Nursing home report card · Richmond, TX
Paradigm at The Brazos
2127 Preston ST, Richmond, TX 77469
Quick summary
Above-average Medicare rating
Overall rating is 5 of 5 stars. That is a positive signal — still read the inspection notes, visit in person, and ask about staffing on nights and weekends.
Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.
How recent is this information?
- Medicare file prepared
- Aug 1, 2026
- Our record last updated
- Oct 15, 2026
- Last routine health inspection
- Aug 1, 2025
These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.
Medicare ratings
One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.
Combines inspection, staffing, and care measures.
Among the highest Medicare ratings
Based on problems found during health inspections.
Among the highest Medicare ratings
Based on staffing levels and related measures.
About average for U.S. nursing homes
Based on reported health and care results.
Among the highest Medicare ratings
What do the ratings and warnings mean?
- Medicare ratings
- One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
- Inspection problems
- Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
- Abuse warning
- Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
- Nursing staff time
- Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.
At a glance
These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.
Care, safety, and resident-rights issues on recent inspections
Building, alarms, exits, and related safety citations
Total fine amounts in the imported penalty records
Medicare home ID: 675420
Inspection findings to read first
Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.
Could have caused harm · isolated case
Aug 1, 2025 · Inspection rule 0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Could have caused harm · pattern case
Aug 1, 2025 · Inspection rule 0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Could have caused harm · isolated case
Nov 30, 2023 · Inspection rule 0914
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Nursing staff time
These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.
about 34 minutes per resident per day
about 3 hr 11 min per resident per day
about 26 minutes per resident per day
Latest inspection summary
A summary of the most recent routine inspections. You can open the dated findings below.
We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.
How this home compares
Compared with state and national averages. The numbers may cover different periods.
- Overall CMS rating: 5 stars
- Health inspection rating: 5 stars
- Staffing rating: 3 stars
- Registered nurse time per resident: 0.57 hours/day
- Total nurse time per resident: 3.19 hours/day
See the dates used for these averages
Medicare file dates: this home Aug 1, 2026; Texas averages Unavailable; U.S. averages Oct 1, 2026.
Other concerns in the records
These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.
- No automatic red flags stood out — still read the full inspection history
How serious were the problems?
Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.
- Could have caused harm6 citations
Why inspectors showed up
Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.
- Complaints
- 0
- Routine
- 6
- Fire safety
- 0
- Other
- 0
Who owns it
Names CMS lists as owners or managers · reported as For profit - Corporation.
- We do not have individual owner names for this home.
Other homes in this group: All Paradigm Healthcare nursing homes
Inspection history
Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.
August 1, 20252 findings
- Nutrition and Dietary problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0812 · code E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Freedom from Abuse, Neglect, and Exploitation problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0609 · code D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 30, 20232 findings
- Environmental problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0914 · code D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Environmental problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0921 · code D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
June 1, 20232 findings
- Environmental problemsCould have caused harm · pattern case
Inspection type and official rule codes
Routine health inspection · CMS tag 0925 · code E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Pharmacy Service problemsCould have caused harm · isolated case
Inspection type and official rule codes
Routine health inspection · CMS tag 0755 · code D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Fines & penalties
These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.
- No fines or penalties appear in the records we have.
Other homes in this chain
Paradigm Healthcare · other locations in Texas
- Paradigm Northwest · Houston1 of 5 · 33 problems
- Paradigm at Westbury · Houston1 of 5 · 42 problems
- Paradigm at the Oak · Schulenburg1 of 5 · 60 problems
- Paradigm at Katy · Katy1 of 5 · 51 problems
- Paradigm at the Prairies · El Campo1 of 5 · 28 problems
- Paradigm at the Creek · Wharton1 of 5 · 44 problems
- Paradigm at Sweeny · Sweeny1 of 5 · 22 problems
- Paradigm at First Colony · Missouri City1 of 5 · 41 problems
Related topics
Questions about Paradigm at The Brazos
What is Paradigm at The Brazos's Medicare star rating?
Has Paradigm at The Brazos been fined?
Does Paradigm at The Brazos have a Medicare abuse warning?
How does Paradigm at The Brazos compare with other nursing homes in Texas?
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