Paradigm at Sweeny
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (62%)
- High RN turnover (75%)
Below average in Texas · Below recommended RN staffing · $10,517 in fines · Abuse citation
What this means for your family
While some families find the staff to be incredibly kind and the environment welcoming, there are recurring, serious reports of poor hygiene, bad odors, and slow response times to resident needs. If you choose this facility, you should prioritize frequent, unannounced visits to personally verify the cleanliness and the responsiveness of the nursing staff to call bells.
Google Reviews
Google Reviews
23 reviews analyzed“Families should exercise significant caution when considering this facility due to serious allegations regarding resident neglect, medical emergencies being mishandled, and pervasive odors. While some visitors praise the friendly nature of the nursing staff and the warm, small-town atmosphere, multiple reviewers report critical issues with responsiveness to call bells and facility cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and welcoming nursing staff
- Warm, small-town atmosphere
- Compassionate leadership/administration
Concerns
- Unpleasant facility odors (mentioned by 4 reviewers)
- Slow response to call bells/assistance requests (mentioned by 3 reviewers)
- Poor food quality (mentioned by 2 reviewers)
- Inadequate housekeeping/cleanliness (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides highly personalized and warm responses to positive reviews, often echoing specific details mentioned by the reviewer. For negative reviews, they use a consistent, professional template that focuses on inviting the reviewer to a private hotline for resolution.
Questions for Your Tour
- 1It is wonderful to see how responsive the administration is to feedback; what specific steps are being taken right now to improve the facility's cleanliness and housekeeping routines?
- 2We want to ensure our loved one is well-nourished; could you walk us through a typical menu and how you are working to enhance the dining experience?
- 3With the small-town atmosphere you have here, what kind of daily social activities or community events are available to keep residents engaged?
- 4How do you manage call bell response times to ensure residents receive assistance promptly when they need it?
- 5Can you explain your protocol for handling medical emergencies or sudden changes in health during the night shifts?
- 6What specific improvements have been made recently regarding the facility's maintenance and overall environment to ensure a fresh and comfortable atmosphere for residents?
Personalized based on this facility's data
Key Review Excerpts
“The Administrator and Director of Nursing here are so genuine and kind to the patients. We are more and more satisfied with my mom's care she received during her stay at this facility.”
“My mother in law was there and the amount of abuse she went through there. My mother in law out of the blue had a knot the size of a baseball and these people never called an ambulance or anything.”
“The staff is very friendly and easy to get along with. Idk if it is because they are understaffed or over capacity but it smells horrible.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 17 measures
13
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for the flu
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Paradigm at Sweeny has ongoing compliance issues with 29 deficiencies across seven surveys, including nine complaint-triggered violations where families reported concerns. The facility repeatedly struggles with safety hazards, care planning, and food safety, with some issues recurring across multiple surveys. While all deficiencies show correction dates, the pattern of repeated problems in similar areas suggests persistent operational challenges that warrant careful evaluation during your visit.
Jul 4, 2025Routine10
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Jun 4, 2024Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Mar 21, 2024Routine6
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 21, 2024Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Mar 8, 2024Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Dec 14, 2023Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal Penalties
Fine
Jul 4, 2025
$11,905
Ownership & Operations
Who Operates This Facility
Oakbend Medical Center
government
SWEENY NURSING & REHABILITATION LLC
ALTON WARD
Chain Affiliation
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 6 of 15
Ownership & Management
Owners
Oakbend Medical Center
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit paradigmhcs.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.