MyLivingChoice

Paradigm at the Brazos

2127 Preston St

3.8(16 ratings)· Richmond average: 4.4

Paradigm at the Brazos, photo 11 / 4

Quick Facts

Total units
56
Medicare rating
5 of 5

CMS Care Compare

Ownership
For profit, Corporation
Certified beds
56

What Families Think

Reviews of Paradigm at the Brazos are mixed, with several families praising the long-tenured, caring staff and successful rehabilitation outcomes for short-term patients, while others report serious care lapses. The community operates in an older building that has undergone some renovations, and opinions vary widely depending on individual experiences.

The Good

  • Staff described as caring and attentive by multiple reviewers
  • Long-tenured nurses and doctors, some for decades
  • Positive outcomes for post-surgery rehab patients
  • One reviewer cites a high CMS quality rating
  • Ongoing building renovations noted by a reviewer

The Bad

  • One report of a bed sore developing during a stay
  • One reviewer described an unsafe discharge situation
  • Multiple mentions that caregivers seem overworked
  • Building described as older, needing improvements

AI-generated from reviews and community data.

Paradigm at the Brazos is a senior living community in Richmond, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.8 out of 5 across 16 reviews.

About Paradigm at the Brazos

Paradigm at the Brazos is a 56-bed skilled nursing and long-term care facility in Richmond, Texas. The community serves patients recovering from acute injuries, those needing extended care, and individuals with complex medical needs.

Families consistently praise the clinical and personal attention from nursing staff, therapists, and aides. Multiple reviewers highlighted the responsiveness of nurses and certified nursing assistants, calling out the physical therapy department as particularly strong. Administrative staff members earned specific recognition for their availability and care. One family noted the activity director and kitchen staff for their dedication and well-seasoned meals. A long-term resident of 10 years credited consistent physician and nursing relationships built over years of care.

However, reviewers raised serious concerns about the facility's physical condition. Multiple families described cracked flooring, rusted equipment, and persistent maintenance issues that staff work to manage without full success. Some reported inadequate supervision and positioning protocols. One family described a discharge they felt was unsafe; another raised a critical incident involving cardiopulmonary response. These accounts stand in sharp contrast to the clinical praise and suggest gaps between care quality and operational oversight.

Paradigm at the Brazos holds a 3.8 out of 5 Google rating based on 16 reviews. Prospective families should weigh strong staff commitment against documented facility conditions and the need to verify current care protocols and management responsiveness.

Types of Care at Paradigm at the Brazos

Skilled Nursing / Long Term Care

Amenities

Room Amenities

  • Cable or Satellite TV
  • Emergency Call System
  • Wheelchair Accessible

Meals & Dining

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

Community Amenities

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

Activities

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

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Help Me Choose

Reviews of Paradigm at the Brazos

3.8overall · 16 ratings combined

3.8★ on Google (16)

sherry clark (sher)

Jun 2026

via Google

Great facility very caring staff. Administrator is very involved looking for a place for your loved one , dont look any further

Lena Washington

May 2026

via Google

If I could give negative I would my mom was here just over 2 weeks and is still fighting the bed sore! They discharge her unsafe because I insisted on a discharge. The caregivers are overworked and probably underpaid. All they care about is filling up the beds. After therapy my mom just laid in the bed or chair all day, which is how she got the bedsore. Don’t leave your family there unless they can care for themselves

Barbara Michels

Apr 2026

via Google

I have lived in this nursing home for 10 years. The name and ownership has changed recently but most of the staff has worked here for decades. With few exceptions, I have been treated by the same doctors and nurses since I was admitted, when I was suddenly homeless and suicidal. I am surprised to read some of negative comments I have found here, most of which I find superficial. No place is perfect. I have had my own concerns and complaints. Right now, the facility is out of paper towels and toilet paper, at least in our room. But I am quite sure this will quickly be rectified. This sort of thing happens in the best of brand new homes with perfect floors. I want to put in a good word or two that negates some of bad reviews I have read this morning.

robert henley

Jan 2026

via Google

This place is horrible don't bring your loved one here my mom went into cardiac arrest and no CPR was performed with lead to brain death then I went to get my mother belongings and they say they throw them away after I called i will be calling around and taking every avenue to rectify this situation Please do not trust this place with your loved one.i am contacting lawyers!!!!!

Tom Pomerantz

Dec 2025

via Google

I have toured this remarkable gem of a facility and have met all the staff on numerous occasions. They deserve their five star CMS rating and continue to lead the state of Texas in being THE best skilled facility around!

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Government Inspection History

4 inspection visits in the last three years, 11 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

Aug 1, 2025Fire Safety StandardHealth Standard4 citations
  • Have properly installed electrical wiring and gas equipment.

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

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadCorrected Aug 22, 2025

Aug 22, 2024Fire Safety StandardHealth Standard1 citation
  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 21, 2024

Nov 30, 2023Health Complaint2 citations
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023

  • Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023

Jun 1, 2023Fire Safety StandardHealth Standard4 citations
  • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 21, 2023

  • 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 Jun 15, 2023

  • 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 Jun 21, 2023

  • Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Severity C of L: potential for minimal harm, widespreadCorrected Jun 15, 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 the Brazos offer?

Paradigm at the Brazos offers Skilled Nursing / Long Term Care.

Where is Paradigm at the Brazos located?

Paradigm at the Brazos is located at 2127 Preston St in Richmond, Texas.

What do families say about Paradigm at the Brazos?

Reviews of Paradigm at the Brazos are mixed, with several families praising the long-tenured, caring staff and successful rehabilitation outcomes for short-term patients, while others report serious care lapses. The community operates in an older building that has undergone some renovations, and opinions vary widely depending on individual experiences.

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

Paradigm at the Brazos had 4 government inspection visits in the last three years, with 11 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 the Brazos?

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

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