Skilled nursing facility · CMS certification number 675344
Paradigm at Sweeny
Sweeny, Texas · Medicare and Medicaid · 90 certified beds in Care Compare
Download Paradigm at Sweeny’s record (CSV, each figure with its worksheet, line and column)
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $50,189.00 · Payment denials: 0. The most recent penalty on file: July 1, 2026, Fine, $38,284. Every penalty on file ↓
Paradigm at Sweeny: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on May 27, 2025.
- Net patient revenue rose from $4.8M in fiscal year 2023 to $5.7M in fiscal year 2024.
- Its result from service to patients: −$246K (2022), −$558K (2023), −$50K (2024).
- Its cost reports on file run from fiscal year 1997 to fiscal year 2024.
- Its net patient revenue of $5.7M ranks 409th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, also reports a loss on service to patients.
Paradigm at Sweeny: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1424833 | 2023 · report 1376717 | 2022 · report 1354243 | 2021 · report 1302794 | 2020 · report 1264626 | 2019 · report 1243818 | 2018 · report 1213465 | 2017 · report 1178314 | 2016 · report 1146047 | 2015 · report 1111221 | 2014 · report 1089276 | 2013 · report 1050545 | 2012 · report 1048262 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | October 1, 2022 | April 1, 2020 | April 1, 2019 | April 1, 2018 | April 1, 2017 | April 1, 2016 | April 1, 2015 | April 1, 2014 | April 1, 2013 | April 1, 2012 | April 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | March 31, 2021 | March 31, 2020 | March 31, 2019 | March 31, 2018 | March 31, 2017 | March 31, 2016 | March 31, 2015 | March 31, 2014 | March 31, 2013 | March 31, 2012 |
| Days, where not a full year | — | — | 91 | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | May 27, 2025 | April 23, 2024 | June 23, 2023 | October 20, 2021 | August 21, 2020 | September 25, 2019 | October 30, 2018 | November 13, 2017 | November 8, 2016 | October 15, 2015 | April 28, 2015 | November 11, 2013 | September 18, 2013 |
| Total patient revenue | $7,601,848 | $5,239,775 | $1,398,360 | $10,137,196 | $8,818,440 | $6,968,343 | $6,906,298 | $6,715,966 | $5,872,739 | $5,045,285 | $4,788,820 | $4,980,469 | $5,811,140 |
| Contractual allowances and discounts | $1,895,671 | $424,413 | $276,689 | $4,095,404 | $3,085,864 | $1,748,183 | $1,843,547 | $1,973,147 | $782,558 | $486,477 | $732,233 | $614,066 | $764,831 |
| Net patient revenue | $5,706,177 | $4,815,362 | $1,121,671 | $6,041,792 | $5,732,576 | $5,220,160 | $5,062,751 | $4,742,819 | $5,090,181 | $4,558,808 | $4,056,587 | $4,366,403 | $5,046,309 |
| Total operating expenses | $5,756,022 | $5,373,135 | $1,367,396 | $5,550,479 | $5,184,470 | $4,457,242 | $4,794,881 | $4,818,397 | $4,726,299 | $4,337,181 | $4,192,824 | $4,327,960 | $4,834,856 |
| Net income from service to patients | −$49,845 | −$557,773 | −$245,725 | $491,313 | $548,106 | $762,918 | $267,870 | −$75,578 | $363,882 | $221,627 | −$136,237 | $38,443 | $211,453 |
| Total other income | $467,737 | $546,214 | $113,865 | $1,296,216 | $236,810 | $214,317 | $107,921 | $9,814 | $2,988 | $705 | $733 | $240 | $585 |
