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HomeTexasParadigm at The Pines

Paradigm at The Pines

705 Hwy 418 W, Silsbee, TX 776564093850033
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
5/5
Beds
90
certified
This facility has been flagged for abuse.
1 fine(s) totaling $8,281

How Paradigm at The Pines Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.90 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.25 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
67.4%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.90 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.25 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
9
deficiency citations
Inspected Oct 2, 2024
Most recent cycle
15
deficiency citations
Inspected Dec 10, 2025
The most recent cycle recorded 6 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Hardin County 65+
9,751
17.2% of county
County Population
56,576
Hardin County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Paradigm at The Pines is a 2-star Medicare and Medicaid certified nursing home in Silsbee, Texas with 90 certified beds. It has been operating since 1994. Its overall CMS rating is 2 out of 5.

Beds
90
Avg Residents/Day
52.6
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 21, 1994
Sprinklers
Yes
Council
Resident
County
Hardin
Last Inspection
Dec 10, 2025
Deficiencies (Cycle 1)
15
Weighted Score
88.0
Infection Citations
0

Deficiency Citations (34)

F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0806Potential for Harm

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0600Potential for Harm

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

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Sep 10, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0755Potential for Harm

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

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Oct 2, 2024Corrected: NoCycle: 2
F0600Potential for Harm

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

Survey: Sep 19, 2024Corrected: NoCycle: 2
F0727Potential for Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0801Potential for Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0812Potential for Harm

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

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0693Potential for Harm

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.

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Sep 20, 2023Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$8,281
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineSep 10, 2025
$8,281

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.65 hrs
National avg: 2.32 hrs
LPN1.00 hrs
National avg: 0.86 hrs
RN0.25 hrs
National avg: 0.69 hrs
Total Nursing2.90 hrs
National avg: 3.86 hrs
Weekend Total2.58 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
67.4%
RN Turnover
80.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (16)

NameRoleTypeOwnership %Since
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007
ZERWAS, JOHNW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007
COUNCIL, JEFFCORPORATE OFFICERIndividualN/AJan 1, 2013
CRAYTON, TOMCORPORATE OFFICERIndividualN/AJan 1, 2013
DOUDS, ROBERTCORPORATE OFFICERIndividualN/AJan 19, 2016
FREUDENBERGER, JOSEPHCORPORATE OFFICERIndividualN/AJun 19, 2007
HALEY, JEFFCORPORATE OFFICERIndividualN/AJan 1, 2012
MARTIN, MELISSACORPORATE OFFICERIndividualN/AJan 1, 2015
MEFFORD, RUTHANNECORPORATE OFFICERIndividualN/AJan 1, 2015
PETROSEWICZ, NORMACORPORATE OFFICERIndividualN/AJan 1, 2013
POPATIA, AMIRALICORPORATE OFFICERIndividualN/AJan 1, 2011
UTHMAN, EDWARDCORPORATE OFFICERIndividualN/AJan 1, 2008
OAKBEND MEDICAL CENTEROPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 31, 2017
PINES NURSING & REHABILITATION LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2022
SSC SILSBEE OPERATING COMPANY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 31, 2017
SHKOP, AHARONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2022

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Paradigm at The Pines and nearby alternatives.

All Texas facilities
Paradigm at The Pines
Silsbee, TXCurrent facilityAbuse flag
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $8,281
Silsbee Oaks Health Care Llp
Silsbee, TX1.3 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: $8,193
MILL Creek
Silsbee, TX2.4 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: $13,232
Village Creek Rehabilitation and Nursing Center
Lumberton, TX6.9 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $125,838
Paradigm at Kountze
Kountze, TX10.1 mi
CMS
4/5
Health
3/5
Staffing
3/5
Recorded fines: $16,801
Jefferson Nursing and Rehabilitation Center
Beaumont, TX16.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $194,652
Vidor Health & Rehabilitation Center
Vidor, TX17.0 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $58,904
FacilityDistanceCMSHealthStaffingRecorded fines
Paradigm at The Pines
Silsbee, TX · Current facility
—2/52/51/5$8,281
Silsbee Oaks Health Care Llp
Silsbee, TX
1.3 mi3/54/51/5$8,193
MILL Creek
Silsbee, TX
2.4 mi3/53/51/5$13,232
Village Creek Rehabilitation and Nursing Center
Lumberton, TX
6.9 mi1/51/52/5$125,838
Paradigm at Kountze
Kountze, TX
10.1 mi4/53/53/5$16,801
Jefferson Nursing and Rehabilitation Center
Beaumont, TX
16.3 mi1/52/51/5$194,652
Vidor Health & Rehabilitation Center
Vidor, TX
17.0 mi1/51/51/5$58,904

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Paradigm at The Pines?▾
Paradigm at The Pines has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
How much does Paradigm at The Pines cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Paradigm at The Pines participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Paradigm at The Pines had any health inspection violations?▾
Paradigm at The Pines had 15 deficiency citations in its most recent health inspection (Dec 10, 2025). The current CMS dataset records 1 fine(s) totaling $8,281.
What are the staffing levels at Paradigm at The Pines?▾
Paradigm at The Pines provides 2.90 total nursing staff hours per resident per day, including 0.25 RN hours, 1.00 LPN hours, and 1.65 nurse aide hours. The total staff turnover rate is 67.4%.
How many beds does Paradigm at The Pines have?▾
Paradigm at The Pines has 90 certified beds with an average of 52.6 residents per day, resulting in approximately 58% occupancy. The facility is Government - Hospital district owned and is part of the Paradigm Healthcare chain.
Are there other nursing homes near Paradigm at The Pines?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 2 in Silsbee. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →