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Nursing homeFAID #14097

Paradigm At the Brazos

2127 PRESTON ST, RICHMOND, TX, 77469

(281) 342-2801

56 licensed beds

CMS rates Paradigm At the Brazos 5 out of 5 overall. Federal inspectors issued 11 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

2127 Preston St

Richmond, TX 77469

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675420

Care type

Nursing home

County

Fort Bend

Facility name

Paradigm At the Brazos

Street address

2127 PRESTON ST

City / state / ZIP

Richmond, TX 77469

Phone

(281) 342-2801

About this facility — Paradigm At the Brazos

Paradigm At the Brazos is a Medicare/Medicaid-certified skilled nursing facility in Richmond, Texas. It is licensed for 56 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 75 senior care facilities in Richmond and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Paradigm Healthcare, a group of 17 facilities on this site.

Federal inspectors have cited Paradigm At the Brazos 11 times across 7 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. 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 November 6, 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 - Corporation

Registered owners & officers

Oakbend Medical Center

Direct owner — 100% stake — since 2015

Beard, Barry

Director — since 2012

Brazos Nursing & Rehabiliation

Operational control — since 2022

Freudenberger, Joseph

Managing employee · Officer — since 2007

Shkop, Aharon

Operational control — since 2022

Ssc Richmond Operating Company Llc

Operational control — since 2015

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

1994-08-30

CMS overall rating

5 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-08-01

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$249 per day (≈ $7,570/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

89% Medicaid · 4% Medicare · 6% private/other

Occupancy

70% (fiscal year 2023)

Vs. state median

10% 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 2026-11-06. 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 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-08-01Health inspection2 citations

F-0609

D · No harm found

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

Corrected 2025-08-22

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 2025-08-22

2023-11-30Health inspectionComplaint-triggered2 citations

F-0914

D · No harm foundFrom a complaint

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected 2023-12-21

F-0921

D · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-12-21

4 earlier / fire-safety inspections (7 citations)

2023-06-01Health inspection2 citations

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 2023-06-21

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-06-21

2025-08-01Fire-safety inspection2 citations

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-22

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-08-22

2024-08-22Fire-safety inspection1 citation

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-21

2023-06-01Fire-safety inspection2 citations

K-0374

E · No harm found

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

Corrected 2023-06-15

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-06-15

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 675420.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

Among the fewest of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 57% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

32%

Higher than 9% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 11 and worse on 1. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	15.8%	15.8%	13.5%	Near state average
Lose too much weight	2.5%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.8%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	12.8%	12.9%	12.7%	Near state average
Received an antianxiety or hypnotic medication	19.2%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	97.3%	97.0%	95.3%	Near state average
With pressure ulcers	0.9%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	7.0%	12.5%	18.3%	Better than state
Received an antipsychotic medication	16.0%	9.8%	15.4%	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	94.9%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.6%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	90.8%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	12.0%	25.5%	23.4%	Better than state
Had an outpatient emergency department visit	8.7%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

K-0521 2 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

What its owners also hold

Oakbend Medical Center has an ownership stake on file at 32 nursing homes, averaging 2.4 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Oakbend Medical Center, about 0.8 miles. CMS rating 3 of 5.
Memorial Hermann Sugar Land Hospital, about 5.8 miles. CMS rating 4 of 5.
St Luke's Sugar Land Hospital, about 9.8 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Oakbend Medical Center, Rosenberg, about 0.8 miles. CMS rating 4 of 5.
Richmond Health Care Center, Richmond, about 1.1 miles. CMS rating 2 of 5.
Cambridge Health and Rehabilitation Center, Richmond, about 2.0 miles. CMS rating 3 of 5.
Rosenberg Health & Rehabilitation Center, Rosenberg, about 2.2 miles. CMS rating 1 of 5.
Fort Bend Healthcare Center, Rosenberg, about 4.0 miles. CMS rating 2 of 5.

Inside your report

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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 11 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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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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