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Paradigm At Sweeny

109 N Mckinney, Sweeny, TX 774809795483383Ownership: For profit - Limited Liability companyCertified beds: 90Avg. daily residents: 60Chain: Paradigm Healthcare (17 facilities)County: Brazoria
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 Sweeny, a Medicare & Medicaid–certified nursing home in Sweeny, 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 Sweeny holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 75% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $50,189 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

2.89 total nurse staff hours per resident per day
below the state average (3.39)
0.63 RN hours per resident per day
above the state average (0.43)
2.43 weekend nurse staff hours per resident per day
75.0% total nursing staff turnover
above the state average (55.3)
69.2% RN turnover
1 administrator 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

July 4, 2025 most recent standard health inspection
8 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
10 health deficiencies in the two prior cycles combined
$50,189 in federal fines across 2 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

22 citations on record across recent inspections, 5 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
July 1, 20260686Provide appropriate pressure ulcer care and prevent new ulcers from developing. ComplaintJ · Immediate jeopardy
May 11, 20260690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate… ComplaintD · Potential for more than minimal harm
May 11, 20260880Provide and implement an infection prevention and control program. ComplaintD · Potential for more than minimal harm
July 4, 20250600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K · Immediate jeopardy
July 4, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.K · Immediate jeopardy
July 4, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J · Immediate jeopardy
July 4, 20250582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.E · Potential for more than minimal harm
July 4, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
July 4, 20250628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D · Potential for more than minimal harm
June 4, 20240607Develop and implement policies and procedures to prevent abuse, neglect, and theft. ComplaintE · Potential for more than minimal harm

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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.