Paradigm at the Creek

1405 Valhalla Dr, Wharton, TX 77488 · (979) 532-1244
For profit - Limited Liability company · 120 certified beds

Paradigm at the Creek has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 12 citations (the Texas average is 9.4). It was fined 5 times in the last three years, $74,934 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 23, 2025 found 12 citations. What an inspection citation means

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 23, 2025 · F0812 · 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.May 23, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 23, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.May 23, 2025 · F0880 · 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.May 23, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Reasonably accommodate the needs and preferences of each resident.May 23, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.May 23, 2025 · F0640 · Level of harm: Minimal harm or potential for actual harm · 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 23, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.May 23, 2025 · F0693 · 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.May 23, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure medication error rates are not 5 percent or greater.May 23, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Make sure that a working call system is available in each resident's bathroom and bathing area.May 23, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 24 citations.

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 1, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.July 1, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 1, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that residents are free from significant medication errors.July 1, 2026 · F0760 · 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.May 22, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 22, 2026 · F0610 · 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 6, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.August 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.May 16, 2025 · F0689 · 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.September 30, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure each resident receives an accurate assessment.September 30, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 30, 2024 · F0725 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.May 28, 2024 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Allow resident to participate in the development and implementation of his or her person-centered plan of care.May 8, 2024 · F0553 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Reasonably accommodate the needs and preferences of each resident.May 8, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 8, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe, appropriate pain management for a resident who requires such services.May 8, 2024 · F0697 · Level of harm: Actual harm · Residents affected: Few
• Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.May 8, 2024 · F0776 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Administer the facility in a manner that enables it to use its resources effectively and efficiently.May 8, 2024 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Have a Compliance and Ethics Program.May 8, 2024 · F0895 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide training in compliance and ethics.May 8, 2024 · F0946 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 28, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 28, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Dispose of garbage and refuse properly.March 28, 2024 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $22,900July 25, 2026
• Fine of $8,191August 4, 2025
• Fine of $8,402May 16, 2025
• Fine of $20,719September 30, 2024
• Fine of $14,722May 8, 2024

Nurse staffing

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

About this home