Paradigm at the Prairies
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 20 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 (2/5 stars)
- Above-median deficiencies (13 vs median 8.0)
- High staff turnover (59%)
Below average in Texas · Below recommended RN staffing · $49,277 in fines · Abuse citation
What this means for your family
While the physical therapy team has been praised by some, the facility has a troubling pattern of hygiene issues and communication breakdowns. Families should prioritize verifying the current cleanliness of the facility and ask specifically how the facility ensures medical oversight and timely responses to family inquiries.
Google Reviews
Google Reviews
20 reviews analyzed“Families should exercise extreme caution due to serious allegations of medical neglect, poor hygiene, and inadequate staffing. While some long-term residents' families praise the physical therapy and specific nursing staff, multiple reviewers report severe issues with cleanliness, communication failures, and difficulty reaching the facility by phone.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy programs
- Kind and helpful nursing staff in certain departments
- Bright and sunny environment
Concerns
- Severe cleanliness and odor issues (mentioned by 3 reviewers)
- Inadequate staffing and high personnel turnover (mentioned by 3 reviewers)
- Poor communication and difficulty reaching facility by phone (mentioned by 3 reviewers)
- Medical oversight and neglect concerns (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly templated, repetitive language that relies on standard apologies and a single 'Satisfaction line' phone number. While they acknowledge the reviewer's name, they rarely address the specific details of the complaints, such as medical neglect or hygiene issues.
Questions for Your Tour
- 1We've heard great things about the physical therapy programs here; could you tell us more about how those are integrated into a resident's daily routine?
- 2How does the facility manage daily cleaning schedules and air quality to ensure all common areas and rooms stay fresh and comfortable?
- 3What is the best way for our family to stay in regular contact with the nursing team, and how do you ensure important medical updates are communicated to us promptly?
- 4Could you walk us through the protocols for medication management and how the staff ensures oversight during shift changes?
- 5What kind of daily activities or social events are planned to help residents engage with one another in this bright and sunny environment?
- 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating with doctors?
Personalized based on this facility's data
Key Review Excerpts
“Everyone did a fantastic job taking care of my father, He's in good health now , thanks to the awesome medical staff there. He has his strength back in his legs and his back. The physical therapists there at Garden Villa are a fantastic group of peop”
“My father was suffering from pneumonia, a diagnosis I was عدم informing of until 24 hours before his passing. When I alerted the nurse, Renee, that my father was shaking uncontrollably (and provided video evidence), she dismissed my concerns, stating "he always does that."”
“The facility rarely answers the phone. The doctor had to call ME to ask Paradigm to call them for my relative’s bloodwork. My sister & mother have not had their phone calls answered in the last two weeks.”
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
8
measures
3
measures
6
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
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
This facility shows concerning patterns with 16 complaint-triggered deficiencies where families filed reports about care issues. The most recurring problems involve fire safety violations, resident rights issues, and medication management errors. While all deficiencies show correction dates, the frequency of complaints and repeated fire safety violations (appearing across multiple surveys) suggest ongoing operational challenges that families should carefully evaluate during visits.
Mar 15, 2026Complaint2
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.
Nov 18, 2025Complaint9
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Aug 30, 2025Complaint1
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Jun 27, 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.
Apr 16, 2025Routine7
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Apr 16, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal Penalties
Fine
Mar 15, 2026
$9,330
Fine
Jun 27, 2025
$23,322
Fine
Dec 16, 2023
$13,397
Ownership & Operations
Who Operates This Facility
Oakbend Medical Center
government
EL CAMPO NURSING & REHABILITATION LLC
MELISSA K ARMSTRONG
Chain Affiliation
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 7 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
20 reviews from families & visitors
Official Website
Visit paradigmattheprairies.com
Medicare data downloads
Original nursing home datasets
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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.