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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D12 | E13 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 14, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 16, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 16, 2026 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Oct 17, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Oct 17, 2024 | Health | Health Complaint, Health Standard | 14 | Actual harm | — | Open → |
| Jul 27, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jun 6, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Feb 29, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Feb 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 18, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 31, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 31, 2023 | Health | Health Standard | 4 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 27, 2024 | Civil money penalty (fine) | $94,403 | — | 676290|Fine|113091 |
| Jun 6, 2024 | Civil money penalty (fine) | $20,418 | — | 676290|Fine|112935 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J5 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D12 | E13 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 14, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 16, 2026 | Complaint |
| Jan 16, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 12, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 35 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2021 |
| Howard Leshikar | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Beverly Teplicek | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Valerie Varta | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Donnie Victorick | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Apr 13, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Stevens 204 Walter St, Yoakum, TX 77995 CCN 455544 | 106 | May 15, 2026 | 541 open | — | |
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676290 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676290 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jan 16, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 12, 2026 |
| Jan 16, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 12, 2026 |
| Oct 17, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 16, 2024 | Complaint |
| Oct 17, 2024 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 13, 2025 |
| Oct 17, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 16, 2024 | Complaint |
| Oct 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Nov 16, 2024 |
| Oct 17, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Nov 16, 2024 |
| Jul 27, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 25, 2024 | Complaint |
| Jul 27, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | J · Immediate jeopardy Isolated | Corrected Aug 25, 2024 | Complaint |
| Jul 27, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | J · Immediate jeopardy Isolated | Corrected Aug 25, 2024 | Complaint |
| Jun 6, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jun 7, 2024 | Complaint |
| Jun 6, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jun 7, 2024 | Complaint |
| Feb 29, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 19, 2024 | Complaint |
| Feb 29, 2024 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 19, 2024 | Complaint |
| Feb 12, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 7, 2024 | Complaint |
| Oct 18, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 14, 2023 | Complaint |
| Aug 31, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 6, 2023 |
| Aug 31, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 24, 2024 |
| Aug 31, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Oct 9, 2023 |
| Aug 31, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Aug 31, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 6, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.75 (case-mix index 1.14).
| Spjst Rest Home | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Raeeda Gheewala | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2021 |
| Joseph Freudenberger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2021 |
| Spjst Rest Home | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Jun 1, 2021 |
| Spjst Rest Home | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Raeeda Gheewala | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2021 |
| Jul 23, 2026 |
41 |
| — |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 | Aug 13, 2025 | 302 IJ1 open | $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714 | 148 | Aug 5, 2026 | 405 IJ | $51k |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 36 | Jun 17, 2026 | 13 | $12k |
| The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800 | 180 | Nov 17, 2025 | 342 IJ1 harm | $31k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |