Paradigm at the Brazos
2127 Preston St., Richmond, TX 77469 · Fort Bend County · (281) 342-2801
56 certified beds, about 41 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675420 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 1, 2025, inspectors cited 2 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 6 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.19 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
21.4% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Paradigm Healthcare, an affiliated group of 17 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.
August 1, 2025Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation and sanitation. -The facility failed to seal, label the contents of the packages and date when food items were opened in the refrigerator and dry storage. -The facility failed to discard expired cooked food from the walk-in refrigerator.-The facility failed remove a scoop in the flour container. These failures could place residents who received meals and/or snacks from the kitchen at risk for food-borne illness and food contamination if consumed.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on the interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately but no later than 2 hours after the allegation was made, for 1 of 5 residents (CR#1), reviewed for freedom from abuse in that: The facility failed to report to Health and Human Services suspected alleged abuse on CR#1. This failure could put the residents at risk of abuse, allegations of abuse not being reported immediately, and could result in physical and psychosocial harm.
August 22, 2024Standard inspection · 0 citations
November 30, 2023Complaint inspection · 2 citations
- D Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspectors wroteBased on observation, interview, and record review, the facility failed to be designed or equipped to assure full visual privacy for 1 (room [ROOM NUMBER]) of 6 residents' rooms reviewed for visual privacy. -The facility failed to provide a complete window covering to ensure Resident #1's full visual privacy. This failure could have placed residents at risk of exposure while care was being provided.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 1 (B Hall) of 3 halls reviewed for environment. -The facility failed to ensure the B Hall did not have a strong odor of urine. This failure could place residents at risk for a diminished quality of life.
June 1, 2023Standard inspection · 2 citations
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an effective pest control program to keep the facility free of pest for the mini storage area in the kitchen. The facility failed to treat the facility gnats. This failure could affect all 38 residents by placing them at risk for the potential spread of infection, cross-contamination, food-borne illness, and decreased quality of life.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 1 resident (Resident #12) of 6 residents observed and reviewed for medication administration. -MA A dispensed five medications for Resident #12 and presented them to the resident for administration. Resident #12 had already received the medications. -LVN B had administered Resident #12's medications earlier but did not document in the MAR. The failures placed residents at risk for overmedication and the complications related to overmedication.
Fire safety inspections
5 fire safety citations on file: 2 on August 1, 2025, 1 on August 22, 2024, 2 on June 1, 2023.
Every fire safety citation5 citations
- F Have properly installed electrical wiring and gas equipment.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- C Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.19 | 3.39 | 3.86 |
| Registered nurses | 0.57 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.70 | 2.98 | 3.42 |
| Nurse aides | 1.75 | ||
| Licensed practical nurses | 0.87 | ||
| Nursing staff turnover (share who left in a year) | 21.4% | 55.3% | 45.8% |
| Registered nurse turnover | 28.6% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.39 on weekdays and 2.70 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.99 in April to June 2025 to 3.19 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.19 | 0.57 | 3.39 | 2.70 | 0.0% | 0 of 90 | 41 |
| Oct to Dec 2025 | 3.19 | 0.52 | 3.42 | 2.60 | 0.0% | 0 of 92 | 40 |
| Jul to Sep 2025 | 3.15 | 0.59 | 3.31 | 2.77 | 0.0% | 0 of 92 | 41 |
| Apr to Jun 2025 | 2.99 | 0.66 | 3.21 | 2.45 | 0.0% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.2 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.0 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.0 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.1 | 12.3 | 12.0 |
Owners and operators
Legal business name: OAKBEND MEDICAL CENTER. CMS links this home to Paradigm Healthcare, a group of 17 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Oakbend Medical Center | 5% or greater direct ownership interest | Organization | 100% | 06/01/2015 |
| Freudenberger, Joseph | W-2 managing employee | Individual | 06/19/2007 | |
| Beard, Barry | Corporate director | Individual | 01/01/2012 | |
| Freudenberger, Joseph | Corporate officer | Individual | 06/19/2007 | |
| Brazos Nursing & Rehabiliation | Operational/managerial control | Organization | 10/01/2022 | |
| Ssc Richmond Operating Company LLC | Operational/managerial control | Organization | 06/01/2015 | |
| Shkop, Aharon | Operational/managerial control | Individual | 10/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 3 problems in this area, most recently on November 30, 2023: "Provide bedrooms that don't allow residents to see each other when privacy is needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 1, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 1, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 1, 2023: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Texas average of 2.98.
Other nursing homes nearby
- Oakbend Medical Center Rosenberg, 0.8 mi · 4 of 5 stars · 7 citations
- Richmond Health Care Center Richmond, 1.1 mi · 4 of 5 stars · 23 citations
- Cambridge Health and Rehabilitation Center Richmond, 2 mi · 2 of 5 stars · 31 citations
- Rosenberg Health & Rehabilitation Center Rosenberg, 2.2 mi · 1 of 5 stars · 29 citations
- Fort Bend Healthcare Center Rosenberg, 4 mi · 3 of 5 stars · 15 citations
- Ignite Medical Resort Sugar Land, LLC Sugar Land, 8.3 mi · 1 of 5 stars · 14 citations
- The Crescent Sugar Land, 8.7 mi · 1 of 5 stars · 43 citations
- Sugar Land Health Care Center Sugar Land, 9 mi · 4 of 5 stars · 14 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Paradigm at the Brazos's Medicare star rating?
- CMS rates Paradigm at the Brazos 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Paradigm at the Brazos get at its last inspection?
- 2 health deficiencies at the standard inspection on August 1, 2025. The Texas average is 9.4.
- Has Paradigm at the Brazos been fined?
- CMS lists no fines in the last three years.
- Does Paradigm at the Brazos accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Paradigm at the Brazos?
- CMS lists 7 owners and managers, and links the home to Paradigm Healthcare. Legal business name: OAKBEND MEDICAL CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.