All states › Texas › Schulenburg › Paradigm at the Oak
507 West Ave Schulenburg, TX 78956 · Fayette County
All 2 nursing homes in Schulenburg, TX (2 take Medicaid)
CMS certification number 675971 · See this home on Medicare Care Compare
Is Paradigm at the Oak 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 Oak 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 3.10 hours per resident per day at Paradigm at the Oak, below the Texas median of 3.30 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 8% below its all-week average. 53.1% 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 Oak: Medicare and Medicaid
Paradigm at the Oak 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 April 2, 2026 and found 8 deficiencies, plus 14 from complaint inspections in the same period. In total, inspectors issued 60 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 60 citations at Paradigm at the Oak across 14 inspection dates, 28 of them from complaint investigations. 7 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 20, 2026 (complaint inspection). The most common areas cited were resident rights (12) and quality of life and care (11). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, January 17, 2025). 8 citations were under CMS's abuse, neglect and exploitation rules.
May 28, 2026 · 2 citations · includes complaint inspection
EProvide activities to meet all resident's needs.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 2, 2026 · 8 citations
EAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
March 5, 2026 · 1 citation · includes complaint inspection
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.
February 20, 2026 · 5 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.
JRespond appropriately to all alleged violations.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
December 29, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
November 21, 2025 · 5 citations · includes complaint inspection
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
July 10, 2025 · 2 citations · includes complaint inspection
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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
June 4, 2025 · 1 citation · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
March 31, 2025 · 2 citations · includes complaint inspection
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure that residents are free from significant medication errors.
January 28, 2025 · 16 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide activities to meet all resident's needs.
EEnsure medication error rates are not 5 percent or greater.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DImplement a program that monitors antibiotic use.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
January 17, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
November 7, 2024 · 7 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.
JAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
GHonor 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.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
June 12, 2024 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
November 9, 2023 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care or services that was trauma informed and/or culturally competent.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Paradigm at the Oak
- Inspectors cited the home at the immediate-jeopardy level on January 17, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 20, 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?
- 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 $103,830 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 20, 2026 | Fine | $12,653 |
| Nov 21, 2025 | Fine | $4,410 |
| Jan 17, 2025 | Fine | $16,149 |
| Nov 7, 2024 | Fine | $70,618 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Paradigm at the Oak
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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15.6 mi
Lavaca Medical Center HallettsvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 2m for patients treated and sent home
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22.1 mi
Columbus Community Hospital ColumbusEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 0m 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 Oak › All nursing homes in Schulenburg ›
Compare Paradigm at the Oak with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Schulenburg Regency Nursing Center · Schulenburg · 3 stars · 0.7 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.