Skilled nursing facility · CMS certification number 675420
PARADIGM AT THE BRAZOS
RICHMOND, Texas · Medicare and Medicaid · 56 certified beds in Care Compare
Download PARADIGM AT THE BRAZOS’s record (CSV, each figure with its worksheet, line and column)
PARADIGM AT THE BRAZOS: 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 $3.2M in fiscal year 2023 to $3.3M in fiscal year 2024.
- Its result from service to patients: −$2.3M (2022), −$274K (2023), −$372K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Since its cost report for fiscal year 2024 was filed on May 27, 2025, no other change appears in the CMS files.
- Its net patient revenue of $3.3M ranks 578th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
- None of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, reports a loss on service to patients.
PARADIGM AT THE BRAZOS: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2024 · report 1424838 | 2023 · report 1376754 | 2022 · report 1352740 | 2021 · report 1328970 | 2020 · report 1287298 | 2019 · report 1255636 | 2018 · report 1237327 | 2017 · report 1208953 | 2016 · report 1170251 | 2015 · report 1150775 | 2014 · report 1084789 | 2013 · report 1055299 | 2012 · report 1024651 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | July 1, 2014 | July 1, 2013 | July 1, 2012 | July 1, 2011 |
| Period ended | December 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | May 31, 2015 | June 30, 2014 | June 30, 2013 | June 30, 2012 |
| Processed by CMS | May 27, 2025 | April 24, 2024 | June 19, 2023 | August 4, 2022 | June 24, 2021 | May 15, 2020 | July 17, 2019 | August 21, 2018 | July 21, 2017 | January 17, 2017 | January 22, 2015 | February 6, 2014 | February 11, 2013 |
| Total patient revenue | $4,384,319 | $3,846,135 | $1,846,285 | $3,408,799 | $3,900,084 | $3,634,551 | $3,735,601 | $3,946,019 | $3,504,384 | $3,132,643 | $2,589,177 | $2,227,162 | $2,487,738 |
| Contractual allowances and discounts | $1,036,183 | $676,697 | $542,289 | $954,464 | $1,218,664 | $851,015 | $742,300 | $1,002,223 | $712,772 | $444,509 | $465,040 | $235,751 | $285,143 |
| Net patient revenue | $3,348,136 | $3,169,438 | $1,303,996 | $2,454,335 | $2,681,420 | $2,783,536 | $2,993,301 | $2,943,796 | $2,791,612 | $2,688,134 | $2,124,137 | $1,991,411 | $2,202,595 |
| Total operating expenses | $3,720,546 | $3,443,594 | $3,579,031 | $3,135,691 | $3,386,284 | $2,948,433 | $3,138,607 | $2,973,960 | $3,134,703 | $2,335,742 | $2,130,073 | $2,090,171 | $2,236,939 |
| Net income from service to patients | −$372,410 | −$274,156 | −$2,275,035 | −$681,356 | −$704,864 | −$164,897 | −$145,306 | −$30,164 | −$343,091 | $352,392 | −$5,936 | −$98,760 | −$34,344 |
| Total other income | $376,112 | $341,514 | $705,784 | $917,540 | $948,289 | $325,824 | $288,956 | $155,922 | $685,008 | $736 | $29 | $389 | −$116 |
| Net income after other income | $3,702 | $67,358 | −$1,569,251 | $236,184 | $243,425 | $160,927 | $143,650 | $125,758 | $341,917 | $353,128 | −$5,907 | −$98,371 | −$34,460 |
| Net income | $3,702 | $67,358 | −$1,569,251 | $236,184 | $243,425 | $160,927 | $143,650 | $125,758 | $341,917 | $353,128 | −$5,907 | −$98,371 | −$34,460 |
| Total facility beds, all components | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 |
| Bed days available, all components | 20,496 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 375 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 11,708 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 1,831 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 13,914 | 14,209 | 13,678 | 11,891 | 14,054 | 14,543 | 15,378 | 15,136 | 15,426 | 14,472 | 14,528 | 13,894 | 14,076 |
| Medicare discharges | 8 | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 37 | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 74 | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 119 | 70 | 25 | 82 | 61 | 84 | 106 | 128 | 124 | 93 | 70 | 48 | 28 |
