nursing home in Silsbee, TX
Paradigm at the Pines
705 Hwy 418 W, Silsbee, TX 77656 · (409) 385-0033
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Paradigm at the Pines at a glance
Paradigm at the Pines is a 90-bed government nursing home in Silsbee, Texas (Hardin County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 10, 2025) found 15 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,281.
Nursing staff turnover is 67.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Paradigm Healthcare
- Medicare-certified since
- September 21, 1994
- Resident/family council
- Resident
- County
- Hardin County
- CMS Certification Number
- 675391
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.90 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.65 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.58 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 67.4% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 84 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,281 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 113 | 107 | |
| Average residents per day | 53 | 76 | 86 | |
| Occupancy | 58.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 5.4% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 7.2% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 19.1% | 18% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 5.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 10, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 10, 2025 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | D Potential harm, isolated | Corrected January 23, 2026 |
| December 10, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 10, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 10, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 11, 2025 |
| September 10, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 7, 2025 |
| September 10, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 10, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | E Potential harm, pattern | Corrected September 11, 2025 |
| September 10, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 10, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 11, 2025 |
| September 10, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 26, 2025 |
| October 2, 2024 Fire safety | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Tag K0347 | E Potential harm, pattern | Corrected November 15, 2024 |
| October 2, 2024 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | E Potential harm, pattern | Corrected November 15, 2024 |
| October 2, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected November 15, 2024 |
| October 2, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 1, 2024 |
| October 2, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 1, 2024 |
| October 2, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 1, 2024 |
| October 2, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 1, 2024 |
| October 2, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 1, 2024 |
| October 2, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected November 1, 2024 |
| September 19, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 19, 2024 |
| September 20, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected October 6, 2023 |
| September 20, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected October 11, 2023 |
| September 20, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected October 11, 2023 |
| September 20, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected October 11, 2023 |
| September 20, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected October 11, 2023 |
| September 20, 2023 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 20, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected September 26, 2023 |
| September 20, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | E Potential harm, pattern | Corrected October 6, 2023 |
| September 20, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected October 6, 2023 |
| September 20, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected October 11, 2023 |
| September 20, 2023 Standard | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Tag F0646 | D Potential harm, isolated | Corrected September 26, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,281 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 10, 2025 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| COUNCIL, JEFF Individual | corporate officer | NOT APPLICABLE | 01/01/2013 |
| CRAYTON, TOM Individual | corporate officer | NOT APPLICABLE | 01/01/2013 |
| DOUDS, ROBERT Individual | corporate officer | NOT APPLICABLE | 01/19/2016 |
| FREUDENBERGER, JOSEPH Individual | corporate officer | NOT APPLICABLE | 06/19/2007 |
| HALEY, JEFF Individual | corporate officer | NOT APPLICABLE | 01/01/2012 |
| MARTIN, MELISSA Individual | corporate officer | NOT APPLICABLE | 01/01/2015 |
| MEFFORD, RUTHANNE Individual | corporate officer | NOT APPLICABLE | 01/01/2015 |
| PETROSEWICZ, NORMA Individual | corporate officer | NOT APPLICABLE | 01/01/2013 |
| POPATIA, AMIRALI Individual | corporate officer | NOT APPLICABLE | 01/01/2011 |
| UTHMAN, EDWARD Individual | corporate officer | NOT APPLICABLE | 01/01/2008 |
| OAKBEND MEDICAL CENTER Organization | operational/managerial control | NOT APPLICABLE | 03/31/2017 |
| PINES NURSING & REHABILITATION LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| SHKOP, AHARON Individual | operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| SSC SILSBEE OPERATING COMPANY LLC Organization | operational/managerial control | NOT APPLICABLE | 03/31/2017 |
| FREUDENBERGER, JOSEPH Individual | w-2 managing employee | NOT APPLICABLE | 06/19/2007 |
| ZERWAS, JOHN Individual | w-2 managing employee | NOT APPLICABLE | 06/19/2007 |
Other nursing homes near Paradigm at the Pines
- ★★★★★3Average
Mill Creek
1105 W Hwy 418, Silsbee, TX 77656 · 2.4 mi
For-profit · 67 beds · Part of Cantex Continuing Care
★★★★★3AverageVillage Creek Rehabilitation and Nursing Center
705 N Main St, Lumberton, TX 77657 · 6.9 mi
Government · 120 beds · Part of Nexion Health
★★★★★1Much below averageParadigm at Kountze
604 Fm 1293, Kountze, TX 77625 · 10.1 mi
For-profit · 60 beds · Part of Paradigm Healthcare
★★★★★4Above averageJefferson Nursing and Rehabilitation Center
3840 Pointe Parkway, Beaumont, TX 77706 · 16.3 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★1Much below averageVidor Health & Rehabilitation Center
470 Moore Drive, Vidor, TX 77662 · 17 mi
For-profit · 144 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is Paradigm at the Pines's rating?
Paradigm at the Pines has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Paradigm at the Pines receive?
Its most recent standard health inspection found 15 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Paradigm at the Pines accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Paradigm at the Pines?
It is government - hospital district and part of Paradigm Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Paradigm at the Pines and how do I contact it?
Paradigm at the Pines is at 705 Hwy 418 W, Silsbee, TX 77656. Phone: (409) 385-0033.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.