All states › Texas › Richmond › Paradigm at the Brazos
2127 Preston St Richmond, TX 77469 · Fort Bend County
All 3 nursing homes in Richmond, TX (3 take Medicaid)
CMS certification number 675420 · See this home on Medicare Care Compare
Is Paradigm at the Brazos 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 Brazos as of October 2026.
CMS rates it 5 out of 5 stars overall, above 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 3.36 hours per resident per day at Paradigm at the Brazos, about the same as the Texas median of 3.30 (US median: 3.72). About 0.85 of those hours are from registered nurses. On weekends it falls to 2.88 hours, 14% below its all-week average. 32.4% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team.
About this nursing home
Paying for care at Paradigm at the Brazos: Medicare and Medicaid
Paradigm at the Brazos 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 August 1, 2025 and found 2 deficiencies. In total, inspectors issued 6 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 6 citations at Paradigm at the Brazos across 3 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 6 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were environmental (3) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, August 1, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
August 1, 2025 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 30, 2023 · 2 citations · includes complaint inspection
DProvide bedrooms that don't allow residents to see each other when privacy is needed.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
June 1, 2023 · 2 citations
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Questions to ask on a tour of Paradigm at the Brazos
- CMS cited the home under its abuse and neglect rules on August 1, 2025. How are staff trained, and how are concerns reported?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 3/5 | 4/5 |
| August 2026 | 5/5 | 5/5 | 3/5 | 5/5 |
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Location
Hospitals near Paradigm at the Brazos
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.9 mi
Oakbend Medical Center RichmondEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 45m for patients treated and sent home
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5.7 mi
Memorial Hermann Sugar Land Hospital Sugar LandEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 13m for patients treated and sent home
- 7.7 mi
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 Brazos › All nursing homes in Richmond ›
Compare Paradigm at the Brazos with the 3 closest homes side by side ›
Other Paradigm Healthcare nursing homes in Texas
- 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
- Paradigm at Katy · Katy · 1 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.