Paradigm at the Oak
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 27 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 (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (25 vs median 8.0)
- High RN turnover (60%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in PARADIGM HEALTHCARE chain · $227,267 in fines · Abuse citation
What this means for your family
This facility is an excellent choice if you prioritize compassionate, attentive care and strong communication from administration. While recent reviews suggest a significant turnaround in management, you should verify the current state of the physical building, as older reviews noted concerns regarding the facility's age and maintenance.
Google Reviews
Google Reviews
27 reviews analyzed“Families can expect a highly compassionate staff and a recent significant improvement in administrative communication and responsiveness. While older reviews mention concerns regarding facility age and maintenance, recent feedback highlights a clean environment and a dedicated team that prioritizes resident well-being.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and friendly nursing staff
- Improved administrative responsiveness
- Clean and well-maintained environment
- Engaged and attentive CNA team
Concerns
- Facility age and physical upkeep (mentioned by 2 reviewers)
- Historical issues with medication management and nutrition
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides highly personalized and empathetic responses to reviews containing text, specifically highlighting staff members and mission-driven outcomes. However, they rely on repetitive, templated phrases for star-only reviews.
Questions for Your Tour
- 1I noticed the team is very responsive to feedback from families; what is the best way for us to stay in regular communication with the administration?
- 2We've heard wonderful things about the compassion of your nursing and CNA staff, so how do you ensure that level of attentive care remains consistent for every resident?
- 3Can you walk us through the specific protocols you have in place for medication management and ensuring nutritional needs are met daily?
- 4In the event of a medical emergency during the night, what is the immediate process for notifying the family and providing care?
- 5What kind of daily activities or social engagement opportunities are available to help residents stay active and connected with others?
- 6With the facility being well-maintained, are there any upcoming plans or improvements being made to the physical building or resident rooms?
Personalized based on this facility's data
Key Review Excerpts
“The new Admin Eshauna is just what the Oaks need. DeeDee does a fantastic job as well. The CNA staff treats my Dad really well.”
“I want to express my appreciation for Eshanna. She has been extremely helpful whenever I’ve called to check on my father. In the past, I’ve struggled to get clear information or timely responses, but Eshanna has changed that completely.”
“The facility may be small and old, and at first glance may not look like much. But it's the staff that make this facility a 5 star in my opinion.”
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 · 16 measures
9
measures
5
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose walking got worse
Residents vaccinated for pneumonia
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 the Oak has a concerning pattern of repeated complaints from families, with 20 out of 58 total deficiencies triggered by family reports. The facility has recurring issues with resident protection from abuse and neglect (cited multiple times), medication management, and maintaining safe, clean living environments. While the facility addresses deficiencies when cited, the persistent nature of complaints about fundamental care areas warrants careful consideration during visits.
Mar 5, 2026Complaint1
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.
Feb 20, 2026Complaint5
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.
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
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 29, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nov 21, 2025Complaint5
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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
Jun 4, 2025Complaint1
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.
Mar 31, 2025Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Feb 20, 2026
$19,121
Fine
Nov 21, 2025
$6,785
Fine
Jan 17, 2025
$16,149
Fine
Nov 7, 2024
$70,618
Ownership & Operations
Who Operates This Facility
Oakbend Medical Center
government
SCHULENBURG NURSING & REHABILITATION LLC
ESHANNA HEMPHILL
Chain Affiliation
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 10 of 15 (Worst)
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
27 reviews from families & visitors
Official Website
Visit paradigmattheoak.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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