Paradigm at the Oak
A nursing home in Schulenburg, Texas 78956
507 West Ave, Schulenburg, Texas 78956. (979) 743-4150.
- Cited for abuse (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 22 health citations at the latest inspection cycle Texas average: 9.6
- 3.10 nurse hours per resident per day Texas average: 3.42
- 4 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
22 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Apr 2, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Feb 20, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
52 citations in 12 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 60 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 28 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 28, 2026: complaint inspection2 citations
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Provide activities to meet all resident’s needs.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 2, 2026: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.
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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.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Mar 5, 2026: complaint inspection1 citation
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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, 2026: complaint inspection5 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Respond appropriately to all alleged violations.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 29, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Nov 21, 2025: complaint inspection5 citations
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jul 10, 2025: complaint inspection2 citations
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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.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 4, 2025: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 31, 2025: complaint inspection2 citations
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
Jan 28, 2025: standard inspection16 citations
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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.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide activities to meet all resident’s needs.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure medication error rates are not 5 percent or greater.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Jan 17, 2025: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 7, 2024: complaint inspection7 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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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.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Jun 12, 2024: complaint inspection1 citation
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 9, 2023: standard inspection8 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
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.
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Ensure each resident receives an accurate assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide care or services that was trauma informed and/or culturally competent.
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Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 5, 2003.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 90 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 4 fines in the last three years, $103,830 in all.
- No Medicare payment denials in the last three years.
- 28 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 20, 2026 | Fine | $12,653 |
| Nov 21, 2025 | Fine | $4,410 |
| Jan 17, 2025 | Fine | $16,149 |
| Nov 7, 2024 | Fine | $70,618 |
Who does the caring?
3.10 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.10 | 3.42 |
| Of which registered nurses | 0.34 | 0.44 |
| At weekends | 2.85 | 2.99 |
| Nursing staff turnover | 53.1% | 50.8% |
| Registered nurse turnover | 40% | 49.8% |
| Administrators who left | 3 | Not given |
Who owns it?
- Oakbend Medical Center owns 100% directly since Jan 1, 2023.
- Schulenburg Nursing & Rehabilitation LLC runs it.
- 2 owners or officers are people: Aharon Shkop (runs it (operational or managerial control), 100%); Joseph Freudenberger (corporate officer, 100%).
- Part of Paradigm Healthcare (17 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center | Owns 5% or more directly | 100% | Jan 1, 2023 |
| Schulenburg Nursing & Rehabilitation LLC | Runs it (operational or managerial control) | Jan 1, 2023 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 23.2 miles, this one had the 1st most health citations at the latest inspection cycle (22; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Paradigm at the Oak This nursing home | 22 | |
| Schulenburg Regency Nursing Center | 0.7 | 7 |
| Parkview Manor Nursing and Rehabilitation | 8.5 | 9 |
| Flatonia Healthcare Center | 11.7 | 7 |
| Monument Hill Nursing and Rehabilitation Center | 14.3 | 9 |
| Avir at La Grange | 15.7 | 11 |
| Shady Oak Nursing and Rehabilitation | 16.2 | 4 |
| Stevens Nursing and Rehabilitation Center of Halle | 16.5 | 7 |
| Hallettsville Nursing and Rehabilitation Center | 17.1 | 9 |
| Trucare Living Centers-Columbus | 21.2 | 8 |
| Columbus Oaks Healthcare Community | 22.5 | 13 |
| Shiner Nursing and Rehabilitation Center | 23.2 | 14 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
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Paid listing
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