Nursing HomeMedicaid Medicare 5-star

Paradigm at the Brazos

Strong Medicare quality ratings; public reviewers often praise compassionate and professional nursing staff. Still worth an in-person visit.

2127 Preston St, Richmond, TX 77469|56 beds|Licensed & active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

3.8/5

based on 16 Google reviews

(281) 342-2801 Directions Website

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What this means for your family

Paradigm at the Brazos has a strong overall Medicare rating. Public reviewers frequently mention: compassionate and professional nursing staff and excellent physical therapy and rehab services. Review the component ratings and current source records before deciding.

Google Reviews

19 public Google reviews available

Families should be aware of significant concerns regarding the physical condition of the facility, including cracked floors, rusted furniture, and unpleasant odors. While many reviewers praise the compassionate and professional nursing and therapy teams, there are critical allegations regarding emergency response and medical negligence that require serious investigation.

Quality Themes

Tap a score for details

Strengths

Compassionate and professional nursing staff
Excellent physical therapy and rehab services
Friendly and attentive administrative team
Kind and hardworking housekeeping staff

Concerns

Dilapidated facility condition including cracked floors and rusted furniture (mentioned by 3 reviewers)
Allegations of medical negligence and failure to perform life-saving measures
Unpleasant facility odors and sanitation issues

Rating Trends

Tap a year to see what changed

Distribution · 19 analyzed

How They Respond to Reviews

81%response rate

Good

The owner provides highly personalized responses to positive reviews, often naming specific staff members mentioned by the reviewer. For negative or critical reviews, they use a standardized template to redirect the conversation to a dedicated compliance or satisfaction phone line.

Questions for Your Tour

1I noticed the management team is very active in responding to feedback; how does the administration involve families in the ongoing improvement of the facility?
2With the high ratings in physical therapy and rehab, could you tell us more about how the therapy programs are tailored to each resident's specific recovery goals?
3What specific steps are being taken regarding facility maintenance and upkeep to ensure the living spaces and common areas remain fresh and well-maintained?
4Could you walk us through the protocols the nursing team follows during a medical emergency or when a resident's condition changes suddenly?
5What is the daily schedule like for residents, and what kind of social activities or outings are available to keep everyone engaged?
6How does the housekeeping team manage the cleaning schedules to ensure a consistently clean and pleasant-smelling environment for all residents?

Personalized based on this facility's data

Key Review Excerpts

“The team went out of their way to make sure we were comfortable and cared for. I had no problem leaving at night knowing my husband was being well cared for.”

Rehab patient's family · 2024★★★★★

“The nurses, med nurses and CNAs are all skilled fantastic, compassionate responsive women. The PT department is phenomenal!”

Long-term resident's family · 2024★★★☆☆

Source: 19 Google reviews in the current analysis set

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.52hrs

69%

Registered nurses for medical care

Total Nursing

3.19hrs

78%

All nurses + aides combined

Staff Turnover

23%

Lower is better (< 30% = good)

RN Turnover

13%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Long-Stay Residents

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility25.4%

Worse than Avg

Here

25.4%

19.5%

18.4%

Fort bend

12.9%

Residents with depression symptoms

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

12.1%

2.5%

Fort bend

1.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility9.2%

Better than Avg

Here

9.2%

19.4%

14.2%

Fort bend

10.3%

Residents on antipsychotic medication

↓ Lower is better

This Facility15.5%

Worse than Avg

Here

15.5%

9.4%

Fort bend

7.8%

Residents needing more daily help over time

↓ Lower is better

This Facility9.1%

Better than Avg

Here

9.1%

14.4%

16.1%

Fort bend

11.2%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

96.9%

Fort bend

96.9%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility99.0%

Better than Avg

Here

99.0%

81.8%

89.2%

Fort bend

77.6%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility98.1%

Better than Avg

Here

98.1%

79.8%

88.0%

Fort bend

80.1%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Fort bend

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

11findings in history

Latest survey: 2 · well below TX avg (9.1)

2 complaint-triggered findings

This facility shows a pattern of building maintenance and safety issues, with recurring problems in heating/ventilation systems, fire safety equipment, and general facility cleanliness appearing across multiple surveys. Families have filed complaints leading to citations for privacy and environmental concerns. While all deficiencies have correction dates, the repeated building system problems suggest ongoing maintenance challenges that families should discuss during visits.

Aug 1, 2025Routine4 findings

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0521Minimal · WidespreadCorrected

Services Deficiencies

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

Aug 22, 2024Routine1 finding

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Nov 30, 2023Complaint2 findings

0914Potential for harm · IsolatedCorrected

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Jun 1, 2023Routine4 findings

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0374Potential for harm · PatternCorrected

Smoke Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0521Minimal · Widespread

Services Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

BRAZOS NURSING & REHABILITATION LLC

Administrator

SHERION SCHROEDER

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.1/5 · Rank 1 of 15 (Highest rating)

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Freudenberger, JosephW-2 Managing EmployeeBeard, BarryOfficer / DirectorFreudenberger, JosephOfficer / DirectorBrazos Nursing & RehabiliationManagerSsc Richmond Operating Company LLCManager

Source: Medicare provider data

Contact

Get in Touch

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

(281) 342-2801

paradigmatthebrazos.com

ssolo@paradigmhcs.com

2127 Preston St

Richmond, TX 77469

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

16 reviews from families & visitors

Official Website

Visit paradigmatthebrazos.com

Medicare data downloads

Original nursing home datasets

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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.