Nursing home
Paradigm at the Creek
1405 Valhalla Dr, Wharton, TX 77488 · Map
For profit - Limited Liability company · Part of Paradigm Healthcare (18 facilities) · 120 certified beds
Paradigm at the Creek is a Medicare-certified nursing home in Wharton, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.45 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Mar 28, 2024 cited 7 deficiencies.
- 3 fines totaling $48,176In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Paradigm at the Creek 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) | 3.45 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.16 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 57.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 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: 3 fines totaling $48,176, 3 total penalties.
What inspectors found at Paradigm at the Creek
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 · Aug 4, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 16, 2025 · Full report (PDF) - Immediate jeopardy
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Sep 30, 2024 · 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 · Sep 30, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 30, 2024 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · May 28, 2024 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Provide training in compliance and ethics.
Administration Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Have a Compliance and Ethics Program.
Administration Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies · May 8, 2024 · Full report (PDF) - Potential for harm
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 · May 8, 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
- 1405 Valhalla Dr
Wharton, TX 77488 - CMS certification #
- 455699
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 50.2
- Provider type
- Medicare and Medicaid
- First certified
- 1987-04-23
- Chain
- Paradigm Healthcare (18 facilities)
- Setting
- Rural
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 Creek using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Care and services
From the community’s website
What Paradigm at the Creek says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- El Campo Memorial Hospital, El Campo. 12.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Wharton Nursing and Rehabilitation Center, Wharton. 2.0 miles away, straight line.
- Nearest home health agency office
- Accentcare Home Health Of Texas, Wharton. 2.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77488 as small town (small town core).
- Dialysis within 15 miles
- Davita Wharton Dialysis, Wharton, 1.5 miles away, straight line (CMS rating 2 of 5 stars)
Wharton Dialysis Care, Wharton, 2.0 miles away, straight line (CMS rating 2 of 5 stars)
Davita El Campo Dialysis, El Campo, 12.8 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 27 Medicare hospices tell CMS they serve ZIP code 77488.
- Nearest geriatric medicine practice
- Owen Capocyan, MD, Sugar Land. 33.9 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
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, 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 | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very 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 Creek a good nursing home?
CMS gives Paradigm at the Creek an overall rating of 1 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 the Creek staffed?
Paradigm at the Creek reports 3.45 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Paradigm at the Creek had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Paradigm at the Creek have?
Paradigm at the Creek is certified for 120 beds.