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    Nursing home · RICHMOND, TX

    PARADIGM AT THE BRAZOS

    2127 PRESTON ST, RICHMOND, TX 77469

    CMS certification number: 675420 · Updated October 1, 2026

    CMS overall rating

    5 / 5

    Certified beds

    56

    Residents / day

    37.1

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Fort Bend
    Certified beds
    56
    Average residents per day
    37.1
    First certified
    August 30, 1994

    CMS quality ratings

    Overall
    5 / 5
    Health inspections
    5 / 5
    Staffing
    3 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Fort Bend, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    5.00
    County peers
    2.21
    n=14
    State peers
    2.75

    Nurse hours / resident / day

    This home
    3.36
    County peers
    3.52
    n=14
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.88
    County peers
    3.12
    n=14
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    32.40
    County peers
    51.37
    n=13
    State peers
    50.82
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 14.4% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 32.4% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    5
    Health citations
    6
    Resident measures
    17
    Ownership records
    7
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.36399
    Reported RN Staffing Hours per Resident per Day
    0.85160
    Reported LPN Staffing Hours per Resident per Day
    0.76979
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.74259
    Total number of nurse staff hours per resident per day on the weekend
    2.87813
    Registered Nurse hours per resident per day on the weekend
    0.64349
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.13217
    Total nursing staff turnover
    32.4
    Registered Nurse turnover
    30.0
    Number of administrators who have left the nursing home
    0
    Chain Name
    PARADIGM HEALTHCARE
    Number of Facilities in Chain
    17
    Chain Average Overall 5-star Rating
    2.1
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    620
    Latitude
    29.5853
    Location
    2127 PRESTON ST,RICHMOND,TX,77469
    ZIP Code
    77469
    City/Town
    RICHMOND
    Longitude
    -95.782
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    PARADIGM HEALTHCARE
    County/Parish
    Fort Bend
    Provider Name
    PARADIGM AT THE BRAZOS
    Provider Type
    Medicare and Medicaid
    Overall Rating
    5
    Ownership Type
    For profit - Corporation
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    3
    Provider Address
    2127 PRESTON ST
    Telephone Number
    2813422801
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    OAKBEND MEDICAL CENTER
    Long-Stay QM Rating
    4
    High Performing Icon
    Y
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.41294
    Chain Average QM Rating
    4.0
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    5
    Number of Certified Beds
    56
    Provider SSA County Code
    530
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    30.0
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    1.00190
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    32.4
    Chain Average Staffing Rating
    1.5
    Number of Facilities in Chain
    17
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    675420
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    12
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    11.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    37.1
    Chain Average Overall 5-star Rating
    2.1
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    8
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.1
    Rating Cycle 1 Health Deficiency Score
    12
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    8
    Rating Cycle 1 Standard Survey Health Date
    2025-08-01
    Rating Cycle 2 Standard Health Survey Date
    2024-08-22
    Rating Cycle 2/3 Number of Health Revisits
    0
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.84331
    Case-Mix RN Staffing Hours per Resident per Day
    0.69295
    Reported RN Staffing Hours per Resident per Day
    0.85160
    Adjusted LPN Staffing Hours per Resident per Day
    0.76230
    Case-Mix LPN Staffing Hours per Resident per Day
    0.86350
    Reported LPN Staffing Hours per Resident per Day
    0.76979
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    2
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    2
    Rating Cycle 1 Number of Standard Health Deficiencies
    2
    Rating Cycle 2 Number of Standard Health Deficiencies
    0
    Reported Licensed Staffing Hours per Resident per Day
    1.62139
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.72563
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.35182
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.74259
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.33125
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.90828
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    2
    Reported Total Nurse Staffing Hours per Resident per Day
    3.36399
    Registered Nurse hours per resident per day on the weekend
    0.64349
    Date First Approved to Provide Medicare and Medicaid Services
    1994-08-30
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.13217
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.85011
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.43957
    Total number of nurse staff hours per resident per day on the weekend
    2.87813

    COMMUNITY EXPERIENCE

    Reviews of PARADIGM AT THE BRAZOS

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

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    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026