Deficiency Index

Paradigm at the Prairies

El Campo, Texas · CCN 676040

51 surveys since 2010. The first finding at harm level was recorded in 2016.

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

Citations on record
162
Surveys
51
Harm or worse
13
Immediate jeopardy
10
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy10

Findings at the most serious level CMS records.

Beyond CMS’s monthly file38/51

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

The facility

Certified beds
150
Ownership
For profit - Corporation
Chain
PARADIGM HEALTHCARE
County
Wharton · rural
Medicare-certified since
2004

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

Jul 21, 2026

111 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 day2.423.26
Registered-nurse hours per resident day0.40—
Annual nurse turnover51.4%55.3%

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

Enforcement

Fines
$53,583 across 3 penalties
Payment denials
1
Abuse icon
Flagged by CMS on Care Compare

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ38.8%K—L—
Actual harmG12.9%H—I—
No harm, potential for more than minimalD1852.9%E926.5%F—
No harm, potential for minimalA—B—C38.8%
CMS’s current file: 34 of the 162 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F5842×

    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.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6902×

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

In the surveyor’s words

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

  • Immediate jeopardy, patternF600Aug 7, 2021

    Based on observation, interview, and record review, the facility failed to ensure each resident was free from abuse and neglect for three of Nine residents (Resident #1, Resident #2, and CR#3) reviewed for abuse and neglect. The facility failed to provide adequate supervision for Resident #2 who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to provide adequate supervision for CR#3 who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . The facility failed to adequately supervise Resident #1 who had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . This failure resulted in an identification of an Immediate Jeopardy (IJ) on 08/04/21 at 11:35 AM. […]

  • Immediate jeopardy, patternF689Aug 7, 2021

    Based on observations, interviews and record reviews, the facility failed to ensure residents received adequate supervision for 3 (Resident #1, Resident #2, CR#3) of 9 residents reviewed for accident and incidents. The facility did not provide adequate supervision for Resident #2 who had a history of wandering and sexual inappropriate behaviors. Resident #2 was found in Resident #1's room sexually abusing Resident #1 The facility did not provide adequate supervision for CR#3 who had a history of sexual inappropriate behaviors. CR#3 was found sexually abusing Resident #1. The facility did not provide adequate supervision for Resident #1 who had a history of wandering. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 08/04/21 at 11:35 AM. […]

  • Immediate jeopardy, isolatedF600Mar 15, 2026

    Based on observation, interview and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property and exploitation for 2 of 8 residents (Resident #1 and #2) reviewed for abuse and neglect, in that; Resident #2 made repeated hateful remarks toward Resident #1 and struck Resident #1 with her wheelchair. Following the incident of being struck by Resident #2's wheelchair, Resident #1 reported increased right shoulder pain lasting approximately one week, exhibited tearfulness and avoidance behaviors, and remained in her room due to fear of encountering Resident #2. Resident #2 continued to be present in common areas for approximately three weeks after Resident #1 expressed fear and concern. […]

  • Immediate jeopardy, isolatedF607Mar 15, 2026

    Based on observation, interview and record review the facility failed to develop and implement written policies and procedures that to prohibited and prevented abuse, neglect, and exploitation of residents and misappropriation of resident property for 2 of 8 residents (Resident #1 and #2) reviewed for implementation of the abuse policy. The facility failed to implement its abuse policy by not investigating or reporting allegations of verbal and physical abuse to the facility's Abuse Coordinator after Resident #1 and her RP reported concerns of abuse by Resident #2 to LVN A and CNA A on the weekend of 2/21/2026. The facility failed to assess Resident #1 following the allegation of abuse in accordance with its abuse/neglect policy. […]

  • Immediate jeopardy, isolatedF684Dec 16, 2023

    Based on interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the residents' choices for 1 of 5 residents (CR# 1) reviewed for quality of care. The facility failed to immediately contact emergency services and transfer CR #1 to the hospital when she complained of pain to the head, and was on a prescribed anticoagulant medication, after an unwitnessed fall on 11/21/2023 at 9:25 pm. CR#1 was life flighted to the hospital after vomiting three times after the fall. An IJ was identified on 11/30/2023. The IJ template was provided to the facility on [DATE] at 1:59pm. […]

Read 29 findings in full →The most serious and the most recent: 29 of 162 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 20, 2026Complaint1 finding · 1 harm
  • Jul 21, 2026Complaint1 finding
  • Jul 9, 2026Standard5 findings
  • Jun 2, 2026Complaint3 findings
  • Apr 20, 2026Complaint3 findings
  • Mar 15, 2026Complaint2 findings · 2 harm
  • Nov 18, 2025Complaint9 findings
  • Aug 30, 2025Complaint1 finding
Show the 43 earlier surveys
  • Jun 27, 2025Complaint1 finding · 1 harm
  • Apr 16, 2025Standard and complaint2 findings
  • Feb 29, 2024Standard3 findings
  • Jan 26, 2024Complaint1 finding
  • Dec 16, 2023Complaint2 findings · 2 harm
  • Jan 12, 2023Standard and complaint2 findings
  • Aug 25, 2022Standard4 findings
  • Jun 29, 2022Complaint2 findings
  • Mar 17, 2022Standard and complaint8 findings
  • Sep 21, 2021Infection control1 finding
  • Aug 26, 2021Standard and complaint6 findings
  • Aug 20, 2021Complaint1 finding
  • Aug 7, 2021Complaint5 findings · 2 harm
  • May 4, 2021Complaint2 findings
  • Apr 22, 2021Complaint1 finding
  • Dec 17, 2020Infection control1 finding
  • Dec 4, 2020Infection control3 findings · 1 harm
  • Oct 6, 2020Complaint2 findings
  • Jul 14, 2020Complaint2 findings · 1 harm
  • May 31, 2020Complaint1 finding · 1 harm
  • Nov 13, 2019Complaint3 findings
  • Oct 17, 2019Complaint6 findings
  • Jul 25, 2019Standard4 findings
  • Jun 10, 2019Complaint1 finding
  • Apr 11, 2019Complaint1 finding
  • Oct 16, 2018Complaint1 finding
  • Jul 13, 2018Standard and complaint8 findings
  • May 18, 2017Standard and complaint7 findings
  • Oct 25, 2016Complaint1 finding
  • Oct 1, 2016Complaint3 findings · 2 harm
  • Jun 8, 2016Standard8 findings
  • Feb 25, 2016Complaint2 findings
  • May 14, 2015Standard7 findings
  • May 2, 2014Standard11 findings
  • Feb 5, 2014—1 finding
  • Nov 6, 2013—1 finding
  • Jul 2, 2013—1 finding
  • Mar 7, 2013—7 findings
  • Feb 5, 2013—1 finding
  • Apr 26, 2012—3 findings
  • Mar 9, 2012—4 findings
  • Feb 11, 2011—5 findings
  • Sep 2, 2010—1 finding

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