Paradigm At Bay City
1800 13TH ST, Bay City, TX, 77414
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Paradigm Healthcare
- Certified beds
- 105 · avg 40 residents/day
- Total nursing staff turnover
- 24.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 16.7% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $50,359 total
State licensing & capacity
- License number
- 147211
- Service type
- Medicare/medicaid
- Licensed capacity
- 105 beds
- Bed type breakdown
- 33 Medicare-only · 72 Medicaid/Medicare
- Current license effective
- March 31, 2023
- Current license expires
- March 31, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Bay City Nursing & Rehabilitation Llc
- Administrator
- Taylor Wallace
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Healthcare chain — 18 facilities across 2 states. Chain-wide average overall rating 2.1 / 5.
Disclosed owners (14 on record)
- Aharon Shkop
Operational/managerial Control · 100% · since 2022
- Bay City Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2022
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2017
- Robert Douds
Corporate Officer · since 2016
- Melissa Martin
Corporate Officer · since 2015
- Ruthanne Mefford
Corporate Officer · since 2015
+ 8 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 25)
- D0880·May 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0761·May 30, 2025
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0677·May 30, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0842·May 30, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0689·May 20, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0583·May 20, 2024Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0880·Mar 28, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0814·Mar 28, 2024Complaint
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Federal penalties
By year
- 20231 fine · $50K
Most recent events
- Aug 3, 2023Fine · $50K
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: May 30, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Paradigm At Bay City is a 105-bed nursing home in Bay City, Texas, licensed through March 2026 and managed by Bay City Nursing & Rehabilitation LLC under county licensee Oakbend Medical Center. CMS rates it 3 stars overall, with a 5-star staffing rating but a 2-star health inspection rating. One CMS fine of $50,359 is on record. The facility is currently operating at roughly 38% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 5 stars — the top 1.98% of Texas nursing homes on this measure. Each resident receives about 212 minutes of nursing care per day, including 45 minutes of registered-nurse time. Staff hours per resident exceed what a typical resident mix would require, meaning the workload on staff is lighter than the raw minutes might suggest — residents here tend to need less hands-on care than at a typical facility.
Nursing staff turnover is exceptionally low: roughly 2 in 10 nursing staff left in the past year, better than about three-quarters of nursing homes in Texas. RN turnover runs at the same rate — 2 in 10 — also in the exceptionally low tier. A long-stay resident is unlikely to cycle through multiple primary caregivers.
One administrator has left in the past year. That is elevated relative to what the pre-compute step treats as baseline, so it is worth understanding who is currently in the director role and how long they have been in place.
The health inspection rating is 2 stars, the lowest component rating in this facility's CMS profile. A single CMS fine of $50,359 is on record — roughly 2.4 times the Texas median fine of $20,699, and about 30% of Texas nursing homes have no fines at all.
The facility is operating at approximately 38% of its 105 licensed beds, with about 40 residents on any given day. That is well below typical occupancy levels.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection rating of 2 stars
The health inspection rating is 2 stars while staffing rates 5 — ask which specific deficiencies drove that gap and what has changed since the last inspection.
Fine of $50,359 on record
One CMS fine totaling $50,359 — about 2.4 times the Texas median — ask what the citation was for and how the facility resolved it.
Recent administrator departure
One administrator left in the past year; ask how long the current administrator has been in the role and whether leadership is expected to remain stable.
Why occupancy is so low
With roughly 40 residents in a 105-bed building, ask whether low census reflects a recent ownership transition, staffing changes, or planned unit closures.
Management company and county licensee
The facility is licensed to county entity Oakbend Medical Center but operated by Bay City Nursing & Rehabilitation LLC — ask how day-to-day decisions are divided between the two.
Care planning and outcome review
Staffing is strong but the quality-measure rating is 4 stars, not 5 — ask how often care plans are reviewed and who leads those meetings.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.