Paradigm At The Brazos is one of the top-rated nursing facilities in Richmond, Texas, earning an A grade based on CMS data. With a score of 92/100, it ranks in the top 2% of facilities statewide — a strong indicator of quality care.
With 3.15 total nurse hours per resident per day, Paradigm At The Brazos falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 6 deficiencies at Paradigm At The Brazos. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.15 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.59 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.76 | 2.4 | Below Average |
| Weekend Total Nursing | 2.77 | 3.8 | Below Average |
| Weekend RN Hours | 0.49 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 31, 2025 · Nutrition and Dietary Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jul 31, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0914 Severity DProvide bedrooms that don't allow residents to see each other when privacy is needed.Nov 29, 2023 · Environmental Deficiencies
- Tag 0921 Severity DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Nov 29, 2023 · Environmental Deficiencies
- Tag 0925 Severity EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.May 31, 2023 · Environmental 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 | 2.3% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 18.9% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 5.0% | 14.0% | Better |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 8.5% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of A is based on a score of 92 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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