Paradigm At Sweeny
109 N MCKINNEY, Sweeny, TX, 77480
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 62 residents/day
- Total nursing staff turnover
- 61.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 75% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $10,517 total
State licensing & capacity
- License number
- 308965
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 8 Medicare-only · 82 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- October 1, 2028
- Initial license date
- July 28, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Sweeny Nursing & Rehabilitation Llc
- Administrator
- Alton Ward
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 (3 on record)
- Joseph Freudenberger
Corporate Officer · 100% · since 2022
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2022
- Sweeny Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2022
Recent change of ownership
October 2022 (3 years ago) · acquired from Sweeny House
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 21)
- E0812·Jul 4, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- J0689·Jul 4, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- K0656·Jul 4, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0628·Jul 4, 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- K0600·Jul 4, 2025
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.
- E0582·Jul 4, 2025
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E0610·Jun 4, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- E0609·Jun 4, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20231 fine · $11K
Most recent events
- Apr 20, 2023Fine · $11K
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jul 4, 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 Sweeny is a 90-bed nursing home in Sweeny, Brazoria County, operated under Oakbend Medical Center's license and managed by Sweeny Nursing & Rehabilitation LLC. CMS rates it 2 stars overall, with 1-star ratings on both staffing and health inspections. CMS has substantiated findings of resident abuse or neglect here within the past 36 months. Three administrators have turned over in the past year. Quality-measure outcomes rate 5 stars.
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, shared by roughly 38% of Texas nursing homes. Residents receive about 158 minutes of total nursing care per day, including 31 minutes of registered-nurse time. That is 83 minutes less per day than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — less mobile or more medically dependent on average — so those 158 minutes stretch thinner than the raw number suggests.
About 6 in 10 nursing staff left in the past year, and roughly 8 in 10 registered nurses turned over in the same period. Both figures exceed Texas's 75th-percentile cutoff for turnover. A long-stay resident will likely go through two or three primary caregivers during their time here.
Three administrators have left in the past year. That level of leadership turnover affects how care policies are set and how staff are supervised.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This finding appears in the public CMS record.
The facility is operating at roughly 69% of its licensed beds — about 62 residents in a 90-bed building. Occupancy at this level, alongside the safety flag and turnover figures, is worth factoring into any assessment.
Despite the staffing and inspection ratings, CMS rates quality measures at 5 stars — the top tier — for long-stay residents. That rating reflects tracked outcomes such as rates of falls, pressure injuries, and declining mobility, drawn from resident assessments filed with CMS.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse finding details
CMS has a substantiated abuse or neglect finding here within the past 36 months — ask what happened, what changed, and how the facility tracks recurrence.
Three administrators in one year
Three administrators have turned over in the past year — ask who is currently in charge, how long they have been in the role, and what drove the previous departures.
Registered-nurse coverage on evenings and weekends
Reported RN time averages 31 minutes per resident per day — ask specifically how many hours a registered nurse is on the floor on weekends and overnight shifts.
Staff continuity for a specific resident
About 6 in 10 nursing staff left in the past year — ask how assignments are structured so a new resident sees the same aides consistently rather than rotating staff each shift.
Why occupancy sits at 69 percent
The facility is running about 28 beds below licensed capacity — ask whether that reflects referral volume, staffing constraints, or another operational factor.
How 5-star outcomes are maintained
Quality-measure outcomes rate 5 stars despite 1-star staffing — ask which specific measures drive that rating and how care plans are reviewed when staffing changes.
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.