Paradigm at the Oak, Schulenburg, Texas

60
Citations from health inspectionsTexas average: 28 a home: 8
Residents harmed or put in dangerTexas average: 2.3 a home: $103,606
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

14 inspection visits produced 60 citations. Residents were in immediate danger in seven findings. Residents were found hurt in one case. Federal fines came to $103,606 (four 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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Quick Look at the Record

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: 2 out of 5
Nurse time for each resident: 3.18 hours each dayThe Texas average is 3.39 hours
Time from registered nurses: 0.30 hours each dayThe Texas average is 0.43 hours
Nursing staff who left during one year: 39%against the Texas average of 55.3%
Beds that are certified: 90
Ownership: Corporation (for profit)
Chain: Paradigm Healthcare, with 17 homes
Street address: 507 West Ave, Schulenburg, Texas 78956
County: Fayette

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

Two citations dated May 28, 2026

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Eight citations dated April 2, 2026

F912 Minimum Bedroom Size per Resident: minimal risk to residents, widespread.
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, a pattern, several residents.
F644 Coordinate Assessments With Mental Health Screening Program: 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.
F577 Access to Inspection Results and Advocates: 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.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

One citation dated March 5, 2026

F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Five citations dated Feb. 20, 2026

F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F610 Investigating Abuse Allegations: immediate danger to residents, 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.
F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, one or a few 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 Dec. 29, 2025

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Five citations dated Nov. 21, 2025

F925 Pest Control Program: risk of harm, no one found hurt, widespread, found on a complaint visit.
F804 Food Taste and Temperature: 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, a pattern, several residents, found on a complaint visit.
F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F627 Safe Transfer or Discharge Meeting Resident Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Two citations dated July 10, 2025

F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated June 4, 2025

F600 Freedom From Abuse and Neglect: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Two citations dated March 31, 2025

F760 Significant Medication Errors: 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, a pattern, several residents, found on a complaint visit.

16 citations dated Jan. 28, 2025

F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
F912 Minimum Bedroom Size per Resident: minimal risk to residents, a pattern, several residents.
F881 Antibiotic Use Monitoring Program: 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, a pattern, several residents.
F759 Medication Error Rate of 5 Percent or More: risk of harm, no one found hurt, a pattern, several residents.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents.
F695 Breathing and Oxygen 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.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
F677 Help With Daily Living: 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.
F656 A Complete Care Plan: 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.

One citation dated Jan. 17, 2025

F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.

Seven citations dated Nov. 7, 2024

F835 Run the Facility Effectively: immediate danger to residents, one or a few residents, found on a complaint visit.
F804 Food Taste and Temperature: 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, one or a few residents, found on a complaint visit.
F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, one or a few 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.
F584 A Safe, Clean, Homelike Room: residents were harmed, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated June 12, 2024

F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Eight citations dated Nov. 9, 2023

F912 Minimum Bedroom Size per Resident: minimal risk to residents, a pattern, several residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
F810 Special Eating Utensils and Mealtime Help: risk of harm, no one found hurt, one or a few residents.
F699 Trauma Informed and Culturally Respectful Care: risk of harm, no one found hurt, one or a few residents.
F645 Screening for Mental Illness or Intellectual Disability: risk of harm, no one found hurt, one or a few residents.
F641 Accurate Resident Assessments: 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.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
Feb. 20, 2026	Fine	$12,429
Nov. 21, 2025	Fine	$4,410
Jan. 17, 2025	Fine	$16,149
Nov. 7, 2024	Fine	$70,618

Ownership and Management of the Home

The home is run by Schulenburg 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 675971. Other homes in Texas.