PlainNursing
CMS Nursing Home Compare · August 2026

Paradigm at Bay City

1800 13th St, Bay City, TX 77414

Paradigm at Bay City, a 105-bed for profit - limited liability company nursing facility in Bay City, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #606 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9792456327

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2 / 5
Below average · CMS overall · nat'l 3.0
#606 of 1,165
In-state rank among rated TX homes
3.36
Below average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 3 serious

The verdict

Paradigm at Bay City, a 105-bed for profit - limited liability company nursing facility in Bay City, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #606 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#606 of 1,165
In-state rank among rated TX homes
3.36
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 3 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
455582
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
105
Residents
43
In Hospital
No
County
Matagorda
Last Inspection
May 30, 2025

Staffing Data

How the 3.36 total nursing hours per resident-day are staffed:

RN Hours
0.68 (nat'l avg: 0.69)
LPN Hours
0.54
CNA Hours
2.14
Total Nursing Hours
3.36 (nat'l avg: 3.86)
PT Hours
0.13
Nursing Turnover
44.7%
RN Turnover
28.6%

What the CMS Record Reveals About Paradigm at Bay City

According to CMS Nursing Home Compare, Paradigm at Bay City ranks #606 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Paradigm at Bay City operates 105 certified beds in Bay City, TX with approximately 43 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 4★).

The inspection file contains 25 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 3.36 total hours per resident day (national average 3.86); RN hours specifically are 0.68 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Paradigm at Bay City falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 44.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D - Isolated - Minimal harm May 30, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 5, 2025

D - Isolated - Minimal harm May 30, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 5, 2025

E - Pattern - Minimal harm May 30, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 5, 2025

E - Pattern - Minimal harm May 30, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 5, 2025

D - Isolated - Minimal harm May 20, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 20, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm Mar 28, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 20, 2024

D - Isolated - Minimal harm Mar 28, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 20, 2024

D - Isolated - Minimal harm Mar 28, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 20, 2024

D - Isolated - Minimal harm Mar 28, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2024

D - Isolated - Minimal harm Mar 28, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 20, 2024

D - Isolated - Minimal harm Mar 28, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 20, 2024

E - Pattern - Minimal harm Jan 12, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 20, 2024

E - Pattern - Minimal harm Jan 12, 2024 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 20, 2024

D - Isolated - Minimal harm Aug 3, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 4, 2023

K - Pattern - Jeopardy Aug 3, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 4, 2023

K - Pattern - Jeopardy Aug 3, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 4, 2023

K - Pattern - Jeopardy Aug 3, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Aug 4, 2023

D - Isolated - Minimal harm Feb 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 9, 2023

D - Isolated - Minimal harm Feb 9, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 9, 2023

D - Isolated - Minimal harm Feb 9, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Mar 9, 2023

D - Isolated - Minimal harm Feb 9, 2023 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 9, 2023

D - Isolated - Minimal harm Feb 9, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 9, 2023

D - Isolated - Minimal harm Feb 9, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 9, 2023

F - Widespread - Minimal harm Feb 9, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 9, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 0.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 39.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 1.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.8% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Paradigm at Bay City, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Paradigm at Bay City

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 105 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Paradigm at Bay City?
Paradigm at Bay City has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (4★).
Where does Paradigm at Bay City rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Paradigm at Bay City ranks 606th among 1,165 rated nursing homes in TX (#606 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Paradigm at Bay City?
Paradigm at Bay City reports 3.36 total nursing hours per resident day (national average: 3.86). RN hours are 0.68 per resident day (national average: 0.69). Nursing staff turnover is 44.7%.
How many beds does Paradigm at Bay City have?
Paradigm at Bay City has 105 certified beds with approximately 43 residents. The facility is located at 1800 13th St, Bay City, TX 77414.
Does Paradigm at Bay City have any deficiencies on record?
Yes, Paradigm at Bay City has 25 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Paradigm at Bay City received any fines or penalties?
No, Paradigm at Bay City has no fines or penalties on record.
Who owns Paradigm at Bay City?
Paradigm at Bay City is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Paradigm at Bay City last inspected?
The most recent health inspection for Paradigm at Bay City was on May 30, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Paradigm at Bay City?
Paradigm at Bay City is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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