Paradigm At The Oak
507 WEST AVE, Schulenberg, TX, 78956
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 - Limited Liability company · Chain: Paradigm Healthcare
- Certified beds
- 90 · avg 60 residents/day
- Total nursing staff turnover
- 43.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $227,267 total
State licensing & capacity
- License number
- 310690
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 12 Medicare-only · 78 Medicaid/Medicare
- Current license effective
- January 1, 2026
- Current license expires
- January 1, 2029
- Initial license date
- February 1, 1976
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Schulenburg Nursing & Rehabilitation Llc
- Administrator
- Eshanna Hemphill
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 2023
- Joseph Freudenberger
Corporate Officer · 100% · since 2023
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2023
- Schulenburg Nursing & Rehabilitation Llc
Operational/managerial Control · since 2023
Recent change of ownership
January 2023 (3 years ago) · acquired from Schulenburg Nursing & Rehabilitation Llc
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 51)
- D0880·Dec 29, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0925·Nov 21, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0804·Nov 21, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E0755·Nov 21, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0655·Nov 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0627·Nov 21, 2025Complaint
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- E0600·Jun 4, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0760·Mar 31, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal penalties
By year
- 20252 fines · $23K
- 20241 fine · $71K
- 20231 fine · $134K
Most recent events
- Nov 21, 2025Fine · $6,785
- Jan 17, 2025Fine · $16K
- Nov 7, 2024Fine · $71K
- May 15, 2023Fine · $134K
Largest single fine on record: $134K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Jan 28, 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 Oak is a 90-bed nursing home in Schulenburg, Texas, operated by Schulenburg Nursing & Rehabilitation LLC under county licensee Oakbend Medical Center. CMS rates it 1 star overall, with 1-star ratings for both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect here within the past 36 months, and four fines totaling $227,267 have been issued. Two administrators have turned over in the past year. The facility is currently operating at roughly 66% 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 at 1 star — the bottom tier. Each resident receives about 200 minutes of nursing care per day, roughly 41 minutes less than at a 4-star-staffing facility in Texas. That gap is sharper than the raw number suggests: residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same hours stretch thinner still. RN coverage is 16 minutes per resident per day, against a Texas 4-star threshold of 37 minutes.
Two administrators have left in the past year. That level of leadership turnover affects how consistently policies are followed and how staff are supervised day to day.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This finding is part of the public CMS record and is one reason for the 1-star health inspection rating.
Four CMS fines have been issued totaling $227,267. The median fine total among penalized Texas nursing homes is $20,699; this facility's total is roughly 11 times that figure. About 30% of Texas nursing homes have no fines at all in the same period.
The facility is running at about 66% of its 90 licensed beds — 59 to 60 residents on an average day. This is below typical occupancy and coincides with the other signals in this record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings
CMS records substantiated abuse or neglect findings here in the past 36 months — ask what specific incidents occurred, what policy changes followed, and how compliance is monitored now.
Two administrators in one year
Two administrators have left in the past 12 months — ask who is currently in charge, how long they have been in the role, and whether a permanent hire is in place.
Four fines totaling $227,267
Ask which deficiencies generated the four CMS fines and what corrective actions were taken, since the total is roughly 11 times the Texas median for penalized facilities.
Daily RN coverage
Reported RN hours work out to about 16 minutes per resident per day — ask how many registered nurses are on shift during days, evenings, and overnight, and what happens when an RN calls out.
Below-average occupancy
The facility averages about 60 residents against 90 licensed beds — ask whether the lower census reflects recent referral patterns, staffing constraints, or something else.
Management company role
Day-to-day operations are run by Schulenburg Nursing & Rehabilitation LLC under county licensee Oakbend Medical Center — ask which entity sets staffing levels, hires administrators, and is accountable for care quality.
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.