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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasParadigm at The Pines

Paradigm at The Pines

705 Hwy 418 W, Silsbee, TX 776564093850033
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
90
certified
This facility has been flagged for abuse.
1 fine(s) totaling $12,740

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 90 certified beds with an average of 53.6 residents per day (60% occupancy)

• Last health inspection found 15 deficiencies (inspected Dec 10, 2025)

• Has been fined a total of $12,740 across 1 fine(s)

• Total nursing staff: 3.27 hours per resident per day

• Staff turnover rate: 62.5% (high)

• Part of the Paradigm Healthcare chain (18 facilities)

Paradigm at The Pines is a 3-star Medicare and Medicaid certified nursing home in Silsbee, Texas with 90 certified beds. It has been operating since 1994. The facility scored at average compared to Texas facilities.

Beds
90
Avg Residents/Day
53.6
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)

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
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
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
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
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
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
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
F0804Potential for Harm

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

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
F0880Potential for Harm

Provide and implement an infection prevention and control program.

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

Have policies on smoking.

Survey: Dec 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 19, 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
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
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
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
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Aug 30, 2023Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: Aug 30, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Sep 20, 2023Corrected: NoCycle: 3
F0646Potential for Harm

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

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
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

+ 4 more deficiencies

Total Fines
$12,740
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineSep 10, 2025
$12,740

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

Nurse Aide1.97 hrs
National avg: 2.35 hrs
LPN1.05 hrs
National avg: 0.86 hrs
RN0.26 hrs
National avg: 0.68 hrs
Total Nursing3.27 hrs
National avg: 3.89 hrs
Weekend Total2.87 hrs
National avg: 0.00 hrs
Physical Therapist0.10 hrs
National avg: 0.07 hrs
Total Turnover
62.5%
RN Turnover
0.0%
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
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
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
FREUDENBERGER, JOSEPHW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007
ZERWAS, JOHNW-2 MANAGING EMPLOYEEIndividualN/AJun 19, 2007

Nearby Nursing Homes

All Texas facilities

Silsbee Oaks Health Care Llp

Silsbee, TX · 160 beds

For profit$8,193 in fines
Health
Staffing
Quality
1.3 mi

MILL Creek

Silsbee, TX · 67 beds

For profit$21,425 in fines
Health
Staffing
Quality
2.4 mi

Frequently Asked Questions

What is the CMS rating for Paradigm at The Pines?▾
Paradigm at The Pines has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
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 facility has been fined a total of $12,740 across 1 fine(s).
What are the staffing levels at Paradigm at The Pines?▾
Paradigm at The Pines provides 3.27 total nursing staff hours per resident per day, including 0.26 RN hours, 1.05 LPN hours, and 1.97 nurse aide hours. The total staff turnover rate is 62.5%.
How many beds does Paradigm at The Pines have?▾
Paradigm at The Pines has 90 certified beds with an average of 53.6 residents per day, resulting in approximately 60% 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, there are 2 other nursing homes in Silsbee, Texas with an average rating of 2.7/5. You can compare all facilities on the Silsbee nursing homes page.

Part of Paradigm Healthcare

This chain operates 18 facilities. View all →