Paradigm at the Brazos
Nursing home in Richmond, Texas, CMS certification number 675420
2127 Preston St, Richmond, TX 77469 · Fort Bend County
- CMS overall rating
- 5 of 5 stars
- Certified beds
- 56
- Certified for
- Medicare and Medicaid
- Last standard inspection
- August 1, 2025
- Deficiencies at that inspection
- 2
- Fines in 3 years
- No fines
Does Paradigm at the Brazos take Medicare and Medicaid?
Yes to both. Paradigm at the Brazos is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 3 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 4 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Paradigm at the Brazos reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.36
- Registered nurse hours
- 0.85
- Licensed practical nurse hours
- 0.77
- Nurse aide hours
- 1.74
- Weekend total hours
- 2.88
- Nursing staff turnover
- 32.4%
- Registered nurse turnover
- 30%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on August 1, 2025 and cited 2 deficiencies, plus 0 from complaint visits.
The visit before, on August 22, 2024, found 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Paradigm at the Brazos in the past 3 years.
Beds and residents
On an average day 37.1 residents live here, about 66% of its 56 certified beds.
- Certified beds
- 56
- Average residents per day
- 37.1
- Certified since
- August 30, 1994
- Resident or family council
- Resident
Who owns Paradigm at the Brazos
- Legal business name
- Oakbend Medical Center
- Ownership type
- For profit - Corporation
- Chain
- 17 homes nationally under Paradigm Healthcare, 2.1-star chain average
Other nursing homes near Paradigm at the Brazos
- Oakbend Medical Center1705 Jackson Street, Rosenberg 77469
- Richmond Health Care Center705 Jackson St, Richmond 77469
- Cambridge Health and Rehabilitation Center1106 Golfview, Richmond 77469
- Rosenberg Health & Rehabilitation Center1419 Mahlmann St., Rosenberg 77471
- Fort Bend Healthcare Center3010 Bamore Road, Rosenberg 77471
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Paradigm at the Brazos, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Paradigm at the Brazos
What is the CMS star rating of Paradigm at the Brazos?
5 out of 5 stars overall.
Does Paradigm at the Brazos accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Paradigm at the Brazos?
2 cited at the last standard visit.
Who owns Paradigm at the Brazos?
Oakbend Medical Center, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.