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Nursing homes › Texas › Paradigm at Sweeny

Paradigm at Sweeny

109 N Mckinney, Sweeny, TX 77480 · (979) 548-3383 · 90 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★★★☆ 4/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in TX

CMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Paradigm at Sweeny

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 75%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at PARADIGM HEALTHCARE. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Paradigm Healthcare, a group operating 17 facilities in 2 states. Group record: average rating 1.9/5, 5 abuse citation icons, 3 facilities on the Special Focus list, $1,413,175 in federal fines. This facility rates below its group average (1.9/5).

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Staffing (hours per resident per day)

Total nurse staffing: 2.89 (Texas median: 3.27). RN hours: 0.63. Weekend total: 2.43. Nursing staff turnover: 75%.

Inspection deficiencies

In the downloaded CMS dataset: 22 deficiency citations, including 4 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-07-01Provide appropriate pressure ulcer care and prevent new ulcers from developing. JcomplaintDeficient, Provider has no plan of correction
2026-05-11Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2026-06-05
2026-05-11Provide and implement an infection prevention and control program. Dcomplaintcorrected 2026-06-05
2025-07-04Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. KHealthcorrected 2025-07-22
2025-07-04Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. KHealthcorrected 2025-07-22
2025-07-04Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. JHealthcorrected 2025-07-22
2025-07-04Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. EHealthcorrected 2025-07-22
2025-07-04Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-07-22
2025-07-04Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. DHealthcorrected 2025-07-22
2024-06-04Develop and implement policies and procedures to prevent abuse, neglect, and theft. Ecomplaintcorrected 2024-06-11
2024-06-04Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Ecomplaintcorrected 2024-06-11
2024-06-04Respond appropriately to all alleged violations. Ecomplaintcorrected 2024-06-11
2024-03-21Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2024-03-29
2024-03-21Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2024-03-29
2024-03-21Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Dcomplaintcorrected 2024-03-29
2024-03-21Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2024-03-29
2024-03-21Provide and implement an infection prevention and control program. DHealthcorrected 2024-03-29
2024-03-08Provide enough food/fluids to maintain a resident's health. Ecomplaintcorrected 2024-03-16
2023-12-14Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Gcomplaintcorrected 2024-01-05
2023-02-02Keep residents' personal and medical records private and confidential. DHealthcorrected 2023-02-12
2023-02-02Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2023-02-12
2023-02-02Ensure that residents are free from significant medication errors. DHealthcorrected 2023-02-12

Federal penalties

DateTypeAmount
2026-07-01Fine$38,284
2025-07-04Fine$11,905

Ownership & control records (CMS filings)

NameRoleType%Since
OAKBEND MEDICAL CENTER5% Or Greater Direct Ownership InterestOrganization100%since 10/01/2022
FREUDENBERGER, JOSEPHCorporate OfficerIndividualNOT APPLICABLEsince 10/01/2022
SWEENY NURSING & REHABILITATION LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 10/01/2022

Compare nearby (Brazoria County)

How to cite this page: CareRecords, “Paradigm at Sweeny — compliance, penalty and ownership record” (CCN 675344), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/paradigm-at-sweeny-sweeny-tx/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675344. Corrections: data@carerecords.org.