ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
B

77/100

Above average

Paradigm At Bay City

1800 13Th St, Bay City, TX 77414

CMS 4/5 stars #1 of 3 in Matagorda County (979) 245-6327
Certified beds
105
Occupancy
41%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Paradigm At Bay City

Paradigm At Bay City runs 105 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 25 deficiencies, three at harm or jeopardy level and two tied to abuse, plus one fine of $50,359; the last inspection was May 30, 2025. Staff turnover (44.7%) is basically in line with the national rate. The quality measure rating is strong at 4/5, but the 2/5 inspection rating reflects real problems that staffing numbers alone won't fix.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing15/30Stability10/15Outcomes12/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.48 total nurse hours per resident per day (national median 3.77)
  • →0.68 RN hours per resident per day
  • →Weekend staffing drops 13% against weekdays

Staff stability

10/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →45% of nursing staff left in the last year
  • →-2 for 4 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.36 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.68 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.93 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover44.70%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: July 23, 2026 (3 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of PARADIGM HEALTHCARE, which operates 17 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

Write a review

No family reviews yet for Paradigm At Bay City. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about Paradigm At Bay City

What is the ElderGrade for Paradigm At Bay City? +

Paradigm At Bay City holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Paradigm At Bay City? +

Residents receive an average of 3.36 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Paradigm At Bay City been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Paradigm At Bay City accept Medicaid? +

Yes, Paradigm At Bay City is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.