Paradigm at the Oak
Nursing Home Facility
507 West Ave, Schulenburg, TX 78956
Paradigm at the Oak is a senior care community located in Schulenburg, TX. It provides nursing home care and senior living for older adults in the Schulenburg area. To learn more or schedule a tour, call (979) 743-4150.
Operated by Paradigm Healthcare, which runs 16 communities in our directory.
Paradigm at the Oak is licensed for 90 beds, about typical for the area, where senior care communities in Schulenburg average about 96 beds.
Federal reporting puts occupancy at about 58% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Schulenburg average of roughly 67%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Schulenburg average about 2.5 stars. Its most recent standard health inspection was in April 2026 and recorded 22 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 39%.
The community is located in Fayette County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 60 problems at Paradigm at the Oak. 8 findings involved harm to a resident, including 7 that put residents in immediate danger. 28 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $103,606.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Put residents in immediate danger, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide activities to meet all resident's needs.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Resident Rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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Could cause more than minimal harm, a pattern
Resident 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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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.
Show 14 more
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, a pattern
Resident 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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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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
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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Minimal harm or the potential for it, widespread
Environmental
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
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 Oak offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 90
- Occupancy 58%
- Nursing hours per resident/day 3.2
- Annual staff turnover 39%
- Last health inspection April 2026
Resident & family reviews
No one has shared a review of Paradigm at the Oak yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.