Paradigm At The Creek
1405 VALHALLA DR, Wharton, TX, 77488
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
- 120 · avg 50 residents/day
- Total nursing staff turnover
- 57.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 70% — 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)
- 3 fines · $48,176 total
State licensing & capacity
- License number
- 147436
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 22 Medicare-only · 98 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- April 23, 1987
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Wharton Nursing & Rehabilitation Llc
- Administrator
- Marian Mustafa
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 (15 on record)
- Wharton Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2021
- Amirali s Popatia
Other · 9% · since 2017
- Edward o Uthman
Other · 9% · since 2017
- Jeff Council
Other · 9% · since 2017
- Jeff Haley
Other · 9% · since 2017
- John m Zerwas
Other · 9% · since 2017
+ 9 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 35)
- K0656·Aug 4, 2025Complaint
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.
- G0689·May 16, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0725·Sep 30, 2024Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E0641·Sep 30, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- J0600·Sep 30, 2024Complaint
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.
- J0678·May 28, 2024Complaint
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- F0946·May 8, 2024Complaint
Administration Deficiencies
Provide training in compliance and ethics.
- F0895·May 8, 2024Complaint
Administration Deficiencies
Have a Compliance and Ethics Program.
Federal penalties
By year
- 20251 fine · $13K
- 20242 fines · $35K
Most recent events
- May 16, 2025Fine · $13K
- Sep 30, 2024Fine · $21K
- May 8, 2024Fine · $15K
Largest single fine on record: $21K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Mar 28, 2024. 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 Creek is a 120-bed nursing home in Wharton, Texas, licensed under Oakbend Medical Center and managed by Wharton Nursing & Rehabilitation LLC. CMS rates it 1 star overall — the lowest rating — with 1-star ratings across health inspections, staffing, and quality measures. Three fines totaling $48,176 have been issued. The facility is currently running at roughly 42% of its licensed beds, with 50 of 120 occupied on an average day.
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 lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 207 minutes of nursing care per day, about 34 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so those 207 minutes stretch thinner than the raw number suggests.
About 7 in 10 registered nurses left in the past year, a rate that places RN turnover in the high tier for Texas. A long-stay resident will likely go through multiple primary RN caregivers over the course of a year.
Two administrators have turned over in the past year. That level of leadership change creates organizational instability that residents and frontline staff typically feel.
CMS has issued 3 fines totaling $48,176 since the facility's current inspection record began — more than double the Texas median fine amount of $20,699. Roughly 30% of Texas nursing homes have received no fines in the same period.
The facility is operating at roughly 42% of its 120 licensed beds, with about 50 residents on an average day. Paired with the 1-star overall rating, high turnover, and recent fines, the low occupancy reflects a facility under significant pressure across multiple dimensions.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 1-star staffing rating and 207 minutes of daily nursing care per resident, ask specifically how many nurses and aides are on duty during overnight and weekend shifts.
RN turnover over the past year
CMS data shows roughly 7 in 10 registered nurses left in the past year — ask which RNs are currently on staff and how long they have been at this facility.
Two administrators in one year
The facility has had two administrator changes in the past year — ask who the current administrator is, how long they have been in the role, and what prompted the transitions.
The three recent CMS fines
Three fines totaling $48,176 have been issued — ask what each citation was for and what specific changes were made in response.
Current census and bed availability
With only about 50 of 120 beds occupied, ask whether the low census affects staffing decisions, programming, or the range of services currently offered.
Resident Council participation
The facility has a Resident Council but no Family Council — ask how family members can formally raise concerns, and how often the Resident Council meets and reports to administration.
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.