| Average length of stay, Medicare, in days | 46.88 | 105.33 | 121.14 | 49.9 | 222.25 | 68.4 | 55 | 97.93 | 54.29 | 75 | 50.47 | 49.53 | 420.67 |
| Average length of stay, Medicaid, in days | 316.43 | 383.55 | 1,222.2 | 303.26 | 342.42 | 308.29 | 1,560.38 | 702.41 | 838.53 | 254.81 | 370.8 | 1,339.56 | 1,104.64 |
| Average length of stay, all patients, in days | 116.92 | 202.99 | 547.12 | 145.01 | 230.39 | 173.13 | 145.08 | 118.25 | 124.4 | 155.61 | 207.54 | 289.46 | 502.71 |
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 | 2011 · report 434915 | 2010 · report 393073 | 2009 · report 379121 | 2008 · report 332583 | 2007 · report 327974 | 2006 · report 296860 | 2005 · report 271838 | 2004 · report 236395 | 2003 · report 191746 | 2002 · report 192090 | 2001 · report 140286 | 2000 · report 196966 | 1999 · report 100463 | 1998 · report 100461 | 1997 · report 100460 | 1996 · report 100458 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | July 1, 2010 | July 1, 2009 | July 1, 2008 | July 1, 2007 | July 1, 2006 | July 1, 2005 | July 1, 2004 | July 1, 2003 | July 1, 2002 | July 1, 2001 | July 1, 2000 | July 1, 1999 | July 1, 1998 | July 1, 1997 | July 1, 1996 | July 1, 1995 |
| Period ended | June 30, 2011 | June 30, 2010 | June 30, 2009 | June 30, 2008 | June 30, 2007 | June 30, 2006 | April 30, 2005 | June 30, 2004 | June 30, 2003 | June 30, 2002 | June 30, 2001 | June 30, 2000 | June 30, 1999 | June 30, 1998 | June 30, 1997 | June 30, 1996 |
| Report status | settled | as submitted | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled |
| Processed by CMS | June 20, 2013 | January 24, 2011 | June 29, 2010 | January 26, 2009 | November 4, 2008 | November 26, 2007 | February 6, 2007 | November 8, 2005 | September 1, 2004 | September 1, 2004 | April 7, 2003 | October 15, 2004 | April 3, 2001 | August 2, 2000 | June 24, 1999 | June 17, 1998 |
| Net patient revenue | $2,376,253 | $2,225,954 | $2,503,290 | $2,313,057 | $2,083,037 | $2,119,141 | $1,616,241 | $1,976,884 | $1,661,230 | $1,883,325 | $1,702,156 | $1,949,196 | $2,092,255 | $2,537,234 | $1,841,815 | $1,631,849 |
| Total operating expenses | $2,286,746 | $2,424,003 | $2,443,519 | $2,051,084 | $2,111,451 | $2,501,994 | $1,693,544 | $1,935,379 | $1,671,835 | $1,704,546 | $1,628,251 | $1,524,624 | $1,406,488 | $1,667,530 | $1,561,692 | $1,346,747 |
| Net income from service to patients | $89,507 | −$198,049 | $59,771 | $261,973 | −$28,414 | −$382,853 | −$77,303 | $41,505 | −$10,605 | $178,779 | $73,905 | $424,572 | $685,767 | $869,704 | $280,123 | $285,102 |
| Total other income | $235 | $716 | $500 | $36 | $238 | $7 | — | $11,349 | −$23,846 | $71 | $51 | $36 | $17 | — | $837 | $4,819 |
| Net income | $89,742 | −$197,333 | $60,271 | $262,009 | −$28,176 | −$382,846 | −$77,303 | $52,854 | −$34,451 | $178,850 | $73,956 | $424,608 | $685,784 | $869,704 | $280,960 | $289,921 |
| Total facility beds, all components | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 | 56 |
| Total patient days, all components | 14,790 | 1,960 | 5,224 | 15,118 | 14,719 | 16,020 | 13,317 | 16,626 | 14,626 | 16,708 | 15,711 | 17,196 | 16,237 | 15,435 | 16,391 | 17,466 |
| Total discharges, all components | 55 | 33 | 100 | 104 | 41 | 28 | 67 | 76 | 42 | 73 | 88 | 34 | 72 | 88 | 50 | 34 |
| Average length of stay, Medicare, in days | 102.85 | 153 | 70.61 | 38.79 | 84 | 77.33 | 38.79 | 62.04 | 53.4 | 123.55 | 78.79 | 74.28 | 70.18 | 55.2 | 63.81 | 166 |
| Average length of stay, Medicaid, in days | 528 | 16.54 | 50.95 | 313.74 | 617.2 | 1,532.67 | 332.73 | 350.68 | 1,279.3 | 263.15 | 286.04 | 938.75 | 354.21 | 353.37 | 1,022.92 | 627.96 |
