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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 the Creek

Paradigm at the Creek

1405 Valhalla Dr, Wharton, TX 774889795321244
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
1/5
Beds
120
certified
3 fine(s) totaling $48,176

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 120 certified beds with an average of 50.2 residents per day (42% occupancy)

• Last health inspection found 7 deficiencies (inspected Mar 28, 2024)

• Has been fined a total of $48,176 across 3 fine(s)

• Total nursing staff: 3.45 hours per resident per day

• Staff turnover rate: 57.4% (high)

• Part of the Paradigm Healthcare chain (18 facilities)

Paradigm at the Creek is a 1-star Medicare and Medicaid certified nursing home in Wharton, Texas with 120 certified beds. It has been operating since 1987. The facility scored below average compared to Texas facilities.

Beds
120
Avg Residents/Day
50.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 23, 1987
Sprinklers
Yes
Council
Resident
County
Wharton
Last Inspection
Mar 28, 2024
Deficiencies (Cycle 1)
7
Weighted Score
190.0
Infection Citations
0

Deficiency Citations (35)

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: Aug 4, 2025Corrected: NoCycle: 1
F0689Actual Harm

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

Survey: May 16, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 28, 2024Corrected: NoCycle: 1
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Mar 28, 2024Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 28, 2024Corrected: NoCycle: 1
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: Mar 28, 2024Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 28, 2024Corrected: 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: Sep 30, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 30, 2024Corrected: NoCycle: 2
F0725Immediate Jeopardy

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Sep 30, 2024Corrected: NoCycle: 2
F0678Immediate Jeopardy

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey: May 28, 2024Corrected: NoCycle: 2
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: May 8, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 8, 2024Corrected: NoCycle: 2
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: May 8, 2024Corrected: NoCycle: 2
F0697Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: May 8, 2024Corrected: NoCycle: 2
F0776Potential for Harm

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Survey: May 8, 2024Corrected: NoCycle: 2
F0835Potential for Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey: May 8, 2024Corrected: NoCycle: 2
F0895Potential for Harm

Have a Compliance and Ethics Program.

Survey: May 8, 2024Corrected: NoCycle: 2
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: May 8, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Mar 28, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Feb 7, 2023Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Feb 7, 2023Corrected: NoCycle: 2
F0805Potential for Harm

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Feb 7, 2023Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Feb 7, 2023Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Aug 9, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Nov 10, 2021Corrected: NoCycle: 3
F0580Potential for Harm

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

Survey: Nov 10, 2021Corrected: NoCycle: 3
F0607Potential for Harm

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

Survey: Nov 10, 2021Corrected: 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: Nov 10, 2021Corrected: NoCycle: 3
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 10, 2021Corrected: NoCycle: 3

+ 5 more deficiencies

Total Fines
$48,176
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineMay 16, 2025
$12,735
FineMay 8, 2024
$14,722
FineSep 30, 2024
$20,719

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

Nurse Aide2.16 hrs
National avg: 2.35 hrs
LPN0.87 hrs
National avg: 0.86 hrs
RN0.42 hrs
National avg: 0.68 hrs
Total Nursing3.45 hrs
National avg: 3.89 hrs
Weekend Total3.09 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
57.4%
RN Turnover
70.0%
Administrators Left
2

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (5)

NameRoleTypeOwnership %Since
OAKBEND MEDICAL CENTER5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2017
SOUTHWEST LTC WHARTON LTDOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
WHARTON NURSING & REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 30, 2021
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AApr 1, 2017
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2017

Nearby Nursing Homes

All Texas facilities

Wharton Nursing and Rehabilitation Center

Wharton, TX · 120 beds

Non profit$8,281 in fines
Health
Staffing
Quality
2.0 mi

Frequently Asked Questions

What is the CMS rating for Paradigm at the Creek?▾
Paradigm at the Creek has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 1/5. This facility is rated below average.
Has Paradigm at the Creek had any health inspection violations?▾
Paradigm at the Creek had 7 deficiency citations in its most recent health inspection (Mar 28, 2024). The facility has been fined a total of $48,176 across 3 fine(s).
What are the staffing levels at Paradigm at the Creek?▾
Paradigm at the Creek provides 3.45 total nursing staff hours per resident per day, including 0.42 RN hours, 0.87 LPN hours, and 2.16 nurse aide hours. The total staff turnover rate is 57.4%.
How many beds does Paradigm at the Creek have?▾
Paradigm at the Creek has 120 certified beds with an average of 50.2 residents per day, resulting in approximately 42% occupancy. The facility is For profit - Limited Liability company owned and is part of the Paradigm Healthcare chain.
Are there other nursing homes near Paradigm at the Creek?▾
Yes, there are 1 other nursing home in Wharton, Texas with an average rating of 2/5. You can compare all facilities on the Wharton nursing homes page.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →