Paradigm at the Prairies Inspection Report, Violations & Safety Grade (El Campo, Texas)

106 DEL NORTE DR., El Campo, Texas 77437

Phone: 9795436762

CMS Overall:1/5

Overview & Bed Count

Certified Beds

150

Avg Residents/Day

98.1

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Wharton

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Yes

CMS Star Ratings

Overall1/5

Health1/5

Staffing1/5

Quality2/5

Nurse Staffing Check

Metric	This Facility	Texas Avg	Difference
RN Hours per Resident per Day	0.39	0.44	-0.05
Total Nurse Hours per Resident per Day	2.73	3.42	-0.68
CMS Staffing Rating	1/5	1.9/5	-
Nursing Staff Turnover	46.0%	50.8%	-

Health Citation History

33 health citations on record

Date	Category	Description	Severity
2026-08-20	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	G – Actual Harm
2026-07-21	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2026-07-09	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E – Moderate Harm Potential
2026-07-09	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.	E – Moderate Harm Potential
2026-07-09	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D – Moderate Harm Potential
2026-07-09	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	C – Minimal Harm Potential
2026-07-09	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	C – Minimal Harm Potential
2026-06-02	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2026-06-02	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-06-02	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D – Moderate Harm Potential
2026-04-20	Resident Rights Deficiencies	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	E – Moderate Harm Potential
2026-04-20	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D – Moderate Harm Potential
2026-04-20	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.	D – Moderate Harm Potential
2026-03-15	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.	J – Immediate Jeopardy
2026-03-15	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	J – Immediate Jeopardy
2025-11-18	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	E – Moderate Harm Potential
2025-11-18	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E – Moderate Harm Potential
2025-11-18	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	E – Moderate Harm Potential
2025-11-18	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2025-11-18	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	D – Moderate Harm Potential
2025-11-18	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D – Moderate Harm Potential
2025-11-18	Quality of Life and Care Deficiencies	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.	D – Moderate Harm Potential
2025-11-18	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2025-11-18	Pharmacy Service Deficiencies	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.	D – Moderate Harm Potential
2025-08-30	Administration Deficiencies	Hire a qualified full-time social worker in a facility with more than 120 beds.	E – Moderate Harm Potential
2025-06-27	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.	G – Actual Harm
2025-04-16	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2025-04-16	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D – Moderate Harm Potential
2024-02-29	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D – Moderate Harm Potential
2024-02-29	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D – Moderate Harm Potential
2024-02-29	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2024-01-26	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C – Minimal Harm Potential
2023-12-16	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J – Immediate Jeopardy

Fire Safety Citation History

22 fire safety citations on record

Date	Category	Description	Severity
2026-07-09	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	F – Moderate Harm Potential
2026-07-09	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2026-07-09	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2026-07-09	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2026-07-09	Smoke Deficiencies	Install an approved automatic sprinkler system.	E – Moderate Harm Potential
2026-07-09	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2026-07-09	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2026-07-09	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2026-07-09	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2026-07-09	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential
2025-04-16	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2025-04-16	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2025-04-16	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2025-04-16	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2025-04-16	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2025-04-16	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure precautions for handling oxygen cylinders and equipment are correctly followed.	E – Moderate Harm Potential
2024-02-29	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2024-02-29	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	F – Moderate Harm Potential
2024-02-29	Egress Deficiencies	Have properly located and lighted "Exit" signs.	E – Moderate Harm Potential
2024-02-29	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2024-02-29	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	E – Moderate Harm Potential
2024-02-29	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	C – Minimal Harm Potential

Total Penalties & Fines

$53,583

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-03-15	Fine	$16,433	-
2026-03-15	Payment Denial	-	8 days starting 2026-04-14
2025-06-27	Fine	$23,753	-
2023-12-16	Fine	$13,397	-

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Need Help Finding Safe Care?

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3-Year Complete Report ($19)

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