Paradigm at the Creek
Nursing Home · Wharton, TX
CMS certification number455699
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1405 Valhalla DRWharton, TX 77488
Wharton County
- Phone
- (979) 532-1244
- ZIP code
- 77488 – all care providers
Facility details
- Certified beds
- 120
- Residents per day
- 56.0 (47% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities, avg 1.9★)
- Medicare certified since
- April 23, 1987
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.23 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.35 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.76 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.12 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.75 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 58.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- 71.4 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- May 23, 2025
- Health deficiencies (last cycle)
- 18.0 (state 9.3 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 44 health · 5 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-01 | 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 |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-07-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-07-01 | 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 |
Deficient, Provider has no plan of correction |
| 2026-07-01 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Deficient, Provider has no plan of correction |
| 2026-05-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-06 |
| 2026-05-22 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-25 |
| 2026-05-06 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-01 |
| 2025-08-04 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2025-08-08 |
| 2025-05-23 | 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 2025-05-30 |
| 2025-05-23 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | 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 2025-05-30 |
| 2025-05-23 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-23 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-30 |
| 2025-05-16 | 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 · complaint inspection |
G Actual harm |
Corrected 2025-05-23 |
| 2024-09-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-10-18 |
| 2024-09-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-10-18 |
| 2024-09-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-10-18 |
| 2024-05-28 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-07 |
| 2024-05-08 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-05-22 |
| 2024-05-08 | Have a Compliance and Ethics Program. F0895 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-05-08 | Provide training in compliance and ethics. F0946 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-05-08 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-05-08 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-05-08 | 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 2024-05-22 |
| 2024-05-08 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. F0776 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-05-08 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-22 |
| 2024-03-28 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-28 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-28 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-28 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2024-03-28 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-08 |
| 2023-08-09 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-18 |
| 2023-02-07 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-02-24 |
| 2023-02-07 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-02-24 |
| 2023-02-07 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-02-24 |
| 2023-02-07 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-02-24 |
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
4 penalties in the last three years, including $52,034 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-08-04 | Fine | $8,191 |
| 2025-05-16 | Fine | $8,402 |
| 2024-09-30 | Fine | $20,719 |
| 2024-05-08 | Fine | $14,722 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Oakbend Medical Center (organization) | 5%+ Direct Ownership Interest · 100% | |
| Freudenberger, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| Southwest LTC Wharton LTD (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Wharton Nursing & Rehabilitation LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Paradigm at the Creek?
Paradigm at the Creek has a 1-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 the Creek have?
It has 120 certified beds and cares for about 56 residents per day.
Has Paradigm at the Creek been fined?
Yes. CMS lists 4 penalties totaling $52,034 in the last three years.
Who owns Paradigm at the Creek?
It is part of Paradigm Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Paradigm at the Creek?
(979) 532-1244. The facility is located at 1405 Valhalla DR, Wharton, TX 77488.
Other nursing homes in Wharton
-
Wharton Nursing and Rehabilitation Center
Nursing Home · Wharton, TX · 120 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.