Fines
$22,436
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineApr 20, 2023
$10,517
FineFeb 24, 2023
$11,919

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.59 hrs
National avg: 2.35 hrs
LPN0.54 hrs
National avg: 0.86 hrs
RN0.51 hrs
National avg: 0.68 hrs
Total Nursing2.64 hrs
National avg: 3.89 hrs
Weekend Total2.04 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
61.5%
RN Turnover
75.0%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
OAKBEND MEDICAL CENTER5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Oct 1, 2022
SWEENY NURSING & REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2022
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AOct 1, 2022
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AOct 1, 2022

Frequently Asked Questions

What is the CMS rating for Paradigm at Sweeny?▾
Paradigm at Sweeny has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
Has Paradigm at Sweeny had any health inspection violations?▾
Paradigm at Sweeny had 6 deficiency citations in its most recent health inspection (Jul 4, 2025). The facility has been fined a total of $22,436 across 2 fine(s).
What are the staffing levels at Paradigm at Sweeny?▾
Paradigm at Sweeny provides 2.64 total nursing staff hours per resident per day, including 0.51 RN hours, 0.54 LPN hours, and 1.59 nurse aide hours. The total staff turnover rate is 61.5%.
How many beds does Paradigm at Sweeny have?▾
Paradigm at Sweeny has 90 certified beds with an average of 62.2 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Limited Liability company owned and is part of the Paradigm Healthcare chain.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →