Paradigm at Sweeny, Sweeny, Texas
- 22
- Citations from health inspectionsTexas average: 28 a home
- 5
- Residents harmed or put in dangerTexas average: 2.3 a home
- $50,189
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Eight inspection visits produced 22 citations. Residents were in immediate danger in four findings. Residents were found hurt in one case. Federal fines came to $50,189 (two fines).
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 2.89 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.63 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 75%against the Texas average of 55.3%
- Beds that are certified
- 90
- Ownership
- Limited Liability company (for profit)
- Chain
- Paradigm Healthcare, with 17 homes
- Street address
- 109 N McKinney, Sweeny, Texas 77480
- County
- Brazoria
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated July 1, 2026
- F686 Pressure Ulcer (Bedsore) Care: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated May 11, 2026
Six citations dated July 4, 2025
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents.
- F656 A Complete Care Plan: immediate danger to residents, a pattern, several residents.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, a pattern, several residents.
Three citations dated June 4, 2024
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Five citations dated March 21, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated March 8, 2024
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Dec. 14, 2023
- F580 Telling the Family About a Change: residents were harmed, one or a few residents, found on a complaint visit.
Three citations dated Feb. 2, 2023
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 1, 2026 | Fine | $38,284 |
| July 4, 2025 | Fine | $11,905 |
Ownership and Management of the Home
- The home is run by Sweeny Nursing & Rehabilitation LLC (operational or managerial control).
- The direct 100% owner is Oakbend Medical Center.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 675344. Other homes in Texas.