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Nursing HomeMedicaid Investigative

Paradigm at Stevens

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

204 Walter St, Yoakum, TX 77995106 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 12 Google reviews

5
4
3
2
1
Paradigm at Stevens Nursing Home in Yoakum, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (21 vs median 8.0)

Below average in Texas · Critically understaffed (RN) · Above average staffing · No penalties on record

Source: Medicare data

What this means for your family

The facility has a highly regarded nursing and therapy staff that many families find compassionate. However, you must address the significant reports of poor cleanliness and food quality during your tour, as these are recurring critical issues.

Google Reviews

Google Reviews

12 reviews analyzed
Families may find a caring and attentive nursing and management team, with several reviewers praising the staff's friendliness and the facility's layout. However, there are serious allegations regarding cleanliness, medication delays, and poor food quality that should be investigated thoroughly.

Quality Themes

Tap a score for details
Food3.0Staff8.0Clean1.0ActivitiesN/AMeds1.0MemoryN/AComms5.0ValueN/A

Strengths

  • Caring and attentive nursing staff
  • Friendly management team
  • Nice building layout
  • Outstanding therapy department

Concerns

  • Issues with cleanliness and hygiene (mentioned by 2 reviewers)
  • Poor food quality (mentioned by 2 reviewers)
  • Medication management delays

Rating Trends

Tap a year to see what changed

2345.02017(1)5.02019(1)5.02020(1)1.02023(2)4.32024(8)5.02025(1)

Distribution

5
6
4
2
3
0
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about your therapy department and the nursing staff; how do you coordinate their care with the rest of the medical team?
  • 2What specific steps are being taken to ensure the dining areas and resident rooms are kept consistently clean and hygienic?
  • 3Could you tell me more about how the kitchen manages meal preparation to ensure food quality and variety for the residents?
  • 4How does the nursing team manage medication schedules to ensure there are no delays in administration?
  • 5What is the protocol for handling medical emergencies or sudden changes in a resident's condition during the night?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

All the nurses are friendly and give updates on our patient. Our patient is non verbal, but I’d say the food must be pretty good, because our patients weight is steady.

Patient's family · 2024★★★★

I don't know why I even brought my son here . They are late with meds. Meals are the worst ever ..dirty rooms.. beds are uncomfortable. There's a smell... We were not comfortable here

Resident's family · 2024☆☆☆☆

The Therapy Department has outstanding Therapist that realky care about their patients.

Patient/Reviewer · 2017★★★★★
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
42%
Registered nurses for medical care
Total Nursing
3.43hrs
84%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.6%
Worse than Avg
Here
26.6%
US
15.4%
TX
9.4%
Lavaca
10.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
12.1%
TX
2.5%
Lavaca
1.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
15.3%
TX
14.9%
Lavaca
9.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
14.4%
TX
16.1%
Lavaca
11.1%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility11.2%
Worse than Avg
Here
11.2%
US
5.3%
TX
3.2%
Lavaca
3.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Lavaca
99.4%
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%
Lavaca
96.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility8.8%
Worse than Avg
Here
8.8%
US
1.6%
TX
1.5%
Lavaca
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
Well above state avg (9.1)
11 complaint-triggered

Paradigm at Stevens has a concerning pattern of deficiencies with families filing multiple complaints that triggered investigations into abuse reporting failures, nursing staffing, and infection control issues. The facility repeatedly struggles with care planning, respiratory care, and fire safety systems across multiple surveys. While most violations show correction dates, recurring problems in resident assessment and safety suggest ongoing operational challenges that warrant careful evaluation during any visit.

Dec 31, 2025Complaint
1
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 6, 2025Complaint
2
0584MinorCorrected

Resident Rights Deficiencies

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.

0813MinorCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Mar 7, 2025Routine
23
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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.

0657ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0680ModerateCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0685ModerateCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0726ModerateCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584MinorCorrected

Resident Rights Deficiencies

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.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

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.

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.

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.

0700MinorCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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.

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.

0921MinorCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 17, 2025Complaint
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 30, 2024Complaint
3
0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0727MinorCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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 25, 2024Complaint
1
0624MinorCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

DEWITT NURSING & REHABILITATION LLC

Administrator

MS. JESSICA A ROSS

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.1/5 · Rank 8 of 15

Ownership & Management

Key personnel

Freudenberger, JosephW-2 Managing EmployeeDewitt Nursing & Rehabilitation LLCManagerShkop, AharonManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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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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