Paradigm at the Brazos: Staffing, Turnover, and Inspection Record
Paradigm at the Brazos is a 56-bed for-profit nursing home in Richmond, Texas, part of Paradigm Healthcare. In the CMS August 2026 release it reported 1.75 nurse aide hours per resident per day, 13% below the Texas average of 2.00, and 21.4% nursing staff turnover (Texas average 55.3%).
Paradigm at the Brazos
2127 Preston StRichmond, TX 77469
Fort Bend County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Paradigm at the Brazos, nurse aides logged 1.75 hours per resident per day, 13% below the Texas average. With about 41 residents a day, that works out to roughly 71 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.75 | 2.00 | 2.32 |
| Licensed practical nurses | 0.87 | 0.95 | 0.86 |
| Registered nurses | 0.57 | 0.43 | 0.69 |
| All nursing staff | 3.19 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.70 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
21.4% of nursing staff at Paradigm at the Brazos left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 28.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 1, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Texas average 9.3). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Paradigm at the Brazos holds 5 of 5 overall; the Texas average is 2.6.
About Paradigm at the Brazos
- Ownership: For profit - Corporation
- Chain: Paradigm Healthcare, 17 homes
- Legal name: Oakbend Medical Center
- Medicare and Medicaid certified since: Aug 30, 1994
- Councils: resident council
- Area: urban
Nursing homes near Paradigm at the Brazos
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Oak Bend Medical Center Richmond · no staffing data submitted | 0.8 | 36 | — | — | — | 4 | $12,267 |
| Richmond Health Care Center Richmond | 1.1 | 92 | 2.37 | 3.66 | 65.5% | 4 | $78,036 |
| Cambridge Health and Rehabilitation Center Richmond | 2.0 | 158 | 1.87 | 3.24 | 40.6% | 3 | $68,342 |
| Rosenberg Health & Rehabilitation Center Rosenberg | 2.2 | 124 | 1.66 | 2.99 | 61.7% | 1 | $97,334 |
| Fort Bend Healthcare Center Rosenberg | 4.0 | 56 | 1.68 | 3.15 | 43.2% | 3 | $22,929 |
| Ignite Medical Resort Sugar Land, LLC Sugar Land | 8.3 | 90 | 1.73 | 3.82 | 62.2% | 1 | $137,052 |
| The Crescent Sugar Land | 8.7 | 112 | 1.79 | 3.61 | 59.4% | 1 | $105,770 |
| Sugar Land Health Care Center Sugar Land | 9.0 | 150 | 2.21 | 3.59 | 41.3% | 3 | $30,494 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.