Home›Browse›Texas›Wharton›Paradigm At the Creek

Nursing homeFAID #12159

Paradigm At the Creek

1405 VALHALLA DR, WHARTON, TX, 77488

(979) 532-1244

www.paradigmatthecreek.com

120 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Photo via Google · Paradigm at The Creek

Address

1405 Valhalla Dr

Wharton, TX 77488

Get directions

Map facilities in this area

All facilities in Wharton

Public record summary

What we can show you for free.

Bed capacity

120

CMS facility ID

455699

Care type

Nursing home

County

Wharton

Facility name

Paradigm At the Creek

Street address

1405 VALHALLA DR

City / state / ZIP

Wharton, TX 77488

Phone

(979) 532-1244

Website

www.paradigmatthecreek.com

About this facility — Paradigm At the Creek

Paradigm At the Creek is a Medicare/Medicaid-certified skilled nursing facility in Wharton, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 6 senior care facilities in Wharton 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 the Creek 49 times across 16 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $52,034 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 2017

Freudenberger, Joseph

Managing employee · Officer — since 2017

Southwest Ltc Wharton Ltd

Operational control — since 2017

Wharton Nursing & Rehabilitation Llc

Operational control — since 2021

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

1987-04-23

CMS overall rating

1 of 5 stars

Health deficiencies

18 at the last standard inspection

Federal fines

$52,034 total

Last standard inspection

2025-05-23

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$213 per day (≈ $6,480/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

72% Medicaid · 12% Medicare · 17% private/other

Occupancy

61% (fiscal year 2023)

Vs. state median

23% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · 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 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered4 citations

F-0609

D · No harm foundFrom a complaint

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

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

F-0656

E · No harm foundFrom a complaint

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

F-0760

E · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

2026-05-22Health inspectionComplaint-triggered2 citations

F-0600

G · Actual harmFrom a complaint

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

Corrected 2026-03-06

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2026-05-25

13 earlier / fire-safety inspections (43 citations)

2026-05-06Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2026-06-01

2025-08-04Health inspectionComplaint-triggered1 citation

F-0656

K · Immediate jeopardyFrom a complaint

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

Corrected 2025-08-08

2025-05-23Health inspection12 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-30

F-0584

E · No harm found

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.

Corrected 2025-05-30

F-0640

D · No harm found

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-05-30

F-0686

E · No harm found

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

Corrected 2025-05-30

F-0690

D · No harm found

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 2025-05-30

F-0693

D · No harm found

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.

Corrected 2025-05-30

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 2025-05-30

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-30

F-0812

F · 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 2025-05-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-05-30

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-05-30

F-0921

E · No harm found

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

Corrected 2025-05-30

2025-05-16Health inspectionComplaint-triggered1 citation

F-0689

G · Actual harmFrom a complaint

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

Corrected 2025-05-23

2024-09-30Health inspectionComplaint-triggered3 citations

F-0600

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-10-18

F-0641

E · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-10-18

F-0725

J · Immediate jeopardyFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-18

2024-05-28Health inspectionComplaint-triggered1 citation

F-0678

J · Immediate jeopardyFrom a complaint

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-06-07

2024-05-08Health inspectionComplaint-triggered8 citations

F-0553

D · No harm foundFrom a complaint

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-05-22

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-05-22

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-05-22

F-0697

G · Actual harmFrom a complaint

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-22

F-0776

D · No harm foundFrom a complaint

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-05-22

F-0835

D · No harm foundFrom a complaint

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-05-22

F-0895

F · No harm foundFrom a complaint

Have a Compliance and Ethics Program.

Corrected 2024-05-22

F-0946

F · No harm foundFrom a complaint

Provide training in compliance and ethics.

Corrected 2024-05-22

2024-03-28Health inspectionComplaint-triggered6 citations

F-0656

E · No harm foundFrom a complaint

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

Corrected 2024-04-08

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-08

F-0686

D · No harm found

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

Corrected 2024-04-08

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 2024-04-08

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-08

F-0814

D · No harm foundFood safetyFrom a complaint

Dispose of garbage and refuse properly.

Corrected 2024-04-08

2023-08-09Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2023-08-18

2023-02-07Health inspection4 citations

F-0578

D · No harm found

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.

Corrected 2023-02-24

F-0761

E · No harm found

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.

Corrected 2023-02-24

F-0805

E · No harm foundFood safety

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-02-24

F-0881

E · No harm found

Implement a program that monitors antibiotic use.

Corrected 2023-02-24

2025-05-23Fire-safety inspection2 citations

K-0342

F · No harm found

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

Corrected 2025-07-07

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-05-30

2024-03-28Fire-safety inspection2 citations

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-08

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-08

2023-02-07Fire-safety inspection1 citation

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-02-24

Federal penalties

2025-08-04Fine$8,191

2025-05-16Fine$8,402

2024-09-30Fine$20,719

2024-05-08Fine$14,722

Total fines$52,034

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 455699.

Visitor reviews

What people say on Google.

4.517 ratings on Google

★★★★★Cheyenne Herrera · 2026-04-11 · via Google
“This building has really seen a significantly great difference since the new administrator and DON have taken over. The care that has been shown through their leadership seems to have set a foundation of the care the residents are receiving. Overall the building feels warmer, more welcoming and a great home for long term care. I believe this is coming from the great leaders and staff who are worki…”

★★★★★Mi'Karian Holmes · 2026-04-07 · via Google
“This facility has taken on a completely different edge more disciplined, more focused, and built on a strong sense of order and respect. The atmosphere feels secure and well-run, and you can tell the team is locked in, working side by side with a clear mission: deliver better results and make every patient’s stay count.”

★★★★★daa1818 · 2026-04-24 · via Google
“This building seems to have changed for the better on the most recent months, this is a building I'd trust to care for my loved ones and myself when it comes time. Great leadership seems to be what pours into the overall care from the staff.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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

Locked

The 49 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

Unlock the full file

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

$79 $99 Advanced

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

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

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