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HomeTexasParadigm at the Brazos

Paradigm at the Brazos

2127 Preston St, Richmond, TX 774692813422801WebsiteGoogle Maps
3.5on Google(12 reviews)
5/5Much Above Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
5/5
Staffing
3/5
Quality
5/5
Beds
56
certified

How Paradigm at the Brazos Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
5/5
TX average
2.7/5
Above state average
Health inspection rating
5/5
TX average
2.8/5
Above state average
Staffing rating
3/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.19 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.57 hrs/day
TX average
0.43 hrs/day
Above state average
Staff turnover
21.4%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 5/5 overall CMS rating is above the Texas average of 2.7/5.
Its 5/5 health inspection rating is above the Texas average of 2.8/5.
Reported RN time is 0.57 hours per resident per day, above the state average of 0.43.
Staff turnover is 21.4%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
2
deficiency citations
Inspected Aug 22, 2024
Most recent cycle
2
deficiency citations
Inspected Aug 1, 2025
The two inspection cycles recorded the same number of deficiency citations.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Fort Bend County 65+
97,857
11.8% of county
County Population
832,607
Fort Bend County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Paradigm at the Brazos is a 5-star Medicare and Medicaid certified nursing home in Richmond, Texas with 56 certified beds. It has been operating since 1994. Its overall CMS rating is 5 out of 5.

Beds
56
Avg Residents/Day
40.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 30, 1994
Sprinklers
Yes
Council
Resident
County
Fort Bend
Last Inspection
Aug 1, 2025
Deficiencies (Cycle 1)
2
Weighted Score
11.0
Infection Citations
0

Deficiency Citations (6)

F0812Potential for Harm

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

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Aug 1, 2025Corrected: NoCycle: 1
F0914Potential for Harm

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Nov 30, 2023Corrected: NoCycle: 3
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Jun 1, 2023Corrected: NoCycle: 3
F0755Potential for Harm

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

Survey: Jun 1, 2023Corrected: NoCycle: 3
Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

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

Nurse Aide1.75 hrs
National avg: 2.32 hrs
LPN0.87 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.69 hrs
Total Nursing3.19 hrs
National avg: 3.86 hrs
Weekend Total2.70 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
21.4%
RN Turnover
28.6%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
OAKBEND MEDICAL CENTER5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2015
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007
BEARD, BARRYCORPORATE DIRECTORIndividualN/AJan 1, 2012
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AJun 19, 2007
BRAZOS NURSING & REHABILIATIONOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2022
SSC RICHMOND OPERATING COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJun 1, 2015
SHKOP, AHARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2022

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Paradigm at the Brazos and nearby alternatives.

All Texas facilities
Paradigm at the Brazos
Richmond, TXCurrent facility
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Oak Bend Medical Center
Richmond, TX4,224 ft
CMS
5/5
Health
5/5
Staffing
1/5
Recorded fines: $17,560
Richmond Health Care Center
Richmond, TX1.1 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $78,036
Cambridge Health and Rehabilitation Center
Richmond, TX2.0 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $68,342
Rosenberg Health & Rehabilitation Center
Rosenberg, TX2.3 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $97,334
Fort Bend Healthcare Center
Rosenberg, TX4.0 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $22,929
Ignite Medical Resort Sugar Land, LLC
Sugar Land, TX8.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $155,401
FacilityDistanceCMSHealthStaffingRecorded fines
Paradigm at the Brazos
Richmond, TX · Current facility
—5/55/53/5None recorded
Oak Bend Medical Center
Richmond, TX
4,224 ft5/55/51/5$17,560
Richmond Health Care Center
Richmond, TX
1.1 mi4/54/52/5$78,036
Cambridge Health and Rehabilitation Center
Richmond, TX
2.0 mi3/52/52/5$68,342
Rosenberg Health & Rehabilitation Center
Rosenberg, TX
2.3 mi1/51/52/5$97,334
Fort Bend Healthcare Center
Rosenberg, TX
4.0 mi3/53/51/5$22,929
Ignite Medical Resort Sugar Land, LLC
Sugar Land, TX
8.3 mi1/52/51/5$155,401

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Paradigm at the Brazos?▾
Paradigm at the Brazos has an overall CMS rating of 5 out of 5 stars, with a health inspection rating of 5/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated above average.
How much does Paradigm at the Brazos cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Paradigm at the Brazos participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Paradigm at the Brazos had any health inspection violations?▾
Paradigm at the Brazos had 2 deficiency citations in its most recent health inspection (Aug 1, 2025). The current CMS dataset records no fines for this facility.
What are the staffing levels at Paradigm at the Brazos?▾
Paradigm at the Brazos provides 3.19 total nursing staff hours per resident per day, including 0.57 RN hours, 0.87 LPN hours, and 1.75 nurse aide hours. The total staff turnover rate is 21.4%.
How many beds does Paradigm at the Brazos have?▾
Paradigm at the Brazos has 56 certified beds with an average of 40.6 residents per day, resulting in approximately 73% occupancy. The facility is For profit - Corporation owned and is part of the Paradigm Healthcare chain.
Are there other nursing homes near Paradigm at the Brazos?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 3 in Richmond. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Paradigm at the Brazos?▾
On Google Maps, Paradigm at the Brazos has a rating of 3.5 out of 5 based on 12 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 5/5.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →