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Paradigm At The Oak

507 West Ave, Schulenburg, TX 789569797434150Ownership: For profit - CorporationCertified beds: 90Avg. daily residents: 52Chain: Paradigm Healthcare (17 facilities)County: Fayette
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Paradigm At The Oak, a Medicare & Medicaid–certified nursing home in Schulenburg, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Paradigm At The Oak holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $103,606 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.18 total nurse staff hours per resident per day
below the state average (3.39)
0.30 RN hours per resident per day
below the state average (0.43)
2.89 weekend nurse staff hours per resident per day
39.0% total nursing staff turnover
below the state average (55.3)
50.0% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

April 2, 2026 most recent standard health inspection
22 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
30 health deficiencies in the two prior cycles combined
$103,606 in federal fines across 4 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 8 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 28, 20260679Provide activities to meet all resident's needs. ComplaintE · Potential for more than minimal harm
May 28, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintD · Potential for more than minimal harm
April 2, 20260577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.E · Potential for more than minimal harm
April 2, 20260584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and…E · Potential for more than minimal harm
April 2, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
April 2, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
April 2, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D · Potential for more than minimal harm
April 2, 20260558Reasonably accommodate the needs and preferences of each resident.D · Potential for more than minimal harm
April 2, 20260644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D · Potential for more than minimal harm
April 2, 20260912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.C · Minimal harm potential

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.