MyLivingChoice

Paradigm at Sweeny

109 N McKinney

3.7(32 ratings)

Paradigm at Sweeny, photo 11 / 4

Quick Facts

Total units
90
Medicare rating
2 of 5

CMS Care Compare

Ownership
For profit, Limited Liability company
Certified beds
90
Recent leadership change
New management team took over in past year

What Families Think

Reviews for Paradigm at Sweeny are mixed, with several families praising the activity director and recent improvements under new management, while one report describes a serious neglect incident. Overall, the community holds a 3.7 out of 5 rating from 32 Google reviews.

The Good

  • Activity director frequently praised by name
  • Reviewers say new management is improving care
  • Family members say staff are caring and attentive
  • Personalized care and comfortable atmosphere noted

The Bad

  • One report of a serious neglect incident, no ambulance called
  • No published pricing information available

AI-generated from reviews and community data.

Paradigm at Sweeny is a senior living community in Sweeny, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.7 out of 5 across 32 reviews.

About Paradigm at Sweeny

Paradigm at Sweeny is a skilled nursing and long-term care facility in Sweeny, Texas, licensed for 90 residents. It serves patients recovering from surgery and those requiring ongoing nursing care.

Families report consistently about the facility's activity programming and certain dedicated staff members who genuinely engage with residents. The Activity Director is frequently praised for creating engaging, themed events that go beyond typical nursing home activities. Some families note that staff attitudes are generally friendly and personable. However, reviews reveal persistent operational concerns: multiple families describe unpleasant odors throughout the building, slow response times to call lights, and inconsistent care quality. One family wrote of staff "sitting around chatting" while call lights went unanswered. Food quality and weekend housekeeping are also areas families flagged as problematic. A small number of families report more serious concerns about neglect and delayed medical response.

The facility holds a 3.7 out of 5 Google rating across 32 reviews. While some families, particularly recent ones, note improvements under newer management, others describe experiences they characterize as inadequate. Prospective families should carefully research current conditions and, if considering placement, request to visit at different times and speak directly with current residents and their families.

Types of Care at Paradigm at Sweeny

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Private Bathroom
  • Private Rooms
  • Wheelchair Accessible

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Restaurant style Dining Room

Community Amenities

  • 24-Hour Staff
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Nurse (RN)

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Paradigm at Sweeny

3.7overall · 32 ratings combined

3.7★ on Google (32)

ZebraZailya Frederick

Jul 2026

via Google

From Judith Frederick (aka ZebraZailya)<br>I recently spent 3+ weeks at Paradigm at Sweeny Skilled Nursing Facility, getting rehab following surgery for a severley broken ankle. I have to admit I was unprepared for the "nursing home" aspect of this "Skilled Nursing" environment and started out NOT being a happy camper. However, after about a week some outstanding staff helped change my perception of the experience.<br>* One of the first was a day-shift CNA named Johnathan. This young man, wise beyond his years, was so upbeat, warm, compassionate and playful! He put a positive spin on every one of my concerns, while simultaneously providing 100% validation for those concerns. He's truly a unique and gifted caregiver<br>* Another talented, warm and caring individual was Chef Mario, who worked closely with me to support my desire to be consistent in the dietary choices I make at home. He's clearly dedicated to serving the residents at Paradigm through creative food offerings and makes it his mission to have personal relationships with them, as well. Thank you for beautiful, nutritious meals, Mario!<br>* Thanks to the persistent coaxing by the Activity Director, Cruz Lewis, I finally gave in and joined his enthusiastic followers one day, for a game of Bingo, and was hooked! I began to check the daily activity calendar, circling a variety of activities I wanted to try. As I spent more time in the Dining Room/Game Room I got to know Cruz as a dedicated individual who brought MANY fun and enriching experiences to Paradigm residents on a very personal level. Thanks for the expanding my Paradigm world, Cruz:)<br>** There were others who contributed to my positive stay in Sweeny. I hope I'm able to write an additional review to share those.<br>Judith Frederick

Priscilla Liserio-Bonilla

Jul 2026

via Google

If I could give zero stars I would. There is patient neglect in all forms. The staff sits around chatting and complaining, call lights go unanswered,sanitation measures are not followed, delayed or no response to the patient in need , just a complete disregard for patient safety!!

MzMischief

Jun 2026

via Google

Clean and safe. Residents are happy here.

David Swanson

Jun 2026

via Google

I love the activity director Mr Cruz we have been a cowboy we went to Paris and he makes activities exciting here rather than the doll and boring things we also have a good nursing staff and I just enjoy being here at Paradise nursing home in Sweeney

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Government Inspection History

7 inspection visits in the last three years, 29 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

May 11, 2026Health Complaint2 citations
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionDeficient, Provider has no plan of correction

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionDeficient, Provider has no plan of correction

Jul 4, 2025Fire Safety StandardHealth Standard10 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Severity K of L: immediate jeopardy, patternCorrected Jul 22, 2025

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity K of L: immediate jeopardy, patternCorrected Jul 22, 2025

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedCorrected Jul 22, 2025

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jul 22, 2025

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 22, 2025

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 22, 2025

  • Have properly installed electrical wiring and gas equipment.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 22, 2025

  • Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 22, 2025

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jul 22, 2025

  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jul 22, 2025

Jun 4, 2024Health Complaint3 citations
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 11, 2024

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 11, 2024

  • Respond appropriately to all alleged violations.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 11, 2024

Mar 21, 2024Fire Safety StandardHealth ComplaintHealth Standard8 citations
  • Have generator or other power source capable of supplying service within 10 seconds.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 29, 2024

  • Have simulated fire drills held at unexpected times.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 29, 2024

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 29, 2024

  • Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 29, 2024

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 29, 2024

  • Provide and implement an infection prevention and control program.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2024

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 29, 2024

  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 29, 2024

Mar 8, 2024Health Complaint1 citation
  • Provide enough food/fluids to maintain a resident's health.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 16, 2024

Dec 14, 2023Health Complaint1 citation
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jan 5, 2024

Feb 2, 2023Fire Safety StandardHealth Standard4 citations
  • Ensure that residents are free from significant medication errors.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2023

  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2023

  • Keep residents' personal and medical records private and confidential.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 12, 2023

  • Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 10, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Paradigm at Sweeny offer?

Paradigm at Sweeny offers Skilled Nursing / Long Term Care.

Where is Paradigm at Sweeny located?

Paradigm at Sweeny is located at 109 N McKinney in Sweeny, Texas.

What do families say about Paradigm at Sweeny?

Reviews for Paradigm at Sweeny are mixed, with several families praising the activity director and recent improvements under new management, while one report describes a serious neglect incident. Overall, the community holds a 3.7 out of 5 rating from 32 Google reviews.

How did Paradigm at Sweeny do on recent health and safety inspections?

Paradigm at Sweeny had 7 government inspection visits in the last three years, with 29 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Paradigm at Sweeny?

Submit the Request Information form on this page to connect with Paradigm at Sweeny and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

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