CCN 455699 · Wharton County, Texas
Paradigm at the Creek
1405 Valhalla Dr, Wharton, TX 77488
Paradigm at the Creek is a 120-bed for-profit nursing home in Wharton, Texas, first certified for Medicare or Medicaid in 1987. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 56.0 residents a day, about 47% of its certified beds. It has an active FHA-insured Section 232 loan: $10.8 million originally, at 5.26%, with $10.6 million outstanding as of September 30, 2026 and maturity in October 2059.
Facility facts
- Certified beds
- 120
- Average residents per day
- 56.0 (46.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Oakbend Medical Center
- Certified since
- Apr 23, 1987
- Chain or affiliated group
- Paradigm Healthcare (17 facilities, chain average 2.0 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.23 | 3.27 | 3.68 |
| RN hours per resident per day | 0.35 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.75 | ||
| Nursing staff turnover | 58.8% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 46.7% | 68.6% | 85.7% |
| Fines reported by CMS | 5 totaling $74,934 | ||
| Health deficiencies, latest standard survey | 19 (May 23, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Paradigm at the Creek does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical CenterOrganization | Direct Ownership Interest | 100% | 04/01/2017 |
| Southwest LTC Wharton LtdOrganization | Operational / Managerial Control | n/a | 04/01/2017 |
| Wharton Nursing & Rehabilitation LLCOrganization | Operational / Managerial Control | n/a | 12/30/2021 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Sep 26, 2024 | 223(f) refinance or purchaseHUD project name: Paradigm at The Creek, 106 beds. Lender at endorsement: Greystone Funding Company LLC | $10,800,000 | Active: 5.26%, $10,583,428 balanceMatures Oct 1, 2059. Servicer: Greystone Servicing Company | 11422149 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.