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Nursing HomeMedicaid Investigative

Paradigm at the Creek

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

1405 Valhalla Dr, Wharton, TX 77488120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 12 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (57%)
  • High RN turnover (70%)

Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · Worst in PARADIGM HEALTHCARE chain · $48,176 in fines

Source: Medicare data

What this means for your family

This facility appears to be undergoing a positive transformation under new leadership, with strong emphasis on cleanliness and personalized care. While recent feedback is overwhelmingly positive, you should verify that the reported issues with staff rudeness from 2024 have been fully addressed by the current administration.

Google Reviews

Google Reviews

12 reviews analyzed
Families can expect a clean and welcoming environment with a staff that is frequently praised for being caring, attentive, and personalized. While recent reviews highlight a positive shift under new leadership, one reviewer reported significant issues with staff rudeness and unprofessionalism.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Clean and well-maintained building
  • Attentive and personalized care
  • Positive atmosphere under new leadership
  • Professional administration

Concerns

  • Staff rudeness and unprofessionalism

Rating Trends

Tap a year to see what changed

2343.72024(3)4.82025(5)5.02026(4)

Distribution

5
6
4
1
3
0
2
0
1
1

How They Respond to Reviews

17%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about how clean and well-maintained the building is; could you show us some of the common areas?
  • 2With the recent changes in leadership, what specific steps are being taken to ensure the staff provides a consistently professional and friendly experience for residents?
  • 3How does the nursing team manage medical emergencies or sudden changes in health during the overnight hours?
  • 4We noticed the administration is very engaged with the community; how does the leadership team stay involved in the day-to-day care of the residents?
  • 5What kind of daily activities or social outings are available to help residents stay engaged and part of the community?
  • 6What specific improvements have been made recently regarding the staffing levels and the care provided to each resident?

Personalized based on this facility's data


Key Review Excerpts

With new leadership in place, this facility is really shifting to be such a positive environment that feels very bright, safe welcoming and inviting.

Resident's family member · 2025★★★★★

The staff is so on point. They even know your name. What housekeeping staff knows your name right? It is very clean and they cater to each person's needs individual.

Current resident · 2024★★★★★

So very happy with the care my Uncle gets here! Great facilities and the staff and Administration are kind, knowledgeable and thorough.

Resident's family member · 2025★★★★★
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.36hrs
48%
Registered nurses for medical care
Total Nursing
3.17hrs
77%
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)
RN Turnover
80%
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
1/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.8%
Better than Avg
Here
1.8%
US
15.3%
TX
14.9%
Wharton
6.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
TX
2.5%
Wharton
0.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.4%
Mixed vs Avgs
Here
9.4%
US
19.4%
TX
14.2%
Wharton
4.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
14.4%
TX
16.1%
Wharton
8.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.5%
Worse than Avg
Here
21.5%
US
19.5%
TX
18.4%
Wharton
14.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Wharton
100.0%
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%
Wharton
95.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
79.7%
TX
88.0%
Wharton
93.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
TX
1.5%
Wharton
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
4penalties
Near state avg (9.1)
18 complaint-triggered
$48,176 in fines

Paradigm at the Creek has significant concerns with 18 complaint-triggered deficiencies where families reported problems, including serious issues with abuse prevention, nursing staffing, and care planning. The facility repeatedly struggles with care planning, accident prevention, and resident rights across multiple surveys. While all deficiencies show correction dates, the pattern of ongoing complaints and recurring problems in core care areas suggests persistent quality issues that families should carefully evaluate.

Aug 4, 2025Complaint
1
0656SevereCorrected

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.

May 16, 2025Complaint
1
0689ModerateCorrected

Quality of Life and Care Deficiencies

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

Sep 30, 2024Complaint
3
0600SevereCorrected

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.

0725SevereCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 28, 2024Complaint
1
0678SevereCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

May 8, 2024Complaint
8
0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0895ModerateCorrected

Administration Deficiencies

Have a Compliance and Ethics Program.

0946ModerateCorrected

Administration Deficiencies

Provide training in compliance and ethics.

0553MinorCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

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.

0776MinorCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

0835MinorCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Mar 28, 2024Routine
5
0355ModerateCorrected

Smoke Deficiencies

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

0695ModerateCorrected

Quality of Life and Care Deficiencies

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

0372ModerateCorrected

Smoke Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Aug 4, 2025

$8,070

Fine

May 16, 2025

$8,278

Fine

Sep 30, 2024

$20,719

Fine

May 8, 2024

$14,722

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

WHARTON NURSING & REHABILITATION LLC

Administrator

MARIAN MUSTAFA

Chain Affiliation

Chain Name

Paradigm Healthcare

Chain Size

18 facilities nationwide

Chain avg rating: 2.1/5 · Rank 14 of 15 (Worst)

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Freudenberger, JosephW-2 Managing EmployeeFreudenberger, JosephOfficer / DirectorSouthwest Ltc Wharton LtdManagerWharton Nursing & Rehabilitation LLCManager
Source: Medicare provider data

Contact

Get in Touch

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

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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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