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HomeTexasParadigm at the Creek

Paradigm at the Creek

1405 Valhalla Dr, Wharton, TX 774889795321244WebsiteGoogle Maps
4.4on Google(8 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
1/5
Beds
120
certified
Last health inspection was more than 2 years ago.
4 fine(s) totaling $52,034

How Paradigm at the Creek 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
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.23 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.35 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
58.8%
TX average
55.3%
Higher than state average

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

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.35 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

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

Previous cycle
19
deficiency citations
Inspected Feb 7, 2023
Most recent cycle
8
deficiency citations
Inspected Mar 28, 2024
The most recent cycle recorded 11 fewer deficiency citations than the previous cycle.

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
Wharton County 65+
7,170
17.2% of county
County Population
41,614
Wharton 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 Creek is a 1-star Medicare and Medicaid certified nursing home in Wharton, Texas with 120 certified beds. It has been operating since 1987. Its overall CMS rating is 1 out of 5.

Beds
120
Avg Residents/Day
56
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)
8
Weighted Score
189.0
Infection Citations
0

Deficiency Citations (38)

F0600Actual Harm

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

Survey: May 22, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 22, 2026Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: May 6, 2026Corrected: 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: Aug 4, 2025Corrected: 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
F0695Potential for Harm

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

Survey: Mar 28, 2024Corrected: 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
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
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: 2
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
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
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 30, 2024Corrected: 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
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
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: 3
F0697Actual Harm

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

Survey: May 8, 2024Corrected: NoCycle: 3
F0895Potential for Harm

Have a Compliance and Ethics Program.

Survey: May 8, 2024Corrected: NoCycle: 3
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: May 8, 2024Corrected: NoCycle: 3
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: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: May 8, 2024Corrected: 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: May 8, 2024Corrected: NoCycle: 3
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: 3
F0835Potential for Harm

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

Survey: May 8, 2024Corrected: NoCycle: 3
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Mar 28, 2024Corrected: NoCycle: 3
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
F0812Potential for Harm

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

Survey: Nov 10, 2021Corrected: 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

+ 8 more deficiencies

Total Fines
$52,034
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineAug 4, 2025
$8,191
FineMay 16, 2025
$8,402
FineMay 8, 2024
$14,722
FineSep 30, 2024
$20,719

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

Nurse Aide2.12 hrs
National avg: 2.32 hrs
LPN0.76 hrs
National avg: 0.86 hrs
RN0.35 hrs
National avg: 0.69 hrs
Total Nursing3.23 hrs
National avg: 3.86 hrs
Weekend Total2.75 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
58.8%
RN Turnover
71.4%
Administrators Left
1

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
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AApr 1, 2017
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AApr 1, 2017
SOUTHWEST LTC WHARTON LTDOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2017
WHARTON NURSING & REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 30, 2021

Compare Nearby Nursing Homes

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

All Texas facilities
Paradigm at the Creek
Wharton, TXCurrent facility
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $52,034
Wharton Nursing and Rehabilitation Center
Wharton, TX2.0 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $62,525
Paradigm at the Prairies
El Campo, TX12.8 miAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $62,430
SPJST Rest Home No 2
Needville, TX17.4 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: $12,649
S.p.j.s.t. Rest Home 3
El Campo, TX18.7 mi
CMS
5/5
Health
5/5
Staffing
3/5
Recorded fines: None
Arbor Hills Rehabilitation and Healthcare Center
Eagle Lake, TX22.8 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Fort Bend Healthcare Center
Rosenberg, TX23.0 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $22,929
FacilityDistanceCMSHealthStaffingRecorded fines
Paradigm at the Creek
Wharton, TX · Current facility
—1/51/51/5$52,034
Wharton Nursing and Rehabilitation Center
Wharton, TX
2.0 mi1/51/51/5$62,525
Paradigm at the Prairies
El Campo, TX
12.8 mi1/51/51/5$62,430
SPJST Rest Home No 2
Needville, TX
17.4 mi5/55/54/5$12,649
S.p.j.s.t. Rest Home 3
El Campo, TX
18.7 mi5/55/53/5None recorded
Arbor Hills Rehabilitation and Healthcare Center
Eagle Lake, TX
22.8 mi4/54/53/5None recorded
Fort Bend Healthcare Center
Rosenberg, TX
23.0 mi3/53/51/5$22,929

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 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.
How much does Paradigm at the Creek 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 Creek participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Paradigm at the Creek had any health inspection violations?▾
Paradigm at the Creek had 8 deficiency citations in its most recent health inspection (Mar 28, 2024). The current CMS dataset records 4 fine(s) totaling $52,034.
What are the staffing levels at Paradigm at the Creek?▾
Paradigm at the Creek provides 3.23 total nursing staff hours per resident per day, including 0.35 RN hours, 0.76 LPN hours, and 2.12 nurse aide hours. The total staff turnover rate is 58.8%.
How many beds does Paradigm at the Creek have?▾
Paradigm at the Creek has 120 certified beds with an average of 56 residents per day, resulting in approximately 47% 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. This page lists 6 nearby nursing homes in Texas, including 1 in Wharton. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Paradigm at the Creek?▾
On Google Maps, Paradigm at the Creek has a rating of 4.4 out of 5 based on 8 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →