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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 Oak

Paradigm at the Oak

507 West Ave, Schulenburg, TX 789569797434150
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
4/5
Beds
90
certified
This facility has been flagged for abuse.
4 fine(s) totaling $227,267

Key Findings

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

• Has 90 certified beds with an average of 59.5 residents per day (66% occupancy)

• Last health inspection found 25 deficiencies (inspected Jan 28, 2025)

• Has been fined a total of $227,267 across 4 fine(s)

• Total nursing staff: 3.34 hours per resident per day

• Staff turnover rate: 43.9%

• Part of the Paradigm Healthcare chain (18 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
90
Avg Residents/Day
59.5
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 5, 2003
Sprinklers
Yes
Council
Resident
County
Fayette
Last Inspection
Jan 28, 2025
Deficiencies (Cycle 1)
25
Weighted Score
210.8
Infection Citations
0

Deficiency Citations (51)

F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 29, 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
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
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
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: 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: Mar 31, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Mar 31, 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: Jan 28, 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: Jan 28, 2025Corrected: NoCycle: 1
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: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: Jan 28, 2025Corrected: 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: Jan 28, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jan 28, 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: Jan 28, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Jan 28, 2025Corrected: 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: Jan 28, 2025Corrected: NoCycle: 1
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Jan 28, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Jan 17, 2025Corrected: NoCycle: 2
F0550Potential for Harm

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

Survey: Nov 7, 2024Corrected: NoCycle: 2
F0584Actual 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: Nov 7, 2024Corrected: 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: Nov 7, 2024Corrected: NoCycle: 2
F0607Immediate Jeopardy

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

Survey: Nov 7, 2024Corrected: NoCycle: 2

+ 21 more deficiencies

Total Fines
$227,267
Number of Fines
4
Payment Denials
0
Total Penalties
4

Penalty History

FineNov 21, 2025
$6,785
FineJan 17, 2025
$16,149
FineNov 7, 2024
$70,618
FineMay 15, 2023
$133,715

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

Nurse Aide2.00 hrs
National avg: 2.35 hrs
LPN1.07 hrs
National avg: 0.86 hrs
RN0.27 hrs
National avg: 0.68 hrs
Total Nursing3.34 hrs
National avg: 3.89 hrs
Weekend Total2.99 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
43.9%
RN Turnover
60.0%
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 (4)

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

Nearby Nursing Homes

All Texas facilities

Schulenburg Regency Nursing Center

Schulenburg, TX · 146 beds

For profit$8,827 in fines
Health
Staffing
Quality
3570 ft

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 4/5. This facility is rated below average.
Has Paradigm at the Oak had any health inspection violations?▾
Paradigm at the Oak had 25 deficiency citations in its most recent health inspection (Jan 28, 2025). The facility has been fined a total of $227,267 across 4 fine(s).
What are the staffing levels at Paradigm at the Oak?▾
Paradigm at the Oak provides 3.34 total nursing staff hours per resident per day, including 0.27 RN hours, 1.07 LPN hours, and 2.00 nurse aide hours. The total staff turnover rate is 43.9%.
How many beds does Paradigm at the Oak have?▾
Paradigm at the Oak has 90 certified beds with an average of 59.5 residents per day, resulting in approximately 66% 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 Oak?▾
Yes, there are 1 other nursing home in Schulenburg, Texas with an average rating of 2.5/5. You can compare all facilities on the Schulenburg nursing homes page.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →