Paradigm at Stevens

CMS star ratings

Overall★★★★★ 2/5

State avg 2.6

Health inspections★★★★★ 3/5

State avg 2.8

Staffing★★★★★ 1/5

State avg 1.9

Quality measures★★★★★ 4/5

State avg 3.7

Long-stay quality★★★★★ 4/5

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.37 (state 3.39 · U.S. 3.86)
Registered nurses (RN): 0.39 (state 0.43 · U.S. 0.69)
Licensed practical nurses: 1.19 (state 0.95 · U.S. 0.86)
Nurse aides: 1.79 (state 2.00 · U.S. 2.32)
Weekend total: 3.10 (state 2.98 · U.S. 3.42)
Nursing staff turnover: 46.2 (state 55.3 · U.S. 45.8)%
RN turnover: —
Administrators who left: 1 in the last year

Inspections

Last standard inspection: May 15, 2026
Health deficiencies (last cycle): 7.0 (state 9.3 · U.S. 9.3)
From complaints: 3
Citations on record (3 years): 38 health · 16 fire safety

Date	Citation	Severity	Status
2026-05-15	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-15
2026-05-15	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-15
2026-05-15	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-15
2026-05-15	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-15
2025-12-31	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-01-15
2025-09-06	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. F0584 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-08
2025-09-06	Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-09-08
2025-03-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-03-07	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-04-07
2025-01-17	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-01-18
2024-05-30	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-06-20
2024-05-30	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-06-20
2024-05-30	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-06-20
2024-05-25	Prepare residents for a safe transfer or discharge from the nursing home. F0624 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-06-20
2024-03-27	Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-08
2024-03-27	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-04-08
2024-01-26	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2024-02-23
2024-01-26	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-02-23
2024-01-26	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-02-23
2024-01-26	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2024-02-23
2024-01-26	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-02-23
2024-01-26	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2024-02-23

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
Dewitt Nursing & Rehabilitation LLC (organization)	Operational/managerial Control · NOT APPLICABLE
Shkop, Aharon (individual)	Operational/managerial Control · NOT APPLICABLE
Freudenberger, Joseph (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Paradigm at Stevens?

Paradigm at Stevens has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Paradigm at Stevens have?

It has 106 certified beds and cares for about 38 residents per day.

Has Paradigm at Stevens been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Paradigm at Stevens?

(361) 293-3544. The facility is located at 204 Walter St, Yoakum, TX 77995.

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Contact & location

Facility details