57.5/100
Average
Paradigm At Sweeny
109 N Mckinney, Sweeny, TX 77480
- Certified beds
- 90
- Occupancy
- 67%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
$50,189 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 75%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Paradigm At Sweeny
Paradigm At Sweeny runs on thin staffing. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 16% below what the home already provides on weekdays. Staff turnover sits at 75%, well above the 45.8% national figure, so the people caring for residents are cycling through fast. The inspection record backs that up: 21 deficiencies, four serious enough to cause harm or jeopardy, and four tied to abuse. A for-profit LLC operates the 90-bed home, and while its quality measure score looks good, the 1-star inspection and staffing ratings tell the more relevant story. One fine of $11,905 is on record.
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.
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
30/30Citations 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
8.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.01 total nurse hours per resident per day (national median 3.77)
- →0.63 RN hours per resident per day
- →Weekend staffing drops 16% against weekdays
Staff stability
2/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →75% of nursing staff left in the last year
Resident outcomes
12/15The 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
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$50,189 in federal fines across 2 action(s)
Grade ceiling applied
- Capped at 64 (grade C), CMS abuse icon on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: July 4, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of PARADIGM HEALTHCARE, which operates 17 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Paradigm At Sweeny
What is the ElderGrade for Paradigm At Sweeny? +
Paradigm At Sweeny holds an ElderGrade of C (57.5 out of 100), which we describe as "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 Sweeny? +
Residents receive an average of 2.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Paradigm At Sweeny 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 Sweeny accept Medicaid? +
Yes, Paradigm At Sweeny 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.
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