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Nursing HomeMedicaid Investigative

Paradigm at Bay City

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1800 13th St, Bay City, TX 77414105 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 11 Google reviews

5
4
3
2
1
Paradigm at Bay City Nursing Home in Bay City, TX — Street View
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0/ 10
none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Above average in Texas · Meets national RN staffing standard · Above average staffing · Low staff turnover (stable workforce) · Chain outperformer · $50,359 in fines

Source: Medicare data

What this means for your family

This facility offers excellent physical therapy and a very clean environment, which is ideal for short-term rehabilitation. However, the report of medical neglect and difficulty contacting nurses is a major red flag; families should closely monitor clinical oversight and ensure a clear communication plan is in place for their loved one.

Google Reviews

Google Reviews

11 reviews analyzed
Families can expect high-quality rehabilitation services and a clean environment, as evidenced by successful therapy outcomes and praise for facility tidiness. However, there is a critical report of severe medical neglect involving sepsis and unresponsive nursing staff that requires serious investigation.

Quality Themes

Tap a score for details
Food10.0Staff7.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Effective rehabilitation and physical therapy
  • Clean and tidy facility
  • Friendly and caring nursing staff
  • Accommodating dietary department

Concerns

  • Severe medical neglect and lack of physician oversight
  • Difficulty accessing nursing staff

Rating Trends

Tap a year to see what changed

2345.02024(1)3.02025(2)5.02026(8)

Distribution

5
4
4
0
3
0
2
0
1
1

How They Respond to Reviews

64%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab programs; could you tell us more about how that process works for new residents?
  • 2How do you ensure that doctors and medical providers are regularly reviewing and overseeing the care plans for every resident?
  • 3With such a high rating for your staffing levels, how do you ensure that nurses and caregivers are easily accessible to families when we have questions?
  • 4What steps are in place to ensure that communication between the nursing staff and family members remains consistent and timely?
  • 5We noticed your team is very responsive to feedback; how does the facility use family input to improve daily care?
  • 6What kind of daily activities or social events are planned to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

Paradigm at Bay City provided me with great care. I came in on March 4th for therapy and now will be going home today March 20th. My determination and the hard work to include me now being able to walk independently and my balance is back along with my arms being strong. Are due to the staff they have all been the force of my therapy being successful due to Glenn, Roy and Allen.

Rehab patient · 2025★★★★★

Had my friend in there as a skilled patient requiring total care. Refused to take her to the hospital. Her sister had a private ambulance come take her to UTMB. She was impacted so bad she had sepsis; she had another bed sore and the one she had has gotten worse.

Friend of a skilled nursing patient · 2025☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
3.61hrs
88%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility41.3%
Worse than Avg
Here
41.3%
US
19.5%
TX
18.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
19.4%
TX
14.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.3%
TX
14.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
14.4%
TX
16.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
15.4%
TX
9.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.8%
Better than Avg
Here
95.8%
US
79.7%
TX
88.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (9.1)
13 complaint-triggered
$50,359 in fines

This facility has a concerning pattern of repeated deficiencies, with families filing multiple complaints that triggered 13 inspections. The most recurring issues involve medication management, infection control, and fire safety violations. While all deficiencies show correction dates, problems persist across multiple surveys from 2023-2025, suggesting systemic challenges in maintaining consistent care standards and safety protocols.

May 30, 2025Routine
5
0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0761ModerateCorrected

Pharmacy Service Deficiencies

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.

0363ModerateCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0741ModerateCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 30, 2025Complaint
1
0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

May 20, 2024Complaint
2
0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 28, 2024Routine
12
0222ModerateCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0741ModerateCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Mar 28, 2024Complaint
4
0690MinorCorrected

Quality of Life and Care Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0814MinorCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 12, 2024Complaint
2
0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Aug 3, 2023

$50,359

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

BAY CITY NURSING & REHABILITATION LLC

Administrator

TAYLOR WALLACE

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.1/5 · Rank 4 of 15

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Freudenberger, JosephW-2 Managing EmployeeCouncil, JeffOfficer / DirectorCrayton, TomOfficer / DirectorDouds, RobertOfficer / DirectorFreudenberger, JosephOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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