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Data / Nursing homes / Texas / Paradigm at the Oak

Paradigm at the Oak, Schulenburg, TX: 1 star rating, fined $103,830 across 4 fines

Paradigm at the Oak in Schulenburg, TX is owned by Oakbend Medical Center, is rated 1 of 5 stars by Medicare, and was fined $103,830 across 4 fines in the three years to October 1, 2026. CMS lists 60 health citations from inspections in that time, the latest survey on May 28, 2026, and 8 of them found actual harm or immediate jeopardy.

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Address
507 West Ave, Schulenburg, TX 78956
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
90
Residents per day
54 on average
Ownership type
For profit, corporation
Legal business name
Oakbend Medical Center
Chain
Paradigm Healthcare, 17 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$103,830 across 4 fines, three years to October 1, 2026
Payment denials
0
Health citations
60, of which 8 with actual harm or immediate jeopardy
Latest survey
May 28, 2026
CMS Certification Number
675971
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.

DateTypeFine amountDenial startsDenial daysSource
February 20, 2026Fine$12,653Not listeddata.cms.gov
November 21, 2025Fine$4,410Not listeddata.cms.gov
January 17, 2025Fine$16,149Not listeddata.cms.gov
November 7, 2024Fine$70,618Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 28, 2026F689Ensure 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 harmCorrectedJune 19, 2026data.cms.gov
May 28, 2026F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 19, 2026data.cms.gov
April 2, 2026F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.C: widespread, minimal harm potentialCorrectedApril 16, 2026data.cms.gov
April 2, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
April 2, 2026F812Procure 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 harmCorrectedApril 16, 2026data.cms.gov
April 2, 2026F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
April 2, 2026F584Honor 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 harmCorrectedApril 16, 2026data.cms.gov
April 2, 2026F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
April 2, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
April 2, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 16, 2026data.cms.gov
March 5, 2026F584Honor 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 harmCorrectedApril 2, 2026data.cms.gov
February 20, 2026F610Respond appropriately to all alleged violations.J: isolated, immediate jeopardyPast noncomplianceFebruary 11, 2026data.cms.gov
February 20, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyPast noncomplianceFebruary 11, 2026data.cms.gov
February 20, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceFebruary 11, 2026data.cms.gov
February 20, 2026F689Ensure 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 harmCorrectedApril 2, 2026data.cms.gov
February 20, 2026F609Timely 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 harmPast noncomplianceFebruary 11, 2026data.cms.gov
December 29, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 31, 2025data.cms.gov
November 21, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2025data.cms.gov
November 21, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2025data.cms.gov
November 21, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2025data.cms.gov
November 21, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2025data.cms.gov
November 21, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 22, 2025data.cms.gov
July 10, 2025F921Make 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 harmCorrectedJuly 15, 2025data.cms.gov
July 10, 2025F584Honor 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 harmCorrectedJuly 15, 2025data.cms.gov
June 4, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 5, 2025data.cms.gov
March 31, 2025F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
March 31, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 30, 2025data.cms.gov
January 28, 2025F919Make 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 harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B: pattern, minimal harm potentialCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F881Implement a program that monitors antibiotic use.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F812Procure 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 harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F690Provide 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 harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F656Develop 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 harmCorrectedFebruary 28, 2025data.cms.gov
January 28, 2025F584Honor 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 harmCorrectedFebruary 28, 2025data.cms.gov
January 17, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyPast noncomplianceJanuary 1, 2025data.cms.gov
November 7, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.J: isolated, immediate jeopardyCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F584Honor 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: isolated, actual harmCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F609Timely 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 harmCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
June 12, 2024F755Provide 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 harmCorrectedJune 26, 2024data.cms.gov
November 9, 2023F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.B: pattern, minimal harm potentialCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F812Procure 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 harmCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F584Honor 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 harmCorrectedDecember 9, 2023data.cms.gov
November 9, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 9, 2023data.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.

OrganizationRoleShareSinceSource
Oakbend Medical CenterDirect owner100%January 1, 2023data.cms.gov
Schulenburg Nursing & Rehabilitation LLCOperational or managerial controlNot listedJanuary 1, 2023data.cms.gov

Also on SpecStream

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.