Wharton, TX

Paradigm at the Creek

1-star overall rating with 1-star inspections with $48,176 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1405 Valhalla Dr, Wharton, TX

(979) 532-1244

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Paradigm Healthcare

Operator or chain grouping

Approved since

1987-04-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.16

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.45

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.48

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

70%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,043

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

0.56

Performance 7.67% · Measure score 0.56 · Achievement 0.56 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

4.80

Performance 44.07% · Measure score 4.80 · Achievement 4.80 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.13

Baseline 2.50 hours · Performance 3.04 hours · Measure score 1.13 · Achievement 0 · Improvement 1.13

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.81%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 6.85%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.58	1.02 0.6 pts worse
Drug regimen review with follow-up	95.24%	95.27% About the same	Numerator 40 · Denominator 42
Falls with major injury	4.76%	0.77% 4 pts worse	Numerator 2 · Denominator 42
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	2.38%	2.29% 0.1 pts worse	Numerator 1 · Denominator 42 · Adjusted rate 1.9%
Healthcare-associated infections requiring hospitalization	7.67%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 10% · Lower 95% interval 4.03%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 110
Staff flu vaccination coverage	80%	42% 38 pts better	Numerator 80 · Denominator 100
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 22 · Denominator 22
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	23.81%	25.2% 1.4 pts worse	Numerator 5 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	2.1 0.6 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.8 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.1 0.4 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	97.9% 0.7 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	6.0%	3.3% 2.7 pts worse	3.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 7.6% · Q3 4.9% · Q4 1.9% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	2.7% 2.2 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	4.6%	3.3% 1.3 pts worse	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 6.2% · Q3 3.5% · Q4 3.9% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.5%	18.9% 6.6 pts worse	19.6% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 29.2% · Q3 18.3% · Q4 19.6% · 4Q avg 25.5%
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	5.8%	15.4% 9.6 pts better	16.3% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 3.7% · Q3 3.1% · Q4 0.0% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.6%	16.1% 10.5 pts better	14.9% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 0.0% · Q3 5.8% · Q4 2.0% · 4Q avg 5.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.3%	15.0% 2.7 pts better	19.8% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 17.0% · Q3 7.7% · Q4 8.7% · 4Q avg 12.3%
Percentage of long-stay residents with pressure ulcers	6.2%	4.2% 2 pts worse	5.1% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 5.5% · Q3 6.2% · Q4 9.3% · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.7% 10.3 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	11.2%	12.0% 0.8 pts better	12.0% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 13.8% · Expected 13.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	1.5% 0.4 pts worse	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.1%	88.0% 6.1 pts better	79.7% 14.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	37.6%	25.9% 11.7 pts worse	23.9% 13.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 37.6% · Observed 37.9% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-28 · Fire 2024-03-28

7 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-02-07 · Fire 2023-02-07

17 health deficiencies

Top issue: Administration (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2021-11-10 · Fire 2021-11-10

11 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-03-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-08

E · Potential for more than minimal harm 2024-03-28

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-08

E · Potential for more than minimal harm 2023-02-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-02-24

E · Potential for more than minimal harm 2021-11-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-11-11

E · Potential for more than minimal harm 2021-11-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-11-11

Inspection history

Recent health citations

K · Immediate jeopardy 2025-08-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-08

G · Actual harm 2025-05-16

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-23

J · Immediate jeopardy 2024-09-30

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-10-18

J · Immediate jeopardy 2024-09-30

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-30

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-10-18

J · Immediate jeopardy 2024-05-28

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-06-07

G · Actual harm 2024-05-08

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-22

F · Potential for more than minimal harm 2024-05-08

F895 · Administration Deficiencies

Health

Have a Compliance and Ethics Program.

Corrected 2024-05-22

F · Potential for more than minimal harm 2024-05-08

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-05-08

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-05-08

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-05-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-05-08

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-05-08

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-05-22

E · Potential for more than minimal harm 2024-03-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-04-08

E · Potential for more than minimal harm 2024-03-28

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-28

F690 · Quality of Life and Care Deficiencies

Health

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 2024-04-08

D · Potential for more than minimal harm 2024-03-28

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-04-08

D · Potential for more than minimal harm 2023-08-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-18

E · Potential for more than minimal harm 2023-02-07

F761 · Pharmacy Service Deficiencies

Health

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 2023-02-24

E · Potential for more than minimal harm 2023-02-07

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-02-07

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-02-07

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-02-24

F · Potential for more than minimal harm 2021-11-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-11-17

E · Potential for more than minimal harm 2021-11-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-11-17