Quick answers
- Where is Paradigm at Sweeny?
- 109 N McKinney, Sweeny, TX 77480, in Brazoria County, Texas.
- What is the phone number of Paradigm at Sweeny?
- (979) 548-3383, as listed by Medicare (CMS).
- What is the Medicare star rating of Paradigm at Sweeny?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Paradigm at Sweeny been fined?
- Medicare lists 2 fines totaling $50,189.
- What did inspectors find at Paradigm at Sweeny?
- In its last three inspection cycles (February 2, 2023 to July 1, 2026), Medicare lists 22 health citations; the most serious was level K. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 2, 2023 to July 1, 2026), Paradigm at Sweeny had 22 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $50,189 in total (2 fines, the latest on July 1, 2026). Nurse staffing is 3.18 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 4, 2025 — 9 health citations
Inspections in this cycle: July 4, 2025 (standard health inspection); May 11, 2026 (complaint investigation); July 1, 2026 (complaint investigation).
F0600 Level K
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0656 Level K
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
immediate jeopardy to resident health or safety; pattern (some residents) · Resident Assessment and Care Planning Deficiencies
F0686 Level J
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0582 Level E
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
Previous cycle: March 21, 2024 — 5 health citations
Inspections in this cycle: March 21, 2024 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: February 2, 2023 — 8 health citations
Inspections in this cycle: February 2, 2023 (standard health inspection); December 14, 2023 (complaint investigation); March 8, 2024 (complaint investigation); March 21, 2024 (complaint investigation); June 4, 2024 (complaint investigation).
F0580 Level G
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
Show 7 less serious citations (levels A to F)
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0692 Level E
“Provide enough food/fluids to maintain a resident's health.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0342 Level D
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
Fines and payment denials
Total fines over about the last three years: $50,189 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 1, 2026 | Fine | $38,284 |
| July 4, 2025 | Fine | $11,905 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.38 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.12 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.18 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.65 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.30 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 80.8% | 50.8% | 45.3% |
| RN turnover (per year) | 77.8% | 49.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 17 nursing homes: Paradigm Healthcare.
Legal business name: Oakbend Medical Center.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center | Direct owner | 100% | October 1, 2022 |
| Sweeny Nursing & Rehabilitation LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2022 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 59.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Paradigm Healthcare |
| Legal business name | Oakbend Medical Center |
| First approved by Medicare/Medicaid | 1994-05-31 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 109 N McKinney, Sweeny, TX 77480 |
| County | Brazoria County |
| State | Texas |
| Phone | (979) 548‑3383 |
| CMS Certification Number | 675344 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Oak Village Healthcare14 mi · Lake Jackson, TX · 4 of 5 stars
- Brazos Healthcare Center16 mi · Lake Jackson, TX · 3 of 5 stars
- Country Village Care17 mi · Angleton, TX · 2 of 5 stars
- Paradigm at Bay City17 mi · Bay City, TX · 4 of 5 stars
- Creekside Village18 mi · Richwood, TX · 4 of 5 stars
Nearest hospital emergency rooms
- Sweeny Community Hospital0.2 mi · Sweeny, TX · Critical Access Hospital
- CHI St. Luke's Health Brazosport14 mi · Lake Jackson, TX · Acute Care Hospital
- UTMB Health Angleton Danbury Campus Hospital20 mi · Angleton, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13