Texas ›Bay City

Paradigm at Bay City

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1800 13th St, Bay City, TX 77414 (opens Google Maps) · Matagorda County · (979) 245-6327· 105 certified beds · avg 43 residents/day · certified since Aug 12, 1985 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: PARADIGM HEALTHCARE (17 facilities, chain avg rating 1.9★)

2/5
Health inspection rating (on-site)
inspected May 30, 2025
3
Serious findings on record
most recent Aug 3, 2023
$0
Fines, last 3 years
3.48
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, pattern · Aug 3, 2023 · F-0580 · triggered by a complaint

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 4, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Aug 3, 2023 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 4, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Aug 3, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Aug 4, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. F-0677

  2. E · Potential for more than minimal harm, pattern

    The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761

  3. D · Potential for more than minimal harm, isolated

    The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880

View all 25 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 30, 2025E · Potential for more than minimal harm, patternThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
May 30, 2025E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
May 30, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
May 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
May 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690
Mar 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Mar 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not dispose of garbage and refuse properly. · from a complaint · F-0814
Mar 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Mar 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jan 12, 2024E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Jan 12, 2024E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 3, 2023▲ K · Immediate jeopardy, patternThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580
Aug 3, 2023▲ K · Immediate jeopardy, patternThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Aug 3, 2023▲ K · Immediate jeopardy, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 3, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 9, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Feb 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Feb 9, 2023D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Feb 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Feb 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Feb 9, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 11
Serious citations (G–L): 3
2024
All citations: 10
Serious citations (G–L): 0
2025
All citations: 4
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2023113K ▲
2024100E
202540E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.48
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.71
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.03
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.483.463.95top 37% in Texas; bottom 35% in the U.S.
Registered Nurse hours0.710.440.69top 9% in Texas; top 36% in the U.S.
Weekend total nurse staffing3.033.043.50top 39% in Texas; bottom 33% in the U.S.
Weekend RN hours (not acuity-adjusted)0.480.340.48top 15% in Texas; top 35% in the U.S.
Total nursing staff turnover (%)44.755.345.8top 32% in Texas; top 49% in the U.S.
RN turnover (%)28.654.642.9top 15% in Texas; top 26% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.68, weekend 2.93.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Paradigm at Bay City. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Oakbend Medical CenterOrganization5% or Greater Direct Ownership Interest100%03/31/2017
Bay City Nursing & Rehabilitation LLCOrganizationOperational/Managerial ControlNOT APPLICABLE10/01/2022
Council, JeffIndividualCorporate OfficerNOT APPLICABLE01/01/2013
Crayton, TomIndividualCorporate OfficerNOT APPLICABLE01/01/2013
Douds, RobertIndividualCorporate OfficerNOT APPLICABLE01/19/2016
Freudenberger, JosephIndividualW-2 Managing EmployeeNOT APPLICABLE06/19/2007
Freudenberger, JosephIndividualCorporate OfficerNOT APPLICABLE06/19/2007
Haley, JeffIndividualCorporate OfficerNOT APPLICABLE01/01/2012
Martin, MelissaIndividualCorporate OfficerNOT APPLICABLE01/01/2015
Mefford, RuthanneIndividualCorporate OfficerNOT APPLICABLE01/01/2015
Petrosewicz, NormaIndividualCorporate OfficerNOT APPLICABLE01/01/2013
Popatia, AmiraliIndividualCorporate OfficerNOT APPLICABLE01/01/2011
Shkop, AharonIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2022
Uthman, EdwardIndividualCorporate OfficerNOT APPLICABLE01/01/2008
Zerwas, JohnIndividualCorporate OfficerNOT APPLICABLE01/01/2013

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Paradigm Healthcare — 17 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 16 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "If my family member falls or their condition changes, exactly when and how will I be notified?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "How do you keep residents' medical records accurate, complete, and secure?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 45% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Avir at Bay City0.7 miBay City, TX★★☆☆☆3/5
Matagorda Nursing & Rehabilitation Center2.2 miBay City, TX★★☆☆☆3/5
Paradigm at Sweeny17.4 miSweeny, TX★☆☆☆☆1/5abuse

Compare this facility with the 3 closest →

All facilities in Bay City →

Facility data as of CMS processing date 2026-08-01. CCN 455582.

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