Paradigm at the Creek: Staffing, Turnover, and Inspection Record
Paradigm at the Creek is a 120-bed for-profit nursing home in Wharton, Texas, part of Paradigm Healthcare. In the CMS August 2026 release it reported 2.12 nurse aide hours per resident per day, 6% above the Texas average of 2.00, and 58.8% nursing staff turnover (Texas average 55.3%).
Paradigm at the Creek
1405 Valhalla DrWharton, TX 77488
Wharton County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
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 Creek, nurse aides logged 2.12 hours per resident per day, 6% above the Texas average. With about 56 residents a day, that works out to roughly 119 aide hours a day, or about 15 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) | 2.12 | 2.00 | 2.32 |
| Licensed practical nurses | 0.76 | 0.95 | 0.86 |
| Registered nurses | 0.35 | 0.43 | 0.69 |
| All nursing staff | 3.23 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.75 | 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
58.8% of nursing staff at Paradigm at the Creek left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 71.4%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 23, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 18 health deficiencies (Texas average 9.3). CMS lists 4 fines totaling $52,034 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 4, 2025 | Fine | $8,191 |
| May 16, 2025 | Fine | $8,402 |
| Sep 30, 2024 | Fine | $20,719 |
| May 8, 2024 | Fine | $14,722 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
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 Creek holds 1 of 5 overall; the Texas average is 2.6.
About Paradigm at the Creek
- Ownership: For profit - Limited Liability company
- Chain: Paradigm Healthcare, 17 homes
- Legal name: Oakbend Medical Center
- Medicare and Medicaid certified since: Apr 23, 1987
- Councils: resident council
- Area: rural
Nursing homes near Paradigm at the Creek
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Wharton Nursing and Rehabilitation Center Wharton | 2.0 | 120 | 1.81 | 3.06 | 65.3% | 1 | $62,125 |
| Paradigm at the Prairies El Campo · abuse citation | 12.8 | 150 | 1.59 | 2.42 | 51.4% | 1 | $62,430 |
| S.P.J.S.T. Rest Home No 2 Needville | 17.4 | 58 | 1.73 | 3.72 | 45.2% | 5 | None |
| S.P.J.S.T. Rest Home 3 El Campo | 18.7 | 57 | 2.03 | 3.42 | 27.3% | 5 | None |
| Arbor Hills Rehabilitation and Healthcare Center Eagle Lake | 22.8 | 80 | 2.37 | 3.30 | 27.8% | 4 | None |
| Fort Bend Healthcare Center Rosenberg | 23.0 | 56 | 1.68 | 3.15 | 43.2% | 3 | $22,929 |
| Avir at Bay City Bay City | 24.8 | 120 | 2.22 | 3.39 | 54.2% | 2 | $23,689 |
| Paradigm at Bay City Bay City | 24.9 | 105 | 2.14 | 3.36 | 44.7% | 2 | None |
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.