Paradigm at the Creek
Nursing Home Facility
1405 Valhalla Dr, Wharton, TX 77488
Paradigm at the Creek is a senior care community located in Wharton, TX. It provides nursing home care and senior living for older adults in the Wharton area. To learn more or schedule a tour, call (979) 532-1244.
Operated by Avalon Health Care Group, which runs 63 communities in our directory.
Paradigm at the Creek is licensed for 120 beds, about typical for the area, where senior care communities in Wharton average about 113 beds.
Federal reporting puts occupancy at about 47% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2025 and recorded 18 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 59%.
The community is located in Wharton County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 44 problems at Paradigm at the Creek. 7 findings involved harm to a resident, including 4 that put residents in immediate danger. 25 came from investigating complaints by residents or families.
In the last three years Medicare fined this home 4 times, a total of $52,034.
Findings from the most recent inspection cycle
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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.
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Caused harm to a resident, 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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Could cause more than minimal harm, 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.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure that residents are free from significant medication errors.
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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
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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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.
Show 12 more
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Could cause more than minimal harm, widespread
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, 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
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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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, a pattern
Environmental
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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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
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Could cause more than minimal harm, one or a few residents
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, one or a few residents
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, one or a few residents
Environmental
Make sure that a working call system is available in each resident's bathroom and bathing area.
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 Creek offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 120
- Occupancy 47%
- Nursing hours per resident/day 3.2
- Annual staff turnover 59%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Paradigm at the Creek yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.