Paradigm at the Oak

CMS abuse icon · CCN 675971 · OAKBEND MEDICAL CENTER · For profit - Corporation · PARADIGM HEALTHCARE chain · 90 certified beds · Fayette · TX


Paradigm at the Oak is a 90-bed nursing home in Schulenburg, Texas. CMS has certified it for Medicare and Medicaid since 2003-06-05. It averages 52.2 residents a day.

What harm was found in the violations cited at Paradigm at the Oak?

CMS lists 60 health-inspection deficiencies for Paradigm at the Oak, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-05-28.

Survey dateTagDeficiencySeverity
2026-05-28F0679Provide activities to meet all resident's needs.E
2026-05-28F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-04-02F0577, F0584, F0812, F0880Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Honor 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2026-04-02F0550, F0558, F0644Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2026-04-02F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.C
2026-03-05F0584Honor 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.E
2026-02-20F0600, F0607, F0610Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations.J
2026-02-20F0609, F0689Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-12-29F0880Provide and implement an infection prevention and control program.D
2025-11-21F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F
2025-11-21F0755, F0804Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-11-21F0627, F0655Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD
2025-07-10F0584, F0921Honor 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2025-06-04F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E
2025-03-31F0755, F0760Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors.E
2025-01-28F0584, F0657, F0679, F0759, F0812, F0880Honor 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Ensure medication error rates are not 5 percent or greater. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.E
2025-01-28F0656, F0677, F0686, F0688, F0690, F0695, F0757, F0881, F0919Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement a program that monitors antibiotic use. / Make sure that a working call system is available in each resident's bathroom and bathing area.D
2025-01-28F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B
2025-01-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2024-11-07F0600, F0607, F0835Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.J
2024-11-07F0584Honor 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.G
2024-11-07F0550, F0804Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-11-07F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-06-12F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-11-09F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-11-09F0584Honor 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.E
2023-11-09F0550, F0641, F0645, F0699, F0810Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care or services that was trauma informed and/or culturally competent. / Provide special eating equipment and utensils for residents who need them and appropriate assistance.D
2023-11-09F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B

Why was Paradigm at the Oak fined 4 times?

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

How is Paradigm at the Oak staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.180893.38539
Total nursing staff turnover (%)39.055.3
Average number of residents per day52.275.8

Who owns Paradigm at the Oak, and what chain is it in?

Paradigm at the Oak is registered with CMS as For profit - Corporation, operates under the legal business name OAKBEND MEDICAL CENTER and belongs to the PARADIGM HEALTHCARE chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTOAKBEND MEDICAL CENTERsince 01/01/2023
CORPORATE OFFICERFREUDENBERGER, JOSEPHsince 01/01/2023
OPERATIONAL/MANAGERIAL CONTROLSCHULENBURG NURSING & REHABILITATION LLC, SHKOP, AHARONsince 01/01/2023

Were you or a family member harmed at Paradigm at the Oak?