Nursing home
Paradigm at Sweeny
109 N Mckinney, Sweeny, TX 77480 · Map
For profit - Limited Liability company · Part of Paradigm Healthcare (18 facilities) · 90 certified beds
Paradigm at Sweeny is a Medicare-certified nursing home in Sweeny, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.64 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 4, 2025 cited 6 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $10,517In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Paradigm at Sweeny compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.64 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.51 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.59 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 61.5% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $10,517, 1 total penalty.
What inspectors found at Paradigm at Sweeny
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
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 · Jul 4, 2025 · Full report (PDF) - Immediate jeopardy
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 · Jul 4, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 4, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jul 4, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jul 4, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 4, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 4, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 4, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 21, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Mar 21, 2024 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Mar 21, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 109 N Mckinney
Sweeny, TX 77480 - CMS certification #
- 675344
- Ownership
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 62.2
- Provider type
- Medicare and Medicaid
- First certified
- 1994-05-31
- Chain
- Paradigm Healthcare (18 facilities)
- Setting
- Urban
Part of Paradigm Healthcare
Paradigm Healthcare operates 18 nursing facilities across the United States. View all Paradigm Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Paradigm at Sweeny using Google Maps.
Other public records
- Website says Works with hospice, diabetes care, transportation
- Emergency In hurricane evacuation zone Zip-Zone C
Full public records, with dates and sources
Care and services
From the community’s website
What Paradigm at Sweeny says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Hospice Services
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetes Management
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private & Semi-Private Rooms
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Sweeny Community Hospital, Sweeny. 0.2 miles away, straight line.
- Nearest Medicare nursing home
- Oak Village Healthcare, Lake Jackson. 14.2 miles away, straight line.
- Nearest home health agency office
- Iph Home Health Care, Lake Jackson. 14.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- LifeCheck. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77480 as rural (rural area).
- Dialysis within 15 miles
- Sweeny Dialysis Care, Llp, Sweeny, 0.1 miles away, straight line (CMS rating 4 of 5 stars)
Davita Lake Jackson Dialysis, Lake Jackson, 14.1 miles away, straight line (CMS rating 3 of 5 stars)
Brazoria County Dialysis, Llp, Lake Jackson, 14.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 21 Medicare hospices tell CMS they serve ZIP code 77480.
Iph Hospice Care Inc, office in Lake Jackson, 14.0 miles away, straight line
Angels Care Hospice, office in Bay City, 17.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Ut Physicians Specialty Services, Missouri City. 35.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Hurricane evacuation zone
- Zip-Zone C on the Houston-Galveston hurricane evacuation ZIP-Zones. (Houston-Galveston Area Council, map updated Jul 30, 2026)
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively high, inland flooding relatively high, coastal flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | See above | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Paradigm at Sweeny a good nursing home?
CMS gives Paradigm at Sweeny an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Paradigm at Sweeny staffed?
Paradigm at Sweeny reports 2.64 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Paradigm at Sweeny had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Paradigm at Sweeny have?
Paradigm at Sweeny is certified for 90 beds.