Paradigm At The Brazos
2127 PRESTON ST, Richmond, TX, 77469
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 - Corporation · Chain: Paradigm Healthcare
- Certified beds
- 56 · avg 41 residents/day
- Total nursing staff turnover
- 31% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 145427
- Service type
- Medicare/medicaid
- Licensed capacity
- 56 beds
- Bed type breakdown
- 1 Medicare-only · 55 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Brazos Nursing & Rehabilitation Llc
- Administrator
- Sherion Schroeder
Texas HHS licensing registry · as of April 16, 2026
About this community
Paradigm At The Brazos is a 56-bed nursing home in Richmond, Texas, licensed since 1971 and operated under Oakbend Medical Center with management by Brazos Nursing & Rehabilitation LLC. CMS rates it 5 stars overall, with 5 stars on health inspections and quality measures. Staffing earns 3 stars, and the facility is currently running at about 74% of licensed capacity — roughly 41 of 56 beds occupied.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 189 minutes of nursing care per day — roughly 52 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — they tend to be sicker or less mobile on average — so those 189 minutes stretch thinner than the raw number suggests.
About 3 in 10 nursing staff left in the past year. That puts total turnover below the Texas 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state. RN turnover follows a similar pattern, also running low. A long-stay resident here is less likely to cycle through multiple primary caregivers than at most Texas facilities.
The facility is operating at about 74% of its 56 licensed beds, with roughly 41 residents on any given day. That gap between capacity and current census is present alongside the other signals above.
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
Weekend nursing hours average 2.77 hours per resident per day — below the 3.16 weekday figure; ask how many nurses and aides are on the floor on a Saturday night.
Why beds are running below capacity
The facility is at roughly 74% occupancy with about 15 beds unfilled; ask whether that reflects a pause in admissions, a referral change, or something else.
Heavier-care resident mix and staffing plan
CMS data shows residents here need more hands-on help than the Texas average; ask how the facility adjusts staffing schedules when it admits higher-need residents.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council; ask how families are formally notified of concerns raised at council meetings.
Management company's role day to day
The licensee is a county hospital (Oakbend Medical Center) but day-to-day management runs through Brazos Nursing & Rehabilitation LLC; ask which entity sets staffing budgets and responds to complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.