Paradigm At The Prairies
106 DEL NORTE DR., El Campo, TX, 77437
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual · Chain: Paradigm Healthcare
- Certified beds
- 150 · avg 96 residents/day
- Total nursing staff turnover
- 59% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 12.5% — 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)
- 2 fines · $49,277 total
State licensing & capacity
- License number
- 311730
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 15 Medicare-only · 135 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- January 1, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- El Campo Nursing & Rehabilitation Llc
- Administrator
- Melissa K Armstrong
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 (4 on record)
- Aharon Shkop
Operational/managerial Control · 100% · since 2024
- el Campo Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2024
- Joseph Freudenberger
Corporate Officer · 100% · since 2024
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2024
Recent change of ownership
January 2024 (2 years ago) · acquired from Paradigm at The Prairies
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 20)
- E0919·Nov 18, 2025Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0880·Nov 18, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Nov 18, 2025Complaint
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.
- D0695·Nov 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·Nov 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D0584·Nov 18, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D0583·Nov 18, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0558·Nov 18, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal penalties
By year
- 20251 fine · $36K
- 20231 fine · $13K
Most recent events
- Jun 27, 2025Fine · $36K
- Dec 16, 2023Fine · $13K
Largest single fine on record: $36K.
Fire-safety citations
18 Life-Safety-Code citations on file. Most recent: Apr 16, 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 The Prairies is a 150-bed nursing home in El Campo (Wharton County), Texas, licensed under Oakbend Medical Center and managed by El Campo Nursing & Rehabilitation LLC. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding within the past 36 months and two fines totaling $49,277 since its last inspection cycle. The facility is operating at roughly 64% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect here within the past 36 months. That flag appears in CMS Care Compare and reflects an investigation outcome, not an unresolved allegation.
CMS rates staffing 2 stars. Each resident receives about 165 minutes of nursing care per day — 76 minutes less than at a 4-star-staffing facility in Texas. Residents here tend to need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 165 minutes stretch thinner than the raw number already suggests.
RN turnover is exceptionally low: roughly 1 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. Total nursing staff turnover runs at 59%, which sits at roughly the 75th percentile for Texas — meaning a long-stay resident will likely go through two or three primary caregivers over the course of a year. The stable RN layer and the higher overall turnover coexist.
Two CMS fines totaling $49,277 have been assessed — more than double the Texas median of $20,699 per facility. Roughly 30% of Texas nursing homes received no fines in the same period.
One administrator has turned over in the past year. That is one change, not a pattern of rapid churn, but leadership continuity affects how consistently care policies are carried out.
The facility is operating at roughly 64% of its 150 licensed beds — about 96 residents on an average day. Paired with the 2-star overall rating and the safety flags above, the low occupancy reflects the broader record rather than a temporary vacancy situation.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nature of the abuse finding
CMS has a substantiated abuse or neglect finding on record here — ask what happened, what corrective steps were taken, and how staff are trained to prevent recurrence.
How fines were resolved
Two fines totaling $49,277 appear in the CMS record — ask which deficiencies triggered them and what specific policy changes followed each citation.
Staffing on nights and weekends
Reported weekend nursing hours average 2.27 minutes per resident per day less than weekday figures — ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
Why beds are largely unfilled
The facility averages about 96 residents against 150 licensed beds — ask what accounts for the vacancy rate and whether it affects departmental staffing levels.
Administrator transition details
One administrator turned over in the past year — ask how long the current administrator has been in place and who provides operational continuity during leadership changes.
Resident Council access and role
A Resident Council meets here but no Family Council exists — ask how family members surface concerns and who responds when they do.
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.