Data / Nursing homes / Texas / Paradigm at the Creek
Paradigm at the Creek, Wharton, TX: 1 star rating, fined $74,934 across 5 fines
Paradigm at the Creek in Wharton, TX is owned by Oakbend Medical Center, is rated 1 of 5 stars by Medicare, and was fined $74,934 across 5 fines in the three years to October 1, 2026. CMS lists 50 health citations from inspections in that time, the latest survey on August 18, 2026, and 8 of them found actual harm or immediate jeopardy.
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- Address
- 1405 Valhalla Dr, Wharton, TX 77488
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
- Certified beds
- 120
- Residents per day
- 59 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare, 17 facilities
- Abuse icon
- CMS shows an abuse icon on Care Compare
- Fines
- $74,934 across 5 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 50, of which 8 with actual harm or immediate jeopardy
- Latest survey
- August 18, 2026
- CMS Certification Number
- 455699
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| July 25, 2026 | Fine | $22,900 | Not listed | data.cms.gov | |
| August 4, 2025 | Fine | $8,191 | Not listed | data.cms.gov | |
| May 16, 2025 | Fine | $8,402 | Not listed | data.cms.gov | |
| September 30, 2024 | Fine | $20,719 | Not listed | data.cms.gov | |
| May 8, 2024 | Fine | $14,722 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 18, 2026 | F659 | Provide care by qualified persons according to each resident's written plan of care. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| August 18, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F814 | Dispose of garbage and refuse properly. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 25, 2026 | F584 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 21, 2026 | data.cms.gov |
| July 1, 2026 | F760 | Ensure that residents are free from significant medication errors. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 6, 2026 | data.cms.gov |
| July 1, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 6, 2026 | data.cms.gov |
| July 1, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 6, 2026 | data.cms.gov |
| July 1, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 6, 2026 | data.cms.gov |
| May 22, 2026 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G: isolated, actual harm | Past noncompliance | March 6, 2026 | data.cms.gov |
| May 22, 2026 | F610 | Respond appropriately to all alleged violations. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 25, 2026 | data.cms.gov |
| May 6, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 1, 2026 | data.cms.gov |
| August 4, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K: pattern, immediate jeopardy | Corrected | August 8, 2025 | data.cms.gov |
| May 23, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F693 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F584 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 23, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 30, 2025 | data.cms.gov |
| May 16, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | May 23, 2025 | data.cms.gov |
| September 30, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | J: isolated, immediate jeopardy | Corrected | October 18, 2024 | data.cms.gov |
| September 30, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J: isolated, immediate jeopardy | Corrected | October 18, 2024 | data.cms.gov |
| September 30, 2024 | F641 | Ensure each resident receives an accurate assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | October 18, 2024 | data.cms.gov |
| May 28, 2024 | F678 | 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: isolated, immediate jeopardy | Corrected | June 7, 2024 | data.cms.gov |
| May 8, 2024 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | G: isolated, actual harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F946 | Provide training in compliance and ethics. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F895 | Have a Compliance and Ethics Program. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| May 8, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 22, 2024 | data.cms.gov |
| March 28, 2024 | F814 | Dispose of garbage and refuse properly. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 8, 2024 | data.cms.gov |
| March 28, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2024 | data.cms.gov |
| March 28, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 8, 2024 | data.cms.gov |
| March 28, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 8, 2024 | data.cms.gov |
| March 28, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 8, 2024 | data.cms.gov |
| March 28, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 2 individual or personal trusts (1 managers, 1 officers, directors or trustees). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Oakbend Medical Center | Direct owner | 100% | April 1, 2017 | data.cms.gov |
| Southwest LTC Wharton LTD | Operational or managerial control | Not listed | April 1, 2017 | data.cms.gov |
| Wharton Nursing & Rehabilitation LLC | Operational or managerial control | Not listed | December 30, 2021 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Oakbend Medical Center owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.