Paradigm at the Oak
507 West Ave, Schulenburg, TX, 78956 · Fayette County
Paradigm at the Oak is a Medicare-certified skilled nursing facility in Schulenburg, TX (CCN 675971) operating under for profit - limited liability company ownership, with 90 certified beds and an average daily census of about 60 residents. CMS assigned it a 1-star Overall rating on the Five-Star Quality Rating System (much below average), built from a 1/5 Health Inspection component, a 1/5 Staffing component, and a 4/5 Quality Measures component. According to CMS Nursing Home Care Compare and the National Provider Identifier Registry, covering more than 14,000 Medicare- and Medicaid-certified nursing homes with over 1 million certified beds and Five-Star Quality Ratings issued since December 2008 you can search and compare here, every figure traces to its source in our methodology.
On compliance, CMS records show 25 total deficiencies on the most recent survey cycle (9 complaint-based), with 4 fines totaling $227,267 - the national average is 9.5 deficiencies per facility, so Paradigm at the Oak currently sits above that baseline. RN staffing is 0.27 hours per resident per day, which is 60% below the national average of 0.68 hours, a CMS-reported figure derived from payroll-based journal (PBJ) submissions. Note: CMS has flagged this facility with an abuse icon, indicating a history of citations that warrants closer inspection of the full survey record.
Use the rating breakdown and inspection cycles above to look past the single headline star, the Overall rating is a weighted composite, and facilities with identical headline stars can have very different underlying Health Inspection or Quality Measures profiles. Important: PlainDoctor presents CMS Five-Star Quality Rating data exactly as published at data.cms.gov (February 2026 release) and does not calculate custom scores or rankings. This page is a directory of publicly available government data, not medical advice, a placement recommendation, or a substitute for visiting the facility in person. Before selecting a nursing home for yourself or a family member, read the full CMS survey reports, tour the property, interview staff, and consult licensed clinicians and elder-care advisors about medical and financial implications.
Rating Breakdown
Facility Details
How does this facility compare nationally?
Side-by-side reference values from CMS Nursing Home Compare. National figures are computed across all Medicare-certified facilities reporting in the latest dataset.
| Metric | Paradigm at the Oak | National avg |
|---|---|---|
| Overall CMS rating (1-5 stars) | 1/5 | 3.0/5 |
| Health inspection rating | 1/5 | 3.0/5 |
| Staffing rating | 1/5 | 3.0/5 |
| RN hours / resident / day | 0.27 | 0.68 |
| Total deficiencies (current cycle) | 25 | 9.5 |
| Certified beds | 90 | - |
Reading these numbers: CMS star ratings are relative percentile rankings within each state, not absolute clinical scores, a 3-star rating means roughly average for that state, not poor care. Deficiency counts vary with survey timing and citation severity (scope and severity letters A-L). Always pair these figures with an in-person visit and direct conversations with staff and residents' families.
Compliance & Safety
Inspection Cycle Breakdown
Staffing Analysis
Frequently Asked Questions
What is Paradigm at the Oak's overall CMS rating?
Paradigm at the Oak has a 1-star overall CMS rating (Much below average). Health inspection: 1/5. Staffing: 1/5. Quality measures: 4/5.
How many beds does Paradigm at the Oak have?
Paradigm at the Oak has 90 Medicare-certified beds with an average of 60 residents per day.
What are CMS Five-Star ratings?
CMS rates nursing homes on a 1-5 star scale based on health inspections, quality measures, and staffing. Five stars means much above average; one star means much below average. Ratings are updated monthly based on the most recent survey data.
How does Paradigm at the Oak's staffing compare to the national average?
Paradigm at the Oak has 0.27 RN hours per resident per day, which is 60% below the national average of 0.68 hours.
How many deficiencies does Paradigm at the Oak have?
Paradigm at the Oak has 25 total deficiencies, which is above the national average of 9.5. Of these, 9 are complaint-based deficiencies. The facility has received 4 fine(s).
Who owns Paradigm at the Oak?
Paradigm at the Oak is operated under For profit - Limited Liability company ownership. The facility has 90 certified beds and is located in Schulenburg, Texas.
Nearby Nursing Homes in Texas
Other Medicare-certified facilities from the same CMS Five-Star Quality Rating System roster, prioritizing Schulenburg.
Healthcare Guides
Explore Texas
Facility identified by CMS Certification Number (CCN) 675971. Data from CMS Five-Star Quality Rating System (data.cms.gov, Feb 2026 release). Ratings are calculated by CMS based on health inspections, quality measures, and staffing levels. PlainDoctor presents these ratings exactly as published by CMS, no custom scores or modifications are applied.
This is a directory of publicly available government data and is not medical advice. Always visit facilities in person and consult healthcare professionals before making care decisions. Methodology · About