Paradigm at the Prairies, El Campo, Texas

32
Citations from health inspectionsTexas average: 28 a home: 4
Residents harmed or put in dangerTexas average: 2.3 a home: $53,583
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

12 inspection visits produced 32 citations. Residents were in immediate danger in three findings. Residents were found hurt in one case. Federal fines came to $53,583 (three fines). Once, Medicare stopped paying for new admissions.

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: 2.42 hours each dayThe Texas average is 3.39 hours
Time from registered nurses: 0.40 hours each dayThe Texas average is 0.43 hours
Nursing staff who left during one year: 51.4%against the Texas average of 55.3%
Beds that are certified: 150
Ownership: Corporation (for profit)
Chain: Paradigm Healthcare, with 17 homes
Street address: 106 del Norte Dr., El Campo, Texas 77437
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.

One citation dated July 21, 2026

F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Five citations dated July 9, 2026

F921 A Safe, Clean Building: minimal risk to residents, widespread.
F812 Food Storage and Kitchen Safety: minimal risk to residents, widespread.
F761 Labeling and Locking Up Medicines: 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.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents.

Three citations dated June 2, 2026

F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Three citations dated April 20, 2026

F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Two citations dated March 15, 2026

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.

Nine citations dated Nov. 18, 2025

F919 Working Call System in Bathrooms: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: 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, one or a few residents, found on a complaint visit.
F693 Feeding Tube Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F583 Keep Resident Records Private: 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, a pattern, several residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

One citation dated Aug. 30, 2025

F850 Full Time Social Worker in Large Facilities: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

One citation dated June 27, 2025

F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.

Two citations dated April 16, 2025

F759 Medication Error Rate of 5 Percent or More: 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, found on a complaint visit.

Three citations dated Feb. 29, 2024

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F814 Dispose of Garbage Properly: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.

One citation dated Jan. 26, 2024

F577 Access to Inspection Results and Advocates: minimal risk to residents, widespread, found on a complaint visit.

One citation dated Dec. 16, 2023

F684 Quality of Care: immediate danger to residents, one or a few residents, found on a complaint visit.

Payment Denials and Fines

Date	Penalty	Amount
March 15, 2026	Fine	$16,433
March 15, 2026	Payment denial for new admissions	eight days
June 27, 2025	Fine	$23,753
Dec. 16, 2023	Fine	$13,397

Ownership and Management of the Home

The home is run by El Campo 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 676040. Other homes in Texas.