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Nursing homesTexas › Paradigm at the Oak

Paradigm at the Oak

507 West Ave, Schulenburg, TX 78956 · 9797434150 · 90 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with Paradigm Healthcare, a group operating 18 facilities in 2 states. Group record: average rating 1.8/5, 4 abuse citation icons, 3 facilities on the Special Focus list, $1,404,116 in federal fines. This facility rates below its group average (1.8/5).

See all 18 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.18 (Texas median: 3.27). RN hours: 0.30. Weekend total: 2.89. Nursing staff turnover: 39%.

Inspection deficiencies

All-time on record: 60 deficiency citations, including 7 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-28Provide activities to meet all resident's needs. Ecomplaintcorrected 2026-06-19
2026-05-28Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-06-19
2026-04-02Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. EHealthcorrected 2026-04-16
2026-04-02Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. EHealthcorrected 2026-04-16
2026-04-02Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2026-04-16
2026-04-02Provide and implement an infection prevention and control program. EHealthcorrected 2026-04-16
2026-04-02Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. DHealthcorrected 2026-04-16
2026-04-02Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2026-04-03
2026-04-02Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. DHealthcorrected 2026-04-16
2026-04-02Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. CHealthcorrected 2026-04-16
2026-03-05Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Ecomplaintcorrected 2026-04-02
2026-02-20Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Jcomplaintcorrected 2026-02-11
2026-02-20Develop and implement policies and procedures to prevent abuse, neglect, and theft. Jcomplaintcorrected 2026-02-11
2026-02-20Respond appropriately to all alleged violations. Jcomplaintcorrected 2026-02-11
2026-02-20Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Dcomplaintcorrected 2026-02-11
2026-02-20Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2026-04-02
2025-12-29Provide and implement an infection prevention and control program. Dcomplaintcorrected 2025-12-31
2025-11-21Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Fcomplaintcorrected 2025-11-22
2025-11-21Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2025-11-22
2025-11-21Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Ecomplaintcorrected 2025-11-22
2025-11-21Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Dcomplaintcorrected 2025-11-22
2025-11-21Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Dcomplaintcorrected 2025-11-22
2025-07-10Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Ecomplaintcorrected 2025-07-15
2025-07-10Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Ecomplaintcorrected 2025-07-15
2025-06-04Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Ecomplaintcorrected 2025-06-05
2025-03-31Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2025-04-30
2025-03-31Ensure that residents are free from significant medication errors. Ecomplaintcorrected 2025-04-30
2025-01-28Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. EHealthcorrected 2025-02-28
2025-01-28Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. EHealthcorrected 2025-02-28
2025-01-28Provide activities to meet all resident's needs. EHealthcorrected 2025-02-28
2025-01-28Ensure medication error rates are not 5 percent or greater. EHealthcorrected 2025-02-28
2025-01-28Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2025-02-28
2025-01-28Provide and implement an infection prevention and control program. EHealthcorrected 2025-02-28
2025-01-28Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-02-28
2025-01-28Provide care and assistance to perform activities of daily living for any resident who is unable. DHealthcorrected 2025-02-28
2025-01-28Provide appropriate pressure ulcer care and prevent new ulcers from developing. DHealthcorrected 2025-02-28
2025-01-28Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. DHealthcorrected 2025-02-28
2025-01-28Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2025-02-28
2025-01-28Provide safe and appropriate respiratory care for a resident when needed. DHealthcorrected 2025-02-28
2025-01-28Ensure each resident’s drug regimen must be free from unnecessary drugs. DHealthcorrected 2025-02-28

Federal penalties

DateTypeAmount
2026-02-20Fine$12,429
2025-11-21Fine$4,410
2025-01-17Fine$16,149
2024-11-07Fine$70,618

Ownership & control records (CMS filings)

NameRoleType%Since
OAKBEND MEDICAL CENTER5% Or Greater Direct Ownership InterestOrganization100%since 01/01/2023
FREUDENBERGER, JOSEPHCorporate OfficerIndividualNOT APPLICABLEsince 01/01/2023
SCHULENBURG NURSING & REHABILITATION LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 01/01/2023
SHKOP, AHARONOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2023

Compare nearby (Fayette County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675971. Corrections: data@carerecords.org.