Paradigm at the Oak
Nursing home in Schulenburg, Texas, CMS certification number 675971
507 West Ave, Schulenburg, TX 78956 · Fayette County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 90
- Certified for
- Medicare and Medicaid
- Last standard inspection
- April 2, 2026
- Deficiencies at that inspection
- 22
- Fines in 3 years
- $103,830 (4)
Does Paradigm at the Oak take Medicare and Medicaid?
Yes to both. Paradigm at the Oak 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 | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 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 Oak 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
- 3.10
- Registered nurse hours
- 0.34
- Licensed practical nurse hours
- 0.94
- Nurse aide hours
- 1.82
- Weekend total hours
- 2.85
- Nursing staff turnover
- 53.1%
- Registered nurse turnover
- 40%
- Administrators who left
- 3
Health inspections and complaints
Inspectors last made a standard visit on April 2, 2026 and cited 22 deficiencies, plus 14 from complaint visits.
The visit before, on January 28, 2025, found 16.
CMS shows an abuse icon for Paradigm at the Oak. That means inspectors cited it for abuse, neglect or exploitation in the past year or two.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Paradigm at the Oak 4 times in the past 3 years, for $103,830 in total.
Beds and residents
On an average day 54.5 residents live here, about 61% of its 90 certified beds.
- Certified beds
- 90
- Average residents per day
- 54.5
- Certified since
- June 5, 2003
- Resident or family council
- Resident
Who owns Paradigm at the Oak
- 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 Oak
- Schulenburg Regency Nursing Center111 College St, Schulenburg 78956
- Parkview Manor Nursing and Rehabilitation206 N Smith St, Weimar 78962
- Flatonia Healthcare Center624 N Converse St, Flatonia 78941
- Monument Hill Nursing and Rehabilitation Center120 State Loop 92, La Grange 78945
- Avir at La Grange457 N. Main Street, La Grange 78945
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 Oak, 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 Oak
What is the CMS star rating of Paradigm at the Oak?
1 out of 5 stars overall.
Does Paradigm at the Oak accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Paradigm at the Oak?
22 cited at the last standard visit.
Who owns Paradigm at the Oak?
Oakbend Medical Center, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.