Paradigm at the Oak

507 West Ave, Schulenburg, TX 78956 · (979) 743-4150
For profit - Corporation · 90 certified beds

Paradigm at the Oak has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2026, found 8 citations (the Texas average is 9.4). It was fined 4 times in the last three years, $103,606 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on April 2, 2026 found 8 citations. What an inspection citation means

• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.April 2, 2026 · F0577 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.April 2, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 2, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.April 2, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 2, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.April 2, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.April 2, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.April 2, 2026 · F0912 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 28 citations.

• Provide activities to meet all resident's needs.May 28, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 28, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.March 5, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 20, 2026 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 20, 2026 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 20, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.February 20, 2026 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 20, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.December 29, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.November 21, 2025 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedNovember 21, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 21, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.November 21, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.November 21, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.July 10, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.July 10, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 4, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 31, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.March 31, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 17, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.November 7, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.November 7, 2024 · F0584 · Level of harm: Actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.November 7, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.November 7, 2024 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.November 7, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.November 7, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.November 7, 2024 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 12, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $12,429February 20, 2026
• Fine of $4,410November 21, 2025
• Fine of $16,149January 17, 2025
• Fine of $70,618November 7, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home