| Net income after other income | $417,892 | −$11,559 | −$131,860 | $1,787,529 | $784,916 | $977,235 | $375,791 | −$65,764 | $366,870 | $222,332 | −$135,504 | $38,683 | $212,038 |
| Net income | $417,892 | −$11,559 | −$131,860 | $1,787,529 | $784,916 | $977,235 | $375,791 | −$65,764 | $366,870 | $222,332 | −$135,504 | $38,683 | $212,038 |
| Total facility beds, all components | 94 | 94 | 94 | 88 | 88 | 94 | 94 | 94 | 90 | 90 | 90 | 94 | 90 |
| Bed days available, all components | 34,404 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,065 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 19,005 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 4,298 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 24,368 | 22,292 | 5,676 | 26,121 | 25,962 | 24,383 | 24,392 | 26,756 | 28,287 | 28,402 | 27,625 | 28,906 | 28,632 |
| Medicare discharges | 12 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 53 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 49 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 114 | 93 | 36 | 178 | 172 | 202 | 193 | 161 | 150 | 114 | 147 | 161 | 118 |
| Average length of stay, Medicare, in days | 88.75 | 112 | 40.75 | 321.25 | 192.47 | 125 | 131 | 66.14 | 86.53 | 60.22 | 48.37 | 49.08 | 70.14 |
| Average length of stay, Medicaid, in days | 358.58 | 490.47 | 253.05 | 968.95 | 1,269.94 | 913.18 | 676.9 | 689.9 | 366.31 | 586.51 | 295.58 | 314.96 | 520.98 |
| Average length of stay, all patients, in days | 213.75 | 239.7 | 157.67 | 146.75 | 150.94 | 120.71 | 126.38 | 166.19 | 188.58 | 249.14 | 187.93 | 179.54 | 242.64 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2011 · report 434318 | 2010 · report 410490 | 2009 · report 356612 | 2008 · report 328089 | 2007 · report 318922 | 2006 · report 277621 | 2005 · report 269093 | 2004 · report 212109 | 2003 · report 182303 | 2002 · report 183093 | 2001 · report 136790 | 2000 · report 100084 | 1999 · report 100082 | 1998 · report 100080 | 1997 · report 100079 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | April 1, 2010 | April 1, 2009 | April 1, 2008 | April 1, 2007 | April 1, 2006 | May 1, 2005 | April 1, 2005 | April 1, 2003 | April 1, 2002 | April 1, 2001 | April 1, 2000 | April 1, 1999 | April 1, 1998 | April 1, 1997 | April 1, 1996 |
| Period ended | March 31, 2011 | March 31, 2010 | March 31, 2009 | March 31, 2008 | March 31, 2007 | March 31, 2006 | April 30, 2005 | March 31, 2004 | March 31, 2003 | March 31, 2002 | March 31, 2001 | March 31, 2000 | March 31, 1999 | March 31, 1998 | March 31, 1997 |
| Days, where not a full year | — | — | — | — | — | — | 29 | — | — | — | — | — | — | — | — |
| Processed by CMS | March 20, 2013 | July 19, 2011 | September 15, 2009 | November 6, 2008 | July 23, 2008 | May 1, 2007 | December 19, 2006 | March 23, 2005 | June 15, 2004 | June 17, 2004 | April 7, 2003 | November 1, 2001 | August 22, 2000 | November 2, 1999 | June 17, 1998 |
| Net patient revenue | $4,813,443 | $5,052,729 | $3,940,904 | $4,359,262 | $3,696,515 | $3,035,619 | $250,023 | $3,183,672 | $3,201,242 | $3,126,683 | $2,918,750 | $3,179,062 | $3,324,542 | $3,081,508 | $2,866,372 |
