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Nursing HomeMedicaid Top Rated

Paradigm at the Brazos

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

2127 Preston St, Richmond, TX 7746956 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 14 Google reviews

5
4
3
2
1
Paradigm at the Brazos Nursing Home in Richmond, TX — Street View
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What this means for your family

The facility's therapy and nursing teams are frequently described as exceptional and deeply caring. However, you must address the visible physical deterioration of the building and investigate the serious claims regarding emergency medical response protocols before committing care.

Google Reviews

Google Reviews

14 reviews on Google
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
Food5.0Staff8.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

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

2343.72024(7)3.82025(4)3.02026(6)

Distribution · 17 analyzed

5
9
4
1
3
1
2
1
1
5

How They Respond to Reviews

86%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★★★☆☆

This place is horrible don't bring your loved one here my mom went into cardiac arrest and no CPR was䔋 performed with lead to brain death

Deceased resident's family · 2026☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
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 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

Medicare Rating
5/ 5
Better Than Avg

15

measures

Worse Than Avg

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.4%
Worse than Avg
Here
25.4%
US
19.5%
TX
18.4%
Fort bend
12.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
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%
US
19.4%
TX
14.2%
Fort bend
10.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.5%
Worse than Avg
Here
15.5%
US
15.4%
TX
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%
US
14.4%
TX
16.1%
Fort bend
11.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
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%
US
81.8%
TX
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%
US
79.7%
TX
88.0%
Fort bend
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Fort bend
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (9.1)
2 complaint-triggered

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, 2025Routine
4
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, 2024Routine
1
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Nov 30, 2023Complaint
2
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, 2023Routine
4
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 (Best)

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

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References & Resources

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