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 HHS 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 HHS licensing registry · as of April 16, 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 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.