| Total operating expenses | $4,708,791 | $4,694,707 | $4,044,426 | $4,128,317 | $3,813,498 | $3,427,638 | $251,822 | $2,917,455 | $2,912,958 | $2,939,088 | $3,567,569 | $2,542,360 | $2,613,769 | $2,358,740 | $2,227,439 |
| Net income from service to patients | $104,652 | $358,022 | −$103,522 | $230,945 | −$116,983 | −$392,019 | −$1,799 | $266,217 | $288,284 | $187,595 | −$648,819 | $636,702 | $710,773 | $722,768 | $638,933 |
| Total other income | $910 | $1,203 | $854 | $1,014 | $2,088 | $499 | — | $21,350 | −$5,372,483 | $442 | $615 | $660 | −$7,658 | $4,237 | $4,669 |
| Net income | $105,562 | $359,225 | −$102,668 | $231,959 | −$114,895 | −$391,520 | −$1,799 | $287,567 | −$5,084,199 | $188,037 | −$648,204 | $637,362 | $703,115 | $727,005 | $643,602 |
| Total facility beds, all components | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 90 | 94 |
| Total patient days, all components | 27,507 | 28,847 | 17,301 | 28,776 | 28,637 | 25,594 | 2,237 | 28,839 | 29,121 | 30,776 | 30,386 | 30,375 | 28,827 | 27,702 | 28,727 |
| Total discharges, all components | 144 | 149 | 173 | 116 | 87 | 101 | 7 | 87 | 92 | 99 | 39 | 96 | 87 | 28 | 87 |
| Average length of stay, Medicare, in days | 64.5 | 61.59 | 67.94 | 72.47 | 75.24 | 83.23 | 48 | 68.75 | 73.09 | 75.33 | 49.3 | 49.48 | 56.79 | 365.89 | 41.18 |
| Average length of stay, Medicaid, in days | 371.87 | 397.85 | 120.11 | 599.42 | 695.6 | 350.82 | 864.5 | 469.84 | 439.32 | 374.11 | 2,692.89 | 577.87 | 1,173.06 | 1,873.6 | 1,191.39 |
| Average length of stay, all patients, in days | 191.02 | 193.6 | 100.01 | 248.07 | 329.16 | 253.41 | 319.57 | 331.48 | 316.53 | 310.87 | 779.13 | 316.41 | 331.34 | 989.36 | 330.2 |
Net income, fiscal years 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997. Checked against the form’s own arithmetic: what that check shows.
Paradigm at Sweeny: nurse staffing hours by quarter →
Who owns Paradigm at Sweeny, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: OAKBEND MEDICAL CENTER (organization), 100%%, since 10/01/2022
- CORPORATE OFFICER: FREUDENBERGER, JOSEPH (individual), NOT APPLICABLE, since 10/01/2022
- OPERATIONAL/MANAGERIAL CONTROL: SWEENY NURSING & REHABILITATION LLC (organization), NOT APPLICABLE, since 10/01/2022
- W-2 MANAGING EMPLOYEE: FREUDENBERGER, JOSEPH (individual), NOT APPLICABLE, since 10/01/2022
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of OAKBEND MEDICAL CENTER (enrollment ID O20221111000636).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: OAKBEND MEDICAL CENTER (organization), 100.00%, since 10/01/2022
- CORPORATE OFFICER: JOSEPH FREUDENBERGER (individual), 100.00%, since 10/01/2022
- OPERATIONAL/MANAGERIAL CONTROL: SWEENY NURSING & REHABILITATION LLC (organization), 100.00%, since 10/01/2022
- W-2 MANAGING EMPLOYEE: JOSEPH FREUDENBERGER (individual), 100.00%, since 10/01/2022
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: OAKBEND MEDICAL CENTER; SWEENY NURSING & REHABILITATION LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: JOSEPH FREUDENBERGER; JOSEPH FREUDENBERGER.
