All states › Texas › Wharton › Paradigm at the Creek
1405 Valhalla Dr Wharton, TX 77488 · Wharton County
All 2 nursing homes in Wharton, TX (2 take Medicaid)
CMS certification number 455699 · See this home on Medicare Care Compare
Is Paradigm at the Creek 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 Creek 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 3.11 hours per resident per day at Paradigm at the Creek, below the Texas median of 3.30 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 2.68 hours, 14% below its all-week average. 51% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Paradigm at the Creek: Medicare and Medicaid
Paradigm at the Creek 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 25, 2026 and found 9 deficiencies, plus 9 from complaint inspections in the same period. In total, inspectors issued 50 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 50 citations at Paradigm at the Creek across 12 inspection dates, 26 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 25, 2026. The most common areas cited were quality of life and care (12) and resident assessment and care planning (10). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level K, August 4, 2025). 5 citations were under CMS's abuse, neglect and exploitation rules.
August 18, 2026 · 2 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide care by qualified persons according to each resident's written plan of care.
July 25, 2026 · 9 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
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 each resident receives an accurate assessment.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
July 1, 2026 · 4 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure that residents are free from significant medication errors.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
May 22, 2026 · 2 citations, 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.
ERespond appropriately to all alleged violations.
May 6, 2026 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 4, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 23, 2025 · 12 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.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DReasonably accommodate the needs and preferences of each resident.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
May 16, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 30, 2024 · 3 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.
JProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure each resident receives an accurate assessment.
May 28, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
May 8, 2024 · 8 citations, includes actual harm · includes complaint inspection
GProvide safe, appropriate pain management for a resident who requires such services.
FHave a Compliance and Ethics Program.
FProvide training in compliance and ethics.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
March 28, 2024 · 6 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide safe and appropriate respiratory care for a resident when needed.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Questions to ask on a tour of Paradigm at the Creek
- Inspectors cited the home at the immediate-jeopardy level on August 4, 2025 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 18, 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?
- The home averages about 49% of its beds filled. Are any units closed?
- 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
5 penalties in the last three years, including $74,934 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 25, 2026 | Fine | $22,900 |
| Aug 4, 2025 | Fine | $8,191 |
| May 16, 2025 | Fine | $8,402 |
| Sep 30, 2024 | Fine | $20,719 |
| May 8, 2024 | Fine | $14,722 |
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 | 1/5 |
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Location
Hospitals near Paradigm at the Creek
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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12.9 mi
El Campo Memorial Hospital El CampoEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 4m for patients treated and sent home
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22.7 mi
Rice Medical Center Eagle LakeEmergency roomMedian ER visit 1h 41m for patients treated and sent home
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24.9 mi
Matagorda General Hospital 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 Creek › All nursing homes in Wharton ›
Compare Paradigm at the Creek with the 3 closest homes side by side ›
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.