Paradigm at the Creek, Wharton, Texas
- 43
- Citations from health inspectionsTexas average: 28 a home
- 7
- Residents harmed or put in dangerTexas average: 2.3 a home
- $74,934
- 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
11 inspection visits produced 43 citations. Residents were in immediate danger in four findings. Residents were found hurt in three cases. Federal fines came to $74,934 (five 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
- 3.23 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.35 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 58.8%against the Texas average of 55.3%
- Beds that are certified
- 120
- Ownership
- Limited Liability company (for profit)
- Chain
- Paradigm Healthcare, with 17 homes
- Street address
- 1405 Valhalla Dr, Wharton, Texas 77488
- County
- Wharton
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Four citations dated July 1, 2026
- F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated May 22, 2026
One citation dated May 6, 2026
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Aug. 4, 2025
- F656 A Complete Care Plan: immediate danger to residents, a pattern, several residents, found on a complaint visit.
12 citations dated May 23, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, a pattern, several residents.
- F640 Send Assessment Data to State on Time: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
One citation dated May 16, 2025
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
Three citations dated Sept. 30, 2024
- F725 Enough Nursing Staff: immediate danger to residents, one or a few residents, found on a complaint visit.
- F641 Accurate Resident Assessments: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated May 28, 2024
- F678 CPR and Basic Life Support: immediate danger to residents, one or a few residents, found on a complaint visit.
Eight citations dated May 8, 2024
- F946 Compliance and Ethics Training: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F895 Compliance and Ethics Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F835 Run the Facility Effectively: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F776 Timely Approved X Ray Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F697 Pain Management: residents were harmed, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Six citations dated March 28, 2024
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, a pattern, several residents.
- F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Four citations dated Feb. 7, 2023
- F881 Antibiotic Use Monitoring Program: risk of harm, no one found hurt, a pattern, several residents.
- F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F578 The Right to Refuse Treatment: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| July 25, 2026 | Fine | $22,900 |
| Aug. 4, 2025 | Fine | $8,191 |
| May 16, 2025 | Fine | $8,402 |
| Sept. 30, 2024 | Fine | $20,719 |
| May 8, 2024 | Fine | $14,722 |
Ownership and Management of the Home
- The home is run by Southwest LTC Wharton Ltd (operational or managerial control).
- The home is run by Wharton 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 455699. Other homes in Texas.