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D
Poor

Paradigm at Stevens

204 Walter St · Yoakum, TX 77995

3612933544 · For profit - Corporation

106 beds44.4 residents69 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Paradigm at Stevens receives an overall staffing grade of D (Poor). With 3.5527 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.2562 HPRD, below the recommended 0.75. It is 0.34 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.36% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.2562 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5527hrs/resident/day▼ 0.34
CMS benchmark: 3.48
RN HPRD
0.2562hrs/resident/day▼ 0.43
Recommended: 0.75
Weekend Drop-off
21.36%
3.7809 weekday → 2.9735 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.67hrs/resident/day
Direct care aides
LPN HPRD
1.4826hrs/resident/day
Licensed practical nurses
Consistency
0.5638std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. De Witt County Average-0.01 HPRD
3.56
03.55 HPRD
vs. Texas State Average+0.15 HPRD
3.40
03.55 HPRD
vs. National Average-0.34 HPRD
3.90
03.55 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Paradigm at Stevens ★
Yoakum · This facility
—
D
3.55270.2562★★☆☆☆
SCHULENBURG REGENCY NURSING CENTER
SCHULENBURG
31.2 mi
F
3.53980.2257★★★★☆
RIVERSIDE OAKS
VICTORIA
34.4 mi
C
3.05440.4731★★★★★
Monument Rehabilitation and Nursing Center
La Grange
44.4 mi
D
2.85720.4048★★★☆☆
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER
SEGUIN
51 mi
D
3.14160.3345★★☆☆☆
Avir at New Braunfels
New Braunfels
62.8 mi
F
3.39780.2148★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
35
Total Deficiencies
$0
Fines Assessed
Dec 31, 2025Health
1 deficiency cited
▼
Sep 6, 2025Health
2 deficiencies cited
▼
Mar 7, 2025Health
18 deficiencies cited
▼
Jan 17, 2025Health
1 deficiency cited
▼
May 30, 2024Health
3 deficiencies cited
▼
May 25, 2024Health
1 deficiency cited
▼
Mar 27, 2024Health
2 deficiencies cited
▼
Jan 26, 2024Health
6 deficiencies cited
▼
Nov 18, 2022Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.