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Nursing homeFAID #14057

Paradigm At Sweeny

109 N MCKINNEY, SWEENY, TX, 77480

(979) 548-3383

90 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

109 N Mckinney

Sweeny, TX 77480

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Public record summary

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Bed capacity

CMS facility ID

675344

Care type

Nursing home

County

Brazoria

Facility name

Paradigm At Sweeny

Street address

109 N MCKINNEY

City / state / ZIP

Sweeny, TX 77480

Phone

(979) 548-3383

About this facility — Paradigm At Sweeny

Paradigm At Sweeny is a Medicare/Medicaid-certified skilled nursing facility in Sweeny, Texas. It is licensed for 90 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Sweeny and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Paradigm At Sweeny 30 times across 12 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $50,189 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Paradigm Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Oakbend Medical Center

Direct owner — 100% stake — since 2022

Freudenberger, Joseph

Managing employee · Officer — since 2022

Sweeny Nursing & Rehabilitation Llc

Operational control — since 2022

Regulatory standing

Federal court records

5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1994-05-31

CMS overall rating

1 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$50,189 total

Last standard inspection

2025-07-04

Nurse staffing

2.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$204 per day (≈ $6,200/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

84% Medicaid · 3% Medicare · 14% private/other

Occupancy

65% (fiscal year 2023)

Vs. state median

26% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered1 citation

F-0686

J · Immediate jeopardyFrom a complaint

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2026-05-11Health inspectionComplaint-triggered2 citations

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-06-05

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-06-05

9 earlier / fire-safety inspections (27 citations)

2025-07-04Health inspection6 citations

F-0582

E · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-07-22

F-0600

K · Immediate jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-22

F-0628

D · No harm found

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-07-22

F-0656

K · Immediate jeopardy

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-07-22

F-0689

J · Immediate jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-22

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-22

2024-06-04Health inspectionComplaint-triggered3 citations

F-0607

E · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-11

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-06-11

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-06-11

2024-03-21Health inspectionComplaint-triggered5 citations

F-0655

D · No harm foundFrom a complaint

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-03-29

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-03-29

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-29

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-29

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-29

2024-03-08Health inspectionComplaint-triggered1 citation

F-0692

E · No harm foundFrom a complaint

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-03-16

2023-12-14Health inspectionComplaint-triggered1 citation

F-0580

G · Actual harmFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-05

2023-02-02Health inspection3 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-02-12

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-02-12

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-02-12

2025-07-04Fire-safety inspection4 citations

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-07-22

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-22

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-07-22

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-07-22

2024-03-21Fire-safety inspection3 citations

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-03-29

K-0741

E · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-03-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-03-29

2023-02-02Fire-safety inspection1 citation

K-0342

D · No harm found

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2023-02-10

Federal penalties

2026-07-01Fine$38,284

2025-07-04Fine$11,905

Total fines$50,189

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675344.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered