Paradigm At The Creek has received an F grade based on CMS data, with a score of 1/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Wharton facility should carefully review its inspection history and quality metrics.
Staffing at Paradigm At The Creek is near the national average, with 3.45 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 35 deficiencies at Paradigm At The Creek, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.45 | 3.8 | Average |
| Registered Nurses (RN) | 0.42 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.16 | 2.4 | Average |
| Weekend Total Nursing | 3.09 | 3.8 | Below Average |
| Weekend RN Hours | 0.34 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0656 Severity KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Aug 3, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 29, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0725 Severity JProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Sep 29, 2024 · Nursing and Physician Services Deficiencies
- Tag 0641 Severity EEnsure each resident receives an accurate assessment.Sep 29, 2024 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.2% | 4.5% | Worse |
| Falls with major injury | 6.0% | 3.0% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 5.6% | 14.0% | Better |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 12.3% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $48,176
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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