Paradigm at the Brazos
Nursing Home Facility
2127 Preston, Richmond, TX 77469
We are one of the largest providers of short-term and long-term health care services in the United States. Through our affiliated entities, we provide services through skilled nursing facilities in several states.
Operated by Paradigm Healthcare, which runs 16 communities in our directory.
With 56 beds, Paradigm at the Brazos is one of the larger communities in the area, senior care communities in Richmond average about 28 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 72% of its licensed beds.
Medicare rates this community 5 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Richmond average about 4.0 stars. The individual scores differ noticeably: 3 stars for staffing against 5 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in August 2025 and recorded 2 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 21%.
The community is located in Fort Bend County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 6 problems at Paradigm at the Brazos. None of them caused harm to a resident. 2 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Paradigm at the Brazos offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 56
- Occupancy 72%
- Nursing hours per resident/day 3.2
- Annual staff turnover 21%
- Last health inspection August 2025
Resident & family reviews
No one has shared a review of Paradigm at the Brazos yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.