Paradigm at the Oak: Staffing, Turnover, and Inspection Record
Paradigm at the Oak is a 90-bed for-profit nursing home in Schulenburg, Texas, part of Paradigm Healthcare. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 5% below the Texas average of 2.00, and 39.0% nursing staff turnover (Texas average 55.3%).
Paradigm at the Oak
507 West AveSchulenburg, TX 78956
Fayette 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 Oak, nurse aides logged 1.91 hours per resident per day, 5% below the Texas average. With about 52 residents a day, that works out to roughly 100 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.00 | 2.32 |
| Licensed practical nurses | 0.98 | 0.95 | 0.86 |
| Registered nurses | 0.30 | 0.43 | 0.69 |
| All nursing staff | 3.18 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.89 | 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
39.0% of nursing staff at Paradigm at the Oak left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 50.0%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 2, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 22 health deficiencies (Texas average 9.3). CMS lists 4 fines totaling $103,606 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 20, 2026 | Fine | $12,429 |
| Nov 21, 2025 | Fine | $4,410 |
| Jan 17, 2025 | Fine | $16,149 |
| Nov 7, 2024 | Fine | $70,618 |
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 Oak holds 1 of 5 overall; the Texas average is 2.6.
About Paradigm at the Oak
- Ownership: For profit - Corporation
- Chain: Paradigm Healthcare, 17 homes
- Legal name: Oakbend Medical Center
- Medicare and Medicaid certified since: Jun 5, 2003
- Councils: resident council
- Area: rural
Nursing homes near Paradigm at the Oak
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Schulenburg Regency Nursing Center Schulenburg | 0.7 | 146 | 2.33 | 3.71 | 41.4% | 4 | $8,827 |
| Parkview Manor Nursing and Rehabilitation Weimar · abuse citation · many days without an RN | 8.5 | 94 | 1.86 | 3.19 | 92.9% | 1 | $10,348 |
| Flatonia Healthcare Center Flatonia · abuse citation | 11.7 | 70 | 2.96 | 4.04 | 43.6% | 1 | $15,098 |
| Monument Rehabilitation and Nursing Center La Grange | 14.3 | 104 | 1.35 | 2.57 | 54.5% | 4 | $8,281 |
| Avir at La Grange La Grange · many days without an RN | 15.7 | 98 | 1.78 | 3.23 | 70.0% | 3 | None |
| Shady Oak Nursing and Rehabilitation Moulton | 16.2 | 61 | 1.39 | 2.85 | 100.0% | 5 | None |
| Stevens Nursing and Rehabilitation Center of Halle Hallettsville | 16.5 | 144 | 2.09 | 3.43 | 30.2% | 5 | None |
| Hallettsville Nursing and Rehabilitation Center Hallettsville | 17.1 | 119 | 1.92 | 3.15 | 31.1% | 2 | $8,824 |
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.