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HomeTexasParadigm at the Oak

Paradigm at the Oak

507 West Ave, Schulenburg, TX 789569797434150WebsiteGoogle Maps
4.7on Google(26 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
2/5
Beds
90
certified
This facility has been flagged for abuse.
4 fine(s) totaling $103,606

How Paradigm at the Oak 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
3.18 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.30 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
39.0%
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 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 0.30 hours per resident per day, below the state average of 0.43.
Staff turnover is 39.0%, 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
28
deficiency citations
Inspected Jan 28, 2025
Most recent cycle
24
deficiency citations
Inspected Apr 2, 2026
The most recent cycle recorded 4 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
Fayette County 65+
6,399
26.1% of county
County Population
24,564
Fayette 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 Oak is a 1-star Medicare and Medicaid certified nursing home in Schulenburg, Texas with 90 certified beds. It has been operating since 2003. Its overall CMS rating is 1 out of 5.

Beds
90
Avg Residents/Day
52.2
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 5, 2003
Sprinklers
Yes
Council
Resident
County
Fayette
Last Inspection
Apr 2, 2026
Deficiencies (Cycle 1)
24
Weighted Score
237.0
Infection Citations
0

Deficiency Citations (60)

F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: May 28, 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 28, 2026Corrected: NoCycle: 1
F0577Potential for Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey: Apr 2, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Apr 2, 2026Corrected: 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: Apr 2, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 2, 2026Corrected: NoCycle: 1
F0550Potential for Harm

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

Survey: Apr 2, 2026Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Apr 2, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Apr 2, 2026Corrected: NoCycle: 1
F0912Minimal Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey: Apr 2, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Mar 5, 2026Corrected: 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: Feb 20, 2026Corrected: NoCycle: 1
F0607Immediate Jeopardy

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

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0610Immediate Jeopardy

Respond appropriately to all alleged violations.

Survey: Feb 20, 2026Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Feb 20, 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: Feb 20, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 29, 2025Corrected: NoCycle: 1
F0925Potential for Harm

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

Survey: Nov 21, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Nov 21, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Nov 21, 2025Corrected: NoCycle: 1
F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: Nov 21, 2025Corrected: NoCycle: 1
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: Nov 21, 2025Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Jul 10, 2025Corrected: NoCycle: 1
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: Jul 10, 2025Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: Jun 4, 2025Corrected: 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 31, 2025Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 31, 2025Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Jan 28, 2025Corrected: 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: Jan 28, 2025Corrected: NoCycle: 2
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jan 28, 2025Corrected: NoCycle: 2

+ 30 more deficiencies

Total Fines
$103,606
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineNov 21, 2025
$4,410
FineFeb 20, 2026
$12,429
FineJan 17, 2025
$16,149
FineNov 7, 2024
$70,618

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

Nurse Aide1.91 hrs
National avg: 2.32 hrs
LPN0.98 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.69 hrs
Total Nursing3.18 hrs
National avg: 3.86 hrs
Weekend Total2.89 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
39.0%
RN Turnover
50.0%
Administrators Left
2

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
OAKBEND MEDICAL CENTER5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2023
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AJan 1, 2023
SCHULENBURG NURSING & REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2023
SHKOP, AHARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2023

Compare Nearby Nursing Homes

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

All Texas facilities
Paradigm at the Oak
Schulenburg, TXCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $103,606
Schulenburg Regency Nursing Center
Schulenburg, TX3,696 ft
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $8,827
Parkview Manor Nursing and Rehabilitation
Weimar, TX8.5 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $15,920
Flatonia Healthcare Center
Flatonia, TX11.7 miAbuse flag
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: $15,098
Monument Rehabilitation and Nursing Center
La Grange, TX14.3 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $8,281
Care Inn of La Grange
La Grange, TX15.7 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Shady Oak Nursing and Rehabilitation
Moulton, TX16.2 mi
CMS
5/5
Health
5/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Paradigm at the Oak
Schulenburg, TX · Current facility
—1/51/51/5$103,606
Schulenburg Regency Nursing Center
Schulenburg, TX
3,696 ft4/54/52/5$8,827
Parkview Manor Nursing and Rehabilitation
Weimar, TX
8.5 mi1/52/51/5$15,920
Flatonia Healthcare Center
Flatonia, TX
11.7 mi1/52/54/5$15,098
Monument Rehabilitation and Nursing Center
La Grange, TX
14.3 mi2/53/51/5$8,281
Care Inn of La Grange
La Grange, TX
15.7 mi3/53/51/5None recorded
Shady Oak Nursing and Rehabilitation
Moulton, TX
16.2 mi5/55/52/5None recorded

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 Oak?▾
Paradigm at the Oak 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 2/5. This facility is rated below average.
How much does Paradigm at the Oak 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 Oak participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Paradigm at the Oak had any health inspection violations?▾
Paradigm at the Oak had 24 deficiency citations in its most recent health inspection (Apr 2, 2026). The current CMS dataset records 4 fine(s) totaling $103,606.
What are the staffing levels at Paradigm at the Oak?▾
Paradigm at the Oak provides 3.18 total nursing staff hours per resident per day, including 0.30 RN hours, 0.98 LPN hours, and 1.91 nurse aide hours. The total staff turnover rate is 39.0%.
How many beds does Paradigm at the Oak have?▾
Paradigm at the Oak has 90 certified beds with an average of 52.2 residents per day, resulting in approximately 58% 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 Oak?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 1 in Schulenburg. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Paradigm at the Oak?▾
On Google Maps, Paradigm at the Oak has a rating of 4.7 out of 5 based on 26 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 →