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Nursing homeFAID #14448

Paradigm At the Prairies

106 DEL NORTE DR., EL CAMPO, TX, 77437
(979) 543-6762
150 licensed beds

CMS rates Paradigm At the Prairies 1 out of 5 overall. Federal inspectors issued 55 citations across 18 inspections in the last three years, with $53,583 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
150
CMS facility ID
676040
Care type
Nursing home
County
Wharton
Facility name
Paradigm At the Prairies
Street address
106 DEL NORTE DR.
City / state / ZIP
El Campo, TX 77437
Phone
(979) 543-6762

Paradigm At the Prairies is a Medicare/Medicaid-certified skilled nursing facility in El Campo, Texas. It is licensed for 150 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in El Campo 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 Prairies 55 times across 18 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $53,583 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.

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 2024
El Campo Nursing & Rehabilitation Llc
Operational control — since 2024
Freudenberger, Joseph
Officer — since 2024
Shkop, Aharon
Operational control — since 2024

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
2004-09-15
CMS overall rating
1 of 5 stars
Health deficiencies
23 at the last standard inspection
Federal fines
$53,583 total
Last standard inspection
2026-07-09
Nurse staffing
2.7 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)
72% Medicaid · 10% Medicare · 18% 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
150
Medicare
Accepted
Medicaid
Accepted
Visiting hours
Daily 9:00 AM – 5:00 PM
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 2026-11-06. Facilities can submit a correction.
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.
2026-08-20Health inspectionComplaint-triggered1 citation
F-0693
G · Actual harmFrom a complaint
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 2026-09-18
2026-07-21Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom 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 2026-08-20
14 earlier / fire-safety inspections (53 citations)
2026-07-09Health inspection5 citations
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 2026-08-07
F-0656
E · 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 2026-08-07
F-0761
D · 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 2026-08-07
F-0812
C · 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 2026-08-07
F-0921
C · 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 2026-08-07
2026-06-02Health inspectionComplaint-triggered3 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-06-30
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 2026-06-30
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 2026-06-30
2026-04-20Health inspectionComplaint-triggered3 citations
F-0561
E · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-04-22
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-04-22
F-0725
D · No harm foundFrom 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 2026-04-22
2026-03-15Health inspectionComplaint-triggered2 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 2026-04-13
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2026-04-13
2025-11-18Health inspectionComplaint-triggered9 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-12-26
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-26
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-12-26
F-0584
D · No harm foundFrom a complaint
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 2025-12-26
F-0693
D · No harm foundFrom a complaint
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 2025-12-26
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-26
F-0761
D · No harm foundFrom a complaint
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 2025-12-26
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-26
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-12-26
2025-08-30Health inspectionComplaint-triggered1 citation
F-0850
E · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2025-09-22
2025-06-27Health inspectionComplaint-triggered1 citation
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 2025-07-25
2025-04-16Health 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 2025-04-25
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-04-25
2024-02-29Health inspectionComplaint-triggered3 citations
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 2024-03-08
F-0814
D · No harm foundFood safetyFrom a complaint
Dispose of garbage and refuse properly.
Corrected 2024-03-08
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-08
2024-01-26Health inspectionComplaint-triggered1 citation
F-0577
C · No harm foundFrom a complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-02-02
2023-12-16Health inspectionComplaint-triggered1 citation
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-24
2026-07-09Fire-safety inspection10 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2026-08-07
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2026-08-07
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-08-07
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-08-07
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-08-07
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-07-08
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-08-07
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 2026-08-07
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-08-07
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-08-07
2025-04-16Fire-safety inspection6 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-04-25
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-25
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-25
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 2025-04-25
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-01
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-04-25
2024-02-29Fire-safety inspection6 citations
K-0293
E · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2024-03-06
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2024-03-09
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-06
K-0355
F · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-03-06
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-06
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-29

Federal penalties

2026-03-15Fine$16,433
2025-06-27Fine$23,753
2023-12-16Fine$13,397
2026-03-15Medicare payment denial — 8 days
Total fines$53,583
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 676040.
How it compares in Texas.
Inspection citations, 3 years
55
More than 85% of nursing homes in the state
State median: 33
Federal fines, 3 years
$53,583
More than 77% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
2.7
Higher than 6% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
46%
Higher than 37% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 9 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased11.1%15.8%13.5%Better than state
Lose too much weight3.0%2.9%5.1%Near state average
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms0.3%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.9%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened3.1%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication16.1%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers5.5%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence2.7%12.5%18.3%Better than state
Received an antipsychotic medication13.5%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.272.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.431.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine94.5%88.7%82.3%Near state average
Newly received an antipsychotic medication3.1%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine95.7%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission29.8%25.5%23.4%Worse than state
Had an outpatient emergency department visit22.8%12.2%11.8%Worse 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.

  • F-0693 2 inspections. 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.
  • F-0584 2 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-0761 2 inspections. 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.
  • F-0921 2 inspections. Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • K-0293 2 inspections. Have properly located and lighted "Exit" signs.
  • 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.
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

  • El Campo Memorial Hospital, about 1.1 miles. CMS rating 3 of 5.
  • Rice Medical Center, about 27 miles.
  • Jackson Healthcare Center, about 27 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
5.01 ratings on Google
★★★★★Srini Mud · 2026-08-12 · via Google

“Rosalyn and Lesli have been a joy to work with. They really define the passion behind patient care and the work ethic it takes. Kudos to them and the team.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
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 55 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.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
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