Paradigm at the Oak
Nursing Home · Schulenburg, TX
CMS certification number675971
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
507 West AveSchulenburg, TX 78956
Fayette County
- Phone
- (979) 743-4150
- ZIP code
- 78956 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 52.2 (58% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities, avg 1.9★)
- Medicare certified since
- June 5, 2003
- 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
- 3.18 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.30 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.98 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.91 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.89 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 39.0 (state 55.3 · U.S. 45.8)%
- RN turnover
- 50.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- April 2, 2026
- Health deficiencies (last cycle)
- 22.0 (state 9.3 · U.S. 9.3)
- From complaints
- 14
- Citations on record (3 years)
- 60 health · 14 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-28 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-19 |
| 2026-05-28 | 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 2026-06-19 |
| 2026-04-02 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-04-02 | 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 2026-04-16 |
| 2026-04-02 | 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 2026-04-16 |
| 2026-04-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-04-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-04-02 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2026-04-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-16 |
| 2026-04-02 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2026-04-16 |
| 2026-03-05 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-02 |
| 2026-02-20 | 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 2026-02-11 |
| 2026-02-20 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-02-11 |
| 2026-02-20 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-02-11 |
| 2026-02-20 | 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 2026-02-11 |
| 2026-02-20 | 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 2026-04-02 |
| 2025-12-29 | 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 2025-12-31 |
| 2025-11-21 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-11-22 |
| 2025-11-21 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-22 |
| 2025-11-21 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-11-22 |
| 2025-11-21 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-22 |
| 2025-11-21 | 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 2025-11-22 |
| 2025-07-10 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-15 |
| 2025-07-10 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-07-15 |
| 2025-06-04 | 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 · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-05 |
| 2025-03-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-30 |
| 2025-03-31 | 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 |
Corrected 2025-04-30 |
| 2025-01-28 | 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 2025-02-28 |
| 2025-01-28 | 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 2025-02-28 |
| 2025-01-28 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | 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 2025-02-28 |
| 2025-01-28 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | 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 2025-02-28 |
| 2025-01-28 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | 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 2025-02-28 |
| 2025-01-28 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-28 | 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 2025-02-28 |
| 2025-01-28 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912 · Environmental Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-02-28 |
| 2025-01-17 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2025-01-01 |
| 2024-11-07 | 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 2024-12-06 |
| 2024-11-07 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-06 |
| 2024-11-07 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-12-06 |
| 2024-11-07 | 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 · complaint inspection |
G Actual harm |
Corrected 2024-12-06 |
| 2024-11-07 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-06 |
| 2024-11-07 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-06 |
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 $103,606 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-20 | Fine | $12,429 |
| 2025-11-21 | Fine | $4,410 |
| 2025-01-17 | Fine | $16,149 |
| 2024-11-07 | Fine | $70,618 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Oakbend Medical Center (organization) | 5%+ Direct Ownership Interest · 100% | |
| Freudenberger, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| Schulenburg Nursing & Rehabilitation LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Shkop, Aharon (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Paradigm at the Oak?
Paradigm at the Oak 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 Oak have?
It has 90 certified beds and cares for about 52 residents per day.
Has Paradigm at the Oak been fined?
Yes. CMS lists 4 penalties totaling $103,606 in the last three years.
Who owns Paradigm at the Oak?
It is part of Paradigm Healthcare and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Paradigm at the Oak?
(979) 743-4150. The facility is located at 507 West Ave, Schulenburg, TX 78956.
Other nursing homes in Schulenburg
-
Schulenburg Regency Nursing Center
Nursing Home · Schulenburg, TX · 146 beds
★★★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.