All states › Texas › El Campo › Paradigm at the Prairies
106 Del Norte Dr. El Campo, TX 77437 · Wharton County
All 2 nursing homes in El Campo, TX (2 take Medicaid)
CMS certification number 676040 · See this home on Medicare Care Compare
Is Paradigm at the Prairies a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Paradigm at the Prairies as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.73 hours per resident per day at Paradigm at the Prairies, below the Texas median of 3.30 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 2.44 hours, 11% below its all-week average. 46% of nursing staff left within a year (Texas median 50.2%). 3 administrators left in the past year.
About this nursing home
Paying for care at Paradigm at the Prairies: Medicare and Medicaid
Paradigm at the Prairies is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 9, 2026 and found 5 deficiencies, plus 18 from complaint inspections in the same period. In total, inspectors issued 33 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 33 citations at Paradigm at the Prairies across 13 inspection dates, 26 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 15, 2026 (complaint inspection). The most common areas cited were resident rights (9) and quality of life and care (8). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, March 15, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.
August 20, 2026 · 1 citation · includes complaint inspection
GEnsure 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.
July 21, 2026 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
July 9, 2026 · 5 citations
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
June 2, 2026 · 3 citations · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
April 20, 2026 · 3 citations · includes complaint inspection
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
March 15, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
November 18, 2025 · 9 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
EProvide and implement an infection prevention and control program.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DEnsure 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.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
August 30, 2025 · 1 citation · includes complaint inspection
EHire a qualified full-time social worker in a facility with more than 120 beds.
June 27, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 16, 2025 · 2 citations · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure medication error rates are not 5 percent or greater.
February 29, 2024 · 3 citations · includes complaint inspection
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DDispose of garbage and refuse properly.
DProvide and implement an infection prevention and control program.
January 26, 2024 · 1 citation · includes complaint inspection
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
December 16, 2023 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Questions to ask on a tour of Paradigm at the Prairies
- Inspectors cited the home at the immediate-jeopardy level on March 15, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 15, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $53,583 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 15, 2026 | Fine | $16,433 |
| Mar 15, 2026 | Payment Denial | 8 days of payments denied |
| Jun 27, 2025 | Fine | $23,753 |
| Dec 16, 2023 | Fine | $13,397 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
Add this rating badge to your websiteFree. Shows Paradigm at the Prairies's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Paradigm at the Prairies
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.1 mi
El Campo Memorial Hospital El CampoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 4m for patients treated and sent home
-
23.4 mi
Matagorda Regional Medical Center Bay CityEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 54m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Paradigm at the Prairies › All nursing homes in El Campo ›
Compare Paradigm at the Prairies with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- S.p.j.s.t. Rest Home 3 · El Campo · 5 stars · 5.9 mi
Other Paradigm Healthcare nursing homes in Texas
- Paradigm at the Brazos · Richmond · 5 stars
- Paradigm at Bay City · Bay City · 4 stars
- Paradigm at Kountze · Kountze · 4 stars
- Nazareth Living Care Center · El Paso · 3 stars
- Paradigm at Faith Memorial · Pasadena · 3 stars
- Paradigm at the Pines · Silsbee · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 17 Paradigm Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.