CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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.
+ 4 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FREUDENBERGER, JOSEPH | W-2 MANAGING EMPLOYEE | Individual | N/A | Jun 19, 2007 |
| ZERWAS, JOHN | W-2 MANAGING EMPLOYEE | Individual | N/A | Jun 19, 2007 |
| COUNCIL, JEFF | CORPORATE OFFICER | Individual | N/A | Jan 1, 2013 |
| CRAYTON, TOM | CORPORATE OFFICER | Individual | N/A | Jan 1, 2013 |
| DOUDS, ROBERT | CORPORATE OFFICER | Individual | N/A | Jan 19, 2016 |
| FREUDENBERGER, JOSEPH | CORPORATE OFFICER | Individual | N/A | Jun 19, 2007 |
| HALEY, JEFF | CORPORATE OFFICER | Individual | N/A | Jan 1, 2012 |
| MARTIN, MELISSA | CORPORATE OFFICER | Individual | N/A | Jan 1, 2015 |
| MEFFORD, RUTHANNE | CORPORATE OFFICER | Individual | N/A | Jan 1, 2015 |
| PETROSEWICZ, NORMA | CORPORATE OFFICER | Individual | N/A | Jan 1, 2013 |
| POPATIA, AMIRALI | CORPORATE OFFICER | Individual | N/A | Jan 1, 2011 |
| UTHMAN, EDWARD | CORPORATE OFFICER | Individual | N/A | Jan 1, 2008 |
| OAKBEND MEDICAL CENTER | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 31, 2017 |
| PINES NURSING & REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2022 |
| SSC SILSBEE OPERATING COMPANY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Mar 31, 2017 |
| SHKOP, AHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2022 |
Compare CMS ratings and recorded fines for Paradigm at The Pines and nearby alternatives.
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.
This chain operates 18 facilities. View all →