Paradigm at the Creek
Paradigm at the Creek is a 120-bed nursing home in Wharton, Texas. CMS has certified it for Medicare and Medicaid since 1987-04-23. It averages 56.0 residents a day.
What harm was found in the violations cited at Paradigm at the Creek?
CMS lists 44 health-inspection deficiencies for Paradigm at the Creek since 2023-02-07, 40 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 2026-07-01.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-01 | F0656, F0760 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that residents are free from significant medication errors. | E |
| 2026-07-01 | F0609, F0641 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. | D |
| 2026-05-22 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2026-05-22 | F0610 | Respond appropriately to all alleged violations. | E |
| 2026-05-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-08-04 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K |
| 2025-05-23 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-05-23 | F0584, F0686, F0880, F0921 | 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-05-23 | F0558, F0640, F0690, F0693, F0755, F0759, F0919 | Reasonably accommodate the needs and preferences of each resident. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-05-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-09-30 | F0600, F0725 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J |
| 2024-09-30 | F0641 | Ensure each resident receives an accurate assessment. | E |
| 2024-05-28 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2024-05-08 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2024-05-08 | F0895, F0946 | Have a Compliance and Ethics Program. / Provide training in compliance and ethics. | F |
| 2024-05-08 | F0553, F0558, F0656, F0776, F0835 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D |
| 2024-03-28 | F0656, F0695 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2024-03-28 | F0684, F0686, F0690, F0814 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Dispose of garbage and refuse properly. | D |
| 2023-08-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-02-07 | F0761, F0805, F0881 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Implement a program that monitors antibiotic use. | E |
| 2023-02-07 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D |
Why was Paradigm at the Creek fined 4 times?
| Date | Type | Amount |
|---|---|---|
| 2025-08-04 | Fine | $8,191 |
| 2025-05-16 | Fine | $8,402 |
| 2024-09-30 | Fine | $20,719 |
| 2024-05-08 | Fine | $14,722 |
How is Paradigm at the Creek staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.22613 | 3.38539 |
| Total nursing staff turnover (%) | 58.8 | 55.3 |
| Average number of residents per day | 56.0 | 75.8 |
Who owns Paradigm at the Creek, and what chain is it in?
Paradigm at the Creek is registered with CMS as For profit - Limited Liability company, operates under the legal business name OAKBEND MEDICAL CENTER and belongs to the PARADIGM HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | OAKBEND MEDICAL CENTER | since 04/01/2017 |
| W-2 MANAGING EMPLOYEE | FREUDENBERGER, JOSEPH | since 04/01/2017 |
| CORPORATE OFFICER | FREUDENBERGER, JOSEPH | since 04/01/2017 |
| OPERATIONAL/MANAGERIAL CONTROL | SOUTHWEST LTC WHARTON LTD, WHARTON NURSING & REHABILITATION LLC | since 04/01/2017 |
Were you or a family member harmed at Paradigm at the Creek?