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C
Below Standard

Paradigm at the Creek

1405 Valhalla Dr · Wharton, TX 77488

9795321244 · For profit - Limited Liability company

120 beds50.2 residents70 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Paradigm at the Creek receives an overall staffing grade of C (Below Standard). With 3.4495 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4154 HPRD, below the recommended 0.75. It is 0.45 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.68% compared to weekdays. The facility has low agency staff usage (1.76% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4495 HPRD — needs 0.03 more hours per resident per day.
⚠️RN staffing (0.4154 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.76%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4495hrs/resident/day▼ 0.45
CMS benchmark: 3.48
RN HPRD
0.4154hrs/resident/day▼ 0.27
Recommended: 0.75
Weekend Drop-off
13.68%
3.5882 weekday → 3.0974 weekend
Agency Staff
1.76%
14.58% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6382hrs/resident/day
Direct care aides
LPN HPRD
0.8741hrs/resident/day
Licensed practical nurses
Consistency
0.4532std 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. Wharton County Average+0.36 HPRD
3.09
03.45 HPRD
vs. Texas State Average+0.05 HPRD
3.40
03.45 HPRD
vs. National Average-0.45 HPRD
3.90
03.45 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 the Creek ★
Wharton · This facility
—
C
3.44950.4154★☆☆☆☆
AVIR AT BAY CITY
BAY CITY
24.7 mi
F
3.65580.2268★★☆☆☆
PARADIGM AT BAY CITY
BAY CITY
24.9 mi
B
3.53750.7598★★★☆☆
OAK BEND MEDICAL CENTER
RICHMOND
27.1 mi
C
3.160.8606★★★★★
PARADIGM AT FIRST COLONY
MISSOURI CITY
37.4 mi
C
3.42370.5011★☆☆☆☆
Oakmont Healthcare and Rehabilitation Center of Ka
Katy
39.2 mi
C
3.24240.6061★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
35
Total Deficiencies
$48,176
Fines Assessed
Aug 4, 2025Health
1 deficiency cited· Includes actual harm
▼
May 16, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 30, 2024Health
3 deficiencies cited· Includes actual harm
▼
May 28, 2024Health
1 deficiency cited· Includes actual harm
▼
May 8, 2024Health
8 deficiencies cited· Includes actual harm
▼
Mar 28, 2024Health
6 deficiencies cited
▼
Aug 9, 2023Health
1 deficiency cited
▼
Feb 7, 2023Health
4 deficiencies cited
▼
Nov 10, 2021Health
10 deficiencies cited
▼

Penalty History

May 16, 2025Fine
$12,735
Sep 30, 2024Fine
$20,719
May 8, 2024Fine
$14,722
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.