Deficiency Index

Paradigm at the Brazos

Richmond, Texas · CCN 675420

23 surveys since 2011, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
93
Surveys
23
Harm or worse
2
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file20/23

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
56
Ownership
For profit - Corporation
Chain
PARADIGM HEALTHCARE
County
Fort Bend
Medicare-certified since
1994

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=8, floor 20).

Last survey on record

Aug 1, 2025

465 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.193.40
Registered-nurse hours per resident day0.57—
Annual nurse turnover21.4%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD466.7%E233.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 6 of the 93 citations on record.

In the surveyor’s words

From the most serious findings on record at Paradigm at the Brazos, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Aug 1, 2025

    Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for storage, preparation and sanitation. -The facility failed to seal, label the contents of the packages and date when food items were opened in the refrigerator and dry storage. -The facility failed to discard expired cooked food from the walk-in refrigerator.-The facility failed remove a scoop in the flour container. These failures could place residents who received meals and/or snacks from the kitchen at risk for food-borne illness and food contamination if consumed. […]

  • No harm, potential for more than minimal, patternF925Jun 1, 2023

    Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to keep the facility free of pest for the mini storage area in the kitchen. The facility failed to treat the facility gnats. This failure could affect all 38 residents by placing them at risk for the potential spread of infection, cross-contamination, food-borne illness, and decreased quality of life. Findings included: Observation on 5/30/23 at 8:39am revealed a group of gnats in the mini storage area of the kitchen flying around the wall. Inside of the mini storage area were dry seasoning, four pack of open napkins and 1 gallon of white distilled vinegar not completely sealed. Observation on 5/30/23 at 8:52am revealed gnats around the dirty vent area of the ceiling. […]

  • No harm, potential for more than minimal, isolatedF609Aug 1, 2025

    Based on the interview and record review, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately but no later than 2 hours after the allegation was made, for 1 of 5 residents (CR#1), reviewed for freedom from abuse in that: The facility failed to report to Health and Human Services suspected alleged abuse on CR#1.This failure could put the residents at risk of abuse, allegations of abuse not being reported immediately, and could result in physical and psychosocial harm. The findings included. Record review of provider investigation report revealed the following:Date and Time of the Incident: [DATE] at 6:00 PMDate facility first learned of Incident. […]

  • No harm, potential for more than minimal, isolatedF914Nov 30, 2023

    Based on observation, interview, and record review, the facility failed to be designed or equipped to assure full visual privacy for 1 (room [ROOM NUMBER]) of 6 residents' rooms reviewed for visual privacy. -The facility failed to provide a complete window covering to ensure Resident #1's full visual privacy. This failure could have placed residents at risk of exposure while care was being provided. The findings included: Record review of Resident #1's Admission Record, dated 11/29/2023, revealed a [AGE] year-old male who was admitted to the facility on [DATE]. […]

  • No harm, potential for more than minimal, isolatedF921Nov 30, 2023

    Based on observation, interview and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 1 (B Hall) of 3 halls reviewed for environment. -The facility failed to ensure the B Hall did not have a strong odor of urine. This failure could place residents at risk for a diminished quality of life. The findings included: Observation on 11/29/2023 at 10:10 a.m., revealed a strong odor of urine in B Hall. Observation on 11/29/2023 at 10:29 a.m., revealed a strong odor of urine in room B-12. In the corner of the room and along the side of the wall where the window was located, the floor was stained a medium to yellowish-brownish color. […]

Read 22 findings in full →The most serious and the most recent: 22 of 93 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 1, 2025Standard2 findings
  • Nov 30, 2023Complaint2 findings
  • Jun 1, 2023Standard2 findings
  • Apr 14, 2022Standard1 finding
  • Oct 7, 2021Complaint1 finding
  • May 19, 2020Complaint1 finding
  • Nov 21, 2019Standard and complaint7 findings
  • Dec 13, 2018Standard6 findings
Show the 15 earlier surveys
  • Jan 26, 2018Standard6 findings
  • Jan 6, 2017Standard and complaint12 findings
  • Jul 7, 2016Complaint1 finding
  • Jun 1, 2016Complaint1 finding
  • Feb 11, 2016Standard4 findings
  • Nov 18, 2015Complaint2 findings
  • Feb 5, 2015Standard and complaint9 findings
  • Sep 12, 2014Complaint3 findings
  • Aug 23, 2014Complaint1 finding
  • Apr 23, 2014Standard1 finding
  • Jan 23, 2014Standard15 findings · 2 harm
  • Dec 11, 2013—1 finding
  • Jan 9, 2013—6 findings
  • Jan 5, 2012—5 findings
  • Jan 6, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction