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Paradigm at Sweeny

Nursing Home Facility

109 N Mckinney, Sweeny, TX 77480

Nursing Home Care Senior Living
Paradigm at Sweeny

Paradigm at Sweeny is a senior care community located in Sweeny, TX. It provides nursing home care and senior living for older adults in the Sweeny area. To learn more or schedule a tour, call (979) 548-3383.

Operated by Paradigm Healthcare, which runs 16 communities in our directory.

With 90 beds, Paradigm at Sweeny is one of the larger communities in the area, senior care communities in Brazoria County average about 66 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 67% of its licensed beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Brazoria County average about 2.8 stars. Its most recent standard health inspection was in July 2025 and recorded 8 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Brazoria County average about 3.3 hours. Nursing staff turnover over the past year was about 75%, which is high and can affect continuity of care.

The community is located in Brazoria County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 22 problems at Paradigm at Sweeny. 5 findings involved harm to a resident, including 4 that put residents in immediate danger. 10 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $50,189.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected July 2026, after a complaint.

  • Put residents in immediate danger, a pattern 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.

    Inspected July 2025. Corrected by July 22, 2025.

  • Put residents in immediate danger, a pattern Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected July 2025. Corrected by July 22, 2025.

  • Put residents in immediate danger, 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.

    Inspected July 2025. Corrected by July 22, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Inspected May 2026, after a complaint. Corrected by June 5, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected May 2026, after a complaint. Corrected by June 5, 2026.

  • Could cause more than minimal harm, a pattern Resident Rights

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Inspected July 2025. Corrected by July 22, 2025.

  • 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.

    Inspected July 2025. Corrected by July 22, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Rights

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected July 2025. Corrected by July 22, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Paradigm at Sweeny offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 90
  • Occupancy 67%
  • Nursing hours per resident/day 2.9
  • Annual staff turnover 75%
  • Last health inspection July 2025

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