Quick answers
- Where is Paradigm at the Oak?
- 507 West Ave, Schulenburg, TX 78956, in Fayette County, Texas.
- What is the phone number of Paradigm at the Oak?
- (979) 743-4150, as listed by Medicare (CMS).
- What is the Medicare star rating of Paradigm at the Oak?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Paradigm at the Oak been fined?
- Medicare lists 4 fines totaling $103,830.
- What did inspectors find at Paradigm at the Oak?
- In its last three inspection cycles (November 9, 2023 to May 28, 2026), Medicare lists 60 health citations; the most serious was level K. 8 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 (November 9, 2023 to May 28, 2026), Paradigm at the Oak had 60 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 8 of them were level G or higher (actual harm or immediate jeopardy). It was fined $103,830 in total (4 fines, the latest on February 20, 2026). Nurse staffing is 3.10 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: April 2, 2026 — 22 health citations
Inspections in this cycle: November 21, 2025 (complaint investigation); December 29, 2025 (complaint investigation); February 20, 2026 (complaint investigation); March 5, 2026 (complaint investigation); April 2, 2026 (standard health inspection); May 28, 2026 (complaint investigation).
F0600 Level J
“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; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0607 Level J
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0610 Level J
“Respond appropriately to all alleged violations.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 19 less serious citations (levels A to F)
F0925 Level F
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0577 Level E
“Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.”
F0584 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0584 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0655 Level D
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
F0912 Level C
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Previous cycle: January 28, 2025 — 29 health citations
Inspections in this cycle: November 7, 2024 (complaint investigation); January 17, 2025 (complaint investigation); January 28, 2025 (standard health inspection); March 31, 2025 (complaint investigation); June 4, 2025 (complaint investigation); July 10, 2025 (complaint investigation).
F0689 Level K
“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; pattern (some residents) · Quality of Life and Care Deficiencies
F0600 Level J
“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; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0607 Level J
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0835 Level J
“Administer the facility in a manner that enables it to use its resources effectively and efficiently.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Administration Deficiencies
F0584 Level G
“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.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
Show 24 less serious citations (levels A to F)
F0584 Level E
“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.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0584 Level E
“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.”
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.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
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.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0688 Level D
“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.”
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.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0881 Level D
“Implement a program that monitors antibiotic use.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Earlier cycle: November 9, 2023 — 9 health citations
Inspections in this cycle: November 9, 2023 (standard health inspection); June 12, 2024 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0699 Level D
“Provide care or services that was trauma informed and/or culturally competent.”
F0810 Level D
“Provide special eating equipment and utensils for residents who need them and appropriate assistance.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
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 (14)
K0901 Level F
“Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0920 Level D
“Ensure proper usage of power strips and extension cords.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
E0001 Level F
“Establish an Emergency Preparedness Program (EP).”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0521 Level B
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0521 Level B
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
Fines and payment denials
Total fines over about the last three years: $103,830 (4 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 20, 2026 | Fine | $12,653 |
| November 21, 2025 | Fine | $4,410 |
| January 17, 2025 | Fine | $16,149 |
| November 7, 2024 | Fine | $70,618 |
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 | 0.34 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.94 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.82 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.10 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.85 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 53.1% | 50.8% | 45.3% |
| RN turnover (per year) | 40.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 3.0 | 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% | January 1, 2023 |
| Schulenburg Nursing & Rehabilitation LLC | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 2023 |
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 | 54.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Paradigm Healthcare |
| Legal business name | Oakbend Medical Center |
| First approved by Medicare/Medicaid | 2003-06-05 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 507 West Ave, Schulenburg, TX 78956 |
| County | Fayette County |
| State | Texas |
| Phone | (979) 743‑4150 |
| CMS Certification Number | 675971 |
| 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).
- Schulenburg Regency Nursing Center0.7 mi · Schulenburg, TX · 3 of 5 stars
- Parkview Manor Nursing and Rehabilitation8.5 mi · Weimar, TX · 2 of 5 stars
- Flatonia Healthcare Center12 mi · Flatonia, TX · 3 of 5 stars
- Monument Hill Nursing and Rehabilitation Center14 mi · La Grange, TX · 2 of 5 stars
- Avir at La Grange16 mi · La Grange, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Lavaca Medical Center15 mi · Hallettsville, TX · Critical Access Hospital
- Columbus Community Hospital22 mi · Columbus, TX · Acute Care Hospital
- Ascension Seton Smithville26 mi · Smithville, TX · Critical Access 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