Paradigm at Sweeny
Nursing Home · Sweeny, TX
CMS certification number675344
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
109 N McKinneySweeny, TX 77480
Brazoria County
- Phone
- (979) 548-3383
- ZIP code
- 77480 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 60.4 (67% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities, avg 1.9★)
- Medicare certified since
- May 31, 1994
- 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
- 2.89 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.63 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.45 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.80 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.43 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 75.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 69.2 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- July 4, 2025
- Health deficiencies (last cycle)
- 8.0 (state 9.3 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 22 health · 8 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Deficient, Provider has no plan of correction |
| 2026-05-11 | 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 2026-06-05 |
| 2026-05-11 | 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 2026-06-05 |
| 2025-07-04 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2025-07-22 |
| 2025-07-04 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2025-07-22 |
| 2025-07-04 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2025-07-22 |
| 2025-07-04 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-22 |
| 2025-07-04 | 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 2025-07-22 |
| 2025-07-04 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-07-22 |
| 2024-06-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-11 |
| 2024-06-04 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-11 |
| 2024-06-04 | 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 2024-06-11 |
| 2024-03-21 | 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 2024-03-29 |
| 2024-03-21 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-03-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-03-21 | 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 2024-03-29 |
| 2024-03-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-29 |
| 2024-03-08 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-16 |
| 2023-12-14 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-01-05 |
| 2023-02-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-02-12 |
| 2023-02-02 | 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 2023-02-12 |
| 2023-02-02 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-02-12 |
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
2 penalties in the last three years, including $50,189 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-07-01 | Fine | $38,284 |
| 2025-07-04 | Fine | $11,905 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Oakbend Medical Center (organization) | 5%+ Direct Ownership Interest · 100% | |
| Freudenberger, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| Sweeny 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 Sweeny?
Paradigm at Sweeny 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 Sweeny have?
It has 90 certified beds and cares for about 60 residents per day.
Has Paradigm at Sweeny been fined?
Yes. CMS lists 2 penalties totaling $50,189 in the last three years.
Who owns Paradigm at Sweeny?
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 Sweeny?
(979) 548-3383. The facility is located at 109 N McKinney, Sweeny, TX 77480.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.