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Paradigm at the Brazos
Nursing Home · Richmond, Texas · CMS Certification Number 675420
No CMS alert flags
CMS records 6 health citations for Paradigm at the Brazos across the three inspection cycles published as of June 2026. None reached the actual-harm tier (G or above). 2 of them came from a complaint investigation rather than a routine survey. In the most recent cycle alone there are 2 citations.
| Overall rating | ★★★★★ 5 of 5 |
|---|---|
| Health inspection | ★★★★★ 5 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
Staffing
| Total nurse staffing | 3.19 hours per resident per day |
|---|---|
| RN staffing | 0.52 hours per resident per day |
| Weekend nurse staffing | 2.60 hours per resident per day |
| Total nursing staff turnover | 22.6% |
| RN turnover | 12.5% |
Staffing hours are CMS payroll-based figures for the most recent quarter published. Turnover is the share of staff who left over twelve months.
Facility details
| Address | 2127 Preston St, Richmond, TX 77469 |
|---|---|
| Phone | (281) 342-2801 |
| County | Fort Bend |
| Certified beds | 56 |
| Average residents per day | 40.4 |
| Ownership | For profit - Corporation |
| Chain | Paradigm Healthcare |
| Participates in | Medicare and Medicaid |
| Sprinklers in all required areas | Yes |
| Resident / family council | Resident |
Most recent inspections
| Fire Safety Standard | 2025-08-01 |
|---|---|
| Health Complaint | 2023-11-30 |
| Health Standard | 2025-08-01 |
Inspection citations
Citations are published by the Centers for Medicare & Medicaid Services from state inspections. A citation reflects conditions found on the survey date shown and may since have been corrected. Facilities may dispute findings through informal dispute resolution. Always tour a facility and ask about anything you see here.
Scope/severity D — Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Scope/severity E — Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/severity D — Potential for harm
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Scope/severity D — Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Scope/severity D — Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/severity E — Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Common questions
Has Paradigm at the Brazos been cited for immediate jeopardy?
No immediate-jeopardy citations (scope/severity J, K or L) appear for Paradigm at the Brazos in CMS data as of June 2026.
What is the CMS star rating for Paradigm at the Brazos?
CMS gives Paradigm at the Brazos an overall rating of 5 out of 5 as of June 2026, with 5 for health inspection and 3 for staffing.
How big is Paradigm at the Brazos?
Paradigm at the Brazos is certified for 56 beds, with an average of 40.4 residents per day in the most recent CMS reporting period.
Ratings and inspection data from the Centers for Medicare & Medicaid Services, June 2026.