Nursing home · Top rated by CMS
Paradigm at the Brazos
2127 Preston St, Richmond, TX 77469 · Map
For profit - Corporation · Part of Paradigm Healthcare (18 facilities) · 56 certified beds
Paradigm at the Brazos is a Medicare-certified nursing home in Richmond, Texas. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Aug 1, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Paradigm at the Brazos 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) | 3.15 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.76 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 31.0% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 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.
- Every deficiency from the August 1, 2025 inspection was corrected by August 22, 2025
What inspectors found at Paradigm at the Brazos
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- 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 · Aug 1, 2025 · 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 · Aug 1, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Nov 30, 2023 · Full report (PDF) - Potential for harm
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · Nov 30, 2023 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Jun 1, 2023
Show all 6 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jun 1, 2023
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
- 2127 Preston St
Richmond, TX 77469 - CMS certification #
- 675420
- Ownership
- For profit - Corporation
- Certified beds
- 56
- Avg residents/day
- 41.2
- Provider type
- Medicare and Medicaid
- First certified
- 1994-08-30
- 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 the Brazos using Google Maps.
Other public records
- Website says Works with hospice, diabetes care, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Paradigm at the Brazos 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
- Oakbend Medical Center, Richmond. 0.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Oak Bend Medical Center, Richmond. 0.8 miles away, straight line.
- Nearest home health agency office
- Gracefaith Healthcare Services, Inc., Richmond. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77469 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Rosenberg Home Training, Rosenberg, 3.1 miles away, straight line (CMS rating 5 of 5 stars)
Davita Village Dialysis, Rosenberg, 3.2 miles away, straight line (CMS rating 3 of 5 stars)
Fkc West Rosenberg, Rosenberg, 3.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 97 Medicare hospices tell CMS they serve ZIP code 77469.
Fairmont Hospice, office in Richmond, 1.3 miles away, straight line (CMS family survey rating 1 of 5 stars)
Eternal Faith Hospice, office in Richmond, 1.3 miles away, straight line
United Palliative & Hospice Care, Inc., office in Richmond, 4.3 miles away, straight line - Nearest geriatric medicine practice
- Owen Capocyan, MD, Sugar Land. 8.1 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.
- 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 moderate. By hazard: hurricane relatively high, inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively high, 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 | Not in a mapped zone | |
| 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 the Brazos a good nursing home?
CMS gives Paradigm at the Brazos an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Paradigm at the Brazos staffed?
Paradigm at the Brazos reports 3.15 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Paradigm at the Brazos had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Paradigm at the Brazos have?
Paradigm at the Brazos is certified for 56 beds.