Paradigm at the Brazos

Name: Paradigm at the Brazos
Address: 2127 PRESTON ST, Richmond, TX, 77469, US
Telephone: 2813422801

2127 Preston St, Richmond, TX 77469 · Fort Bend County · 56 certified beds · avg 41 residents/day · certified since Aug 30, 1994 · 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★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.12

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (6)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Aug 1, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 1, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Nov 30, 2023	D · Potential for harm, one-off	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · from a complaint
Nov 30, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jun 1, 2023	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jun 1, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	0	E
2025	2	0	E

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)

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

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

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.12	3.46	3.95	bottom 32% in Texas; bottom 18% in the U.S.
Registered Nurse hours	0.56	0.44	0.69	top 19% in Texas; bottom 46% in the U.S.
Weekend total nurse staffing	2.64	3.04	3.50	bottom 25% in Texas; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.34	0.48	top 20% in Texas; top 42% in the U.S.
Total nursing staff turnover (%)	21.4	55.3	45.8	top 1% in Texas; top 4% in the U.S.
RN turnover (%)	28.6	54.6	42.9	top 15% in Texas; top 26% in the U.S.

Hours are per resident per day, 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 3.19, RN 0.57, weekend 2.70. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Oakbend Medical Center	Organization	5% or Greater Direct Ownership Interest	100%	06/01/2015
Beard, Barry	Individual	Corporate Director	NOT APPLICABLE	01/01/2012
Brazos Nursing & Rehabiliation	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Freudenberger, Joseph	Individual	W-2 Managing Employee	NOT APPLICABLE	06/19/2007
Freudenberger, Joseph	Individual	Corporate Officer	NOT APPLICABLE	06/19/2007
Shkop, Aharon	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
SSC Richmond Operating Company LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/01/2015

Questions to ask on your visit

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

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you ensure privacy for residents in shared rooms during dressing and personal care?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How is pest control handled here, and when was the last treatment or inspection?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Oak Bend Medical Center	0.8 mi	Richmond, TX	★★★★☆	4/5
Richmond Health Care Center	1.1 mi	Richmond, TX	★★★★☆	4/5
Cambridge Health and Rehabilitation Center	2.0 mi	Richmond, TX	★★★☆☆	2/5
Rosenberg Health & Rehabilitation Center	2.2 mi	Rosenberg, TX	★☆☆☆☆	1/5
Fort Bend Healthcare Center	4.0 mi	Rosenberg, TX	★★★☆☆	3/5
Ignite Medical Resort Sugar Land, LLC	8.3 mi	Sugar Land, TX	★☆☆☆☆	2/5
The Crescent	8.7 mi	Sugar Land, TX	★☆☆☆☆	1/5
Sugar Land Health Care Center	9.0 mi	Sugar Land, TX	★★★☆☆	3/5
West Houston Rehabilitation and Healthcare Center	11.9 mi	Houston, TX	★☆☆☆☆	1/5
Paradigm at First Colony	12.2 mi	Missouri City, TX	★☆☆☆☆	1/5
Paradigm at Katy	12.3 mi	Katy, TX	★☆☆☆☆	1/5
West Oaks Nursing & Rehabilitation	12.3 mi	Houston, TX	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Richmond →

Facility data as of CMS processing date 2026-08-01. CCN 675420.

The Care File

Visit checklist — Paradigm at the Brazos

2127 Preston St, Richmond, TX 77469 · 2813422801

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you ensure privacy for residents in shared rooms during dressing and personal care?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675420 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)