Changes in ownership
- March 15, 2023, enrollment ownership file; no longer listed: TERPAX, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST); EDWARD BESS (W-2 MANAGING EMPLOYEE); EDWARD BESS (DIRECTOR); ANDREW E SHANE (DIRECTOR); ANDREW E SHANE (OFFICER); TEXAS HOLDCO II LLC (OTHER); MASTER TENANT PARENT HOLDCO II, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); WYNN G SIMS (OFFICER); CHRISTOPHER S STENGER (OTHER); CHRISTOPHER S STENGER (OPERATIONAL/MANAGERIAL CONTROL); SSC EQUITY HOLDINGS MT LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SANDRA BROWN (OFFICER); JERRALD S ROLES (5% OR GREATER DIRECT OWNERSHIP INTEREST); SAVASENIORCARE LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST); PROTO EQUITY HOLDINGS, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); SONIA BRINKLEY (W-2 MANAGING EMPLOYEE); first listed: SWEENY NURSING & REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; OAKBEND MEDICAL CENTER (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since October 1, 2022; JOSEPH FREUDENBERGER (W-2 MANAGING EMPLOYEE), associated since October 1, 2022; JOSEPH FREUDENBERGER (OFFICER), associated since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- October 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). NH_ProviderInfo_Oct2026.csv
Inspections of Paradigm at Sweeny
- Cycle 1: health July 4, 2025 (9 deficiencies), fire safety July 4, 2025 (4)
- Cycle 2: health March 21, 2024 (5 deficiencies), fire safety March 21, 2024 (3)
- Cycle 3: health February 2, 2023 (8 deficiencies), fire safety February 2, 2023 (1)
Deficiencies cited at Paradigm at Sweeny
22 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 10 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0686, quality of life and care: July 1, 2026 (J, from a complaint, corrected July 1, 2026).
- F 0690, quality of life and care: May 11, 2026 (D, from a complaint, corrected June 5, 2026).
- F 0880, infection control: May 11, 2026 (D, from a complaint, corrected June 5, 2026); March 21, 2024 (D, corrected March 29, 2024).
- F 0582, resident rights: July 4, 2025 (E, corrected July 22, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: July 4, 2025 (K, corrected July 22, 2025).
- F 0628, resident rights: July 4, 2025 (D, corrected July 22, 2025).
- F 0656, resident assessment and care planning: July 4, 2025 (K, corrected July 22, 2025); February 2, 2023 (D, corrected February 12, 2023).
- F 0689, quality of life and care: July 4, 2025 (J, corrected July 22, 2025).
- F 0812, nutrition and dietary: July 4, 2025 (E, corrected July 22, 2025); March 21, 2024 (E, from a complaint, corrected March 29, 2024).
- F 0607, freedom from abuse, neglect, and exploitation: June 4, 2024 (E, from a complaint, corrected June 11, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: June 4, 2024 (E, from a complaint, corrected June 11, 2024).
- F 0610, freedom from abuse, neglect, and exploitation: June 4, 2024 (E, from a complaint, corrected June 11, 2024).
- F 0655, resident assessment and care planning: March 21, 2024 (D, from a complaint, corrected March 29, 2024).
- F 0657, resident assessment and care planning: March 21, 2024 (E, corrected March 29, 2024).
- F 0755, pharmacy service: March 21, 2024 (D, corrected March 29, 2024).
- F 0692, quality of life and care: March 8, 2024 (E, from a complaint, corrected March 16, 2024).
- F 0580, resident rights: December 14, 2023 (G, from a complaint, corrected January 5, 2024).
- F 0583, resident rights: February 2, 2023 (D, corrected February 12, 2023).
- F 0760, pharmacy service: February 2, 2023 (D, corrected February 12, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| July 1, 2026 | Fine | $38,284 | 141650 | ||
| July 4, 2025 | Fine | $11,905 | 134732 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
Paradigm at Sweeny in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: OAKBEND MEDICAL CENTER
- Date First Approved to Provide Medicare and Medicaid Services: 1994-05-31
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Brazoria
- Telephone Number: 9795483383
- Chain Name: PARADIGM HEALTHCARE
- Chain ID: 620
- Special Focus Status: SFF Candidate
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 59.4
- Overall Rating: 1
- Health Inspection Rating: 1
- QM Rating: 3
- Long-Stay QM Rating: 3
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
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Report a figure on Paradigm at Sweeny’s record that differs from its CMS file, quoting 675344.