Srini Mud
Mar 2026
Courtney J and Dede were amazing to work with. We had the blessing to bring a husband closer to his wife. Great job to you both and the entire team!
1 / 4Quick Facts
- Total units
- 90
- Medicare rating
- 1 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 90
- Inspections
- View history (74 citations)
- Hospice Support
- Hospice care team supports residents on-site
CMS Care Compare
What Families Think
Families describe Paradigm at the Oak as a small, older facility with a caring, attentive staff that goes above and beyond for residents. Reviewers particularly praise the administrator and CNA team for communication, cleanliness, and compassionate care, including during end-of-life and hospice situations.
The Good
- Highly responsive, caring administrator
- CNA and nursing staff treat residents well
- Facility kept clean and comfortable
- Staff show genuine affection for residents
- Positive experience with hospice care team
AI-generated from reviews and community data.
Paradigm at the Oak is a senior living community in Schulenburg, Texas offering Memory Care and Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.7 out of 5 across 27 reviews.
About Paradigm at the Oak
Paradigm at the Oak is a skilled nursing and long-term care facility in Schulenburg, Texas, licensed for 90 residents. The community includes a memory care unit and serves both general nursing care and specialized populations.
Families consistently highlight the dedication of staff across all departments, from nurses and CNAs to housekeeping, kitchen, and therapy teams, as the defining strength of the facility. One family wrote, "it's the staff that make this facility a 5 star." Multiple families commend specific administrators and team members by name for responsiveness, professionalism, and genuine care. Activities are an active part of community life, with regular programs including bingo, religious services, and television access in resident areas. Several families note that while the building itself is older and may look modest from the outside, the cleanliness and comfort inside reflect staff pride in the environment.
A minority of reviews raise concerns about medication management and facility maintenance standards, including observations about aging infrastructure and the need for upgrades. These contrasting experiences suggest variability in individual outcomes or circumstances.
Paradigm at the Oak holds a 4.7 out of 5 rating across 27 Google reviews, with the majority of families expressing strong satisfaction with the care and attention their loved ones receive.
Types of Care at Paradigm at the Oak
Memory CareSkilled 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
- Chapel / Religious Services
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
Activities
- Games
- Religious Services
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of Paradigm at the Oak
4.7overall · 27 ratings combined
4.7★ on Google (27)
Susette Baines
Nov 2025
The new Admin Eshauna is just what the Oaks need. DeeDee does a fantastic job as well. The CNA staff treats my Dad really well.
Andrea Williams
Nov 2025
I want to express my appreciation for Eshanna. She has been extremely helpful whenever I’ve called to check on my father. In the past, I’ve struggled to get clear information or timely responses, but Eshanna has changed that completely. She’s professional, caring, and very prompt in returning my calls. I feel confident and reassured knowing she’s the Administrator she truly makes a difference!
Erica Hemphill
Oct 2025
the staff are great and the facility is clean.
Kevin Mcfadden
Oct 2025
Friendly and professional staff . You can see that the care
Government Inspection History
14 inspection visits in the last three years, 74 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
May 28, 2026Health Complaint2 citations
Provide activities to meet all resident's needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 19, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 19, 2026
Apr 2, 2026Fire Safety StandardHealth Standard16 citations
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 17, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2026
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 Jun 17, 2026
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2026
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 Apr 16, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2026
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2026
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2026
Have proper medical gas storage and administration areas.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 16, 2026
Install corridor and hallway doors that block smoke.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2026
Inspect, test, and maintain automatic sprinkler systems.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2026
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity C of L: potential for minimal harm, widespreadCorrected Apr 16, 2026
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadNo revisit needed
Mar 5, 2026Health Complaint1 citation
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 2, 2026
Feb 20, 2026Health Complaint5 citations
Respond appropriately to all alleged violations.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 11, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 11, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Feb 11, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2026
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, isolatedFound during a complaint inspectionCorrected Feb 11, 2026
Dec 29, 2025Health Complaint1 citation
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 inspectionCorrected Dec 31, 2025
Nov 21, 2025Health Complaint5 citations
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Nov 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 22, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Nov 22, 2025
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 Nov 22, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 22, 2025
Jul 10, 2025Health Complaint2 citations
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 15, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 15, 2025
Jun 4, 2025Health Complaint1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jun 5, 2025
Mar 31, 2025Health Complaint2 citations
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 30, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 30, 2025
Jan 28, 2025Fire Safety StandardHealth Standard21 citations
Establish an Emergency Preparedness Program (EP).
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 16, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 24, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025
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 Feb 28, 2025
Provide activities to meet all resident's needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 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 Feb 28, 2025
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025
Have simulated fire drills held at unexpected times.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 16, 2025
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, isolatedCorrected Feb 28, 2025
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 28, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Implement a program that monitors antibiotic use.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 24, 2025
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity B of L: potential for minimal harm, patternWaiver has been granted
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity B of L: potential for minimal harm, patternCorrected Feb 28, 2025
Jan 17, 2025Health Complaint1 citation
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Jan 1, 2025
Nov 7, 2024Health Complaint7 citations
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Dec 6, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Dec 6, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Dec 6, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Dec 6, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 6, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 6, 2024
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, isolatedFound during a complaint inspectionCorrected Dec 6, 2024
Jun 12, 2024Health Complaint1 citation
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, isolatedFound during a complaint inspectionCorrected Jun 26, 2024
Nov 9, 2023Fire Safety StandardHealth Standard9 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 9, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 9, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2023
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2023
Provide care or services that was trauma informed and/or culturally competent.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2023
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 9, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity B of L: potential for minimal harm, patternCorrected Dec 9, 2023
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity B of L: potential for minimal harm, patternCorrected Dec 9, 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 Oak offer?
Paradigm at the Oak offers Memory Care and Skilled Nursing / Long Term Care.
Where is Paradigm at the Oak located?
Paradigm at the Oak is located at 507 West Ave in Schulenburg, Texas.
What do families say about Paradigm at the Oak?
Families describe Paradigm at the Oak as a small, older facility with a caring, attentive staff that goes above and beyond for residents. Reviewers particularly praise the administrator and CNA team for communication, cleanliness, and compassionate care, including during end-of-life and hospice situations.
How did Paradigm at the Oak do on recent health and safety inspections?
Paradigm at the Oak had 14 government inspection visits in the last three years, with 74 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 Oak?
Submit the Request Information form on this page to connect with Paradigm at the Oak and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Paradigm at the Oak? Claim this listing to update photos, pricing, and details. It's free.
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