Paradigm at Sweeny
109 N McKinney, Sweeny, TX 77480 · (979) 548-3383
For profit - Limited Liability company · 90 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Paradigm at Sweeny has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 6 citations, 3 for actual harm or immediate jeopardy (the Texas average is 9.4). It was fined 2 times in the last three years, $50,189 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 4, 2025 found 6 citations. What an inspection citation means
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 4, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 4, 2025 · F0656 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 4, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.July 4, 2025 · F0582 · 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.July 4, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.July 4, 2025 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 10 citations.
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 1, 2026 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 11, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.May 11, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 4, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 4, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.June 4, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMarch 21, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 21, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough food/fluids to maintain a resident's health.March 8, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 14, 2023 · F0580 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $38,284July 1, 2026
- Fine of $11,905July 4, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.89 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.63 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.45 | 0.95 | 0.86 |
| Nurse aides | 1.80 | 2.01 | 2.32 |
| Total nursing staff turnover | 75% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 90 |
| Average residents per day | 60.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Laurel Court Alvin · ★★★★★ 5 out of 5 stars
- The Lev at Winchester Alvin · ★★★★★ 3 out of 5 stars
- Cypress Woods Care Center Angleton · ★★★★★ 3 out of 5 stars
- Country Village Care Angleton · ★★★★★ 1 out of 5 stars
- Creekside Village Clute · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Paradigm at Sweeny on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.