| Average length of stay, all patients, in days | 268.91 | 59.39 | 52.24 | 145.37 | 359 | 572.14 | 198.76 | 218.76 | 348.24 | 228.88 | 178.53 | 505.76 | 225.51 | 175.4 | 327.82 | 513.71 |
Net income, fiscal years 2011, 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
PARADIGM AT THE BRAZOS: nurse staffing hours by quarter →
Who owns PARADIGM AT THE BRAZOS, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: OAKBEND MEDICAL CENTER (organization), 100%%, since 06/01/2015
- CORPORATE DIRECTOR: BEARD, BARRY (individual), NOT APPLICABLE, since 01/01/2012
- CORPORATE OFFICER: FREUDENBERGER, JOSEPH (individual), NOT APPLICABLE, since 06/19/2007
- OPERATIONAL/MANAGERIAL CONTROL: BRAZOS NURSING & REHABILIATION (organization), NOT APPLICABLE, since 10/01/2022; SHKOP, AHARON (individual), NOT APPLICABLE, since 10/01/2022; SSC RICHMOND OPERATING COMPANY LLC (organization), NOT APPLICABLE, since 06/01/2015
- W-2 MANAGING EMPLOYEE: FREUDENBERGER, JOSEPH (individual), NOT APPLICABLE, since 06/19/2007
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of OAKBEND MEDICAL CENTER (enrollment ID O20150820010077).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: OAKBEND MEDICAL CENTER (organization), 100.00%, since 06/01/2015
- CORPORATE DIRECTOR: BARRY BEARD (individual), 9.00%, since 01/01/2012
- CORPORATE OFFICER: JOSEPH FREUDENBERGER (individual), 0.00%, since 06/19/2007
- OPERATIONAL/MANAGERIAL CONTROL: AHARON SHKOP (individual), 100.00%, since 10/01/2022; BRAZOS NURSING & REHABILIATION (organization), 100.00%, since 10/01/2022; SSC RICHMOND OPERATING COMPANY LLC (organization), 0.00%, since 06/01/2015
- W-2 MANAGING EMPLOYEE: JOSEPH FREUDENBERGER (individual), 0.00%, since 06/19/2007
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: OAKBEND MEDICAL CENTER; BRAZOS NURSING & REHABILIATION; SSC RICHMOND OPERATING COMPANY LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: BARRY BEARD; JOSEPH FREUDENBERGER; AHARON SHKOP; JOSEPH FREUDENBERGER.
Changes in ownership
- February 15, 2023, enrollment ownership file; first listed: BRAZOS NURSING & REHABILIATION (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022; AHARON SHKOP (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Inspections of PARADIGM AT THE BRAZOS
- Cycle 1: health August 1, 2025 (2 deficiencies), fire safety August 1, 2025 (2)
- Cycle 2: health August 22, 2024 (0 deficiencies), fire safety August 22, 2024 (1)
- Cycle 3: health June 1, 2023 (4 deficiencies), fire safety June 1, 2023 (2)
Deficiencies cited at PARADIGM AT THE BRAZOS
6 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 2 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0609, freedom from abuse, neglect, and exploitation: August 1, 2025 (D, corrected August 22, 2025).
- F 0812, nutrition and dietary: August 1, 2025 (E, corrected August 22, 2025).
- F 0914, environmental: November 30, 2023 (D, from a complaint, corrected December 21, 2023).
- F 0921, environmental: November 30, 2023 (D, from a complaint, corrected December 21, 2023).
- F 0755, pharmacy service: June 1, 2023 (D, corrected June 21, 2023).
- F 0925, environmental: June 1, 2023 (E, corrected June 21, 2023).
PARADIGM AT THE BRAZOS in Care Compare
- Ownership Type: For profit - Corporation
- Legal Business Name: OAKBEND MEDICAL CENTER
- Date First Approved to Provide Medicare and Medicaid Services: 1994-08-30
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Fort Bend
- Telephone Number: 2813422801
- Chain Name: PARADIGM HEALTHCARE
- Chain ID: 620
- 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: 37.1
- Overall Rating: 5
- Health Inspection Rating: 5
- QM Rating: 4
- Long-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Nothing on file for PARADIGM AT THE BRAZOS: no penalty in Care Compare.
Other nursing facilities in RICHMOND and Texas
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