Paradigm At the Oak
CMS rates Paradigm At the Oak 1 out of 5 overall. Federal inspectors issued 74 citations across 17 inspections in the last three years, with $103,830 in fines. Listing last updated 2026-11-06.
Public record summary
About this facility — Paradigm At the Oak
Paradigm At the Oak is a Medicare/Medicaid-certified skilled nursing facility in Schulenburg, Texas. It is licensed for 90 beds — below the median for skilled nursing facilities in Texas (120 beds).
It is one of 2 senior care facilities in Schulenburg 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 Oak 74 times across 17 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $103,830 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 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
Inspection record
Quality of care & staffing
Cited more than once
The same rule cited at separate inspections can point to a problem that wasn't fully fixed.
- F-0584 6 inspections. 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.
- F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F-0880 3 inspections. Provide and implement an infection prevention and control program.
- F-0912 3 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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.
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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
- Lavaca Medical Center, about 15 miles. CMS rating 4 of 5.
- Columbus Community Hospital, about 22 miles. CMS rating 2 of 5.
- Ascension Seton Smithville, about 26 miles.
Nearby facilities with inspection records
- Schulenburg Regency Nursing Center, Schulenburg, about 0.7 miles. CMS rating 3 of 5.
- Parkview Manor Nursing and Rehabilitation, Weimar, about 8.5 miles. CMS rating 2 of 5.
- Flatonia Healthcare Center, Flatonia, about 12 miles. CMS rating 3 of 5.
- Monument Hill Nursing and Rehabilitation Center, La Grange, about 14 miles. CMS rating 2 of 5.
- Avir At La Grange, La Grange, about 16 miles. CMS rating 2 of 5.