Nursing Homes · Silsbee, TX
Nursing Homes · Medicare certified
Paradigm at the Pines
705 HWY 418 W · Silsbee, TX 77656 · 90 certified beds
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About Paradigm at the Pines
Paradigm at the Pines is a nursing home in Silsbee, Texas. Its capacity is 90 beds, the same as the Hardin County median for nursing homes. It is run by a for-profit operator and is part of Paradigm Healthcare. It is Medicare certified. Its public inspection record shows 34 citations, the most recent on December 10, 2025. CMS also lists 1 fine or payment denial against it. Nurse staffing averages 2.65 hours per resident per day. It is one of 3 nursing homes listed in Silsbee. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
1.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (34)
Records from August 2023 to December 2025.
December 10, 2025
Tag F0565Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0926Have policies on smoking.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
December 10, 2025
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 11, 2025.
September 10, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
September 10, 2025
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 11, 2025.
September 10, 2025
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity J: isolated, immediate jeopardy. Corrected September 7, 2025.
September 10, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 11, 2025.
September 10, 2025
Tag F0610Respond appropriately to all alleged violations.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 26, 2025.
September 10, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 11, 2025.
October 2, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
October 2, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
October 2, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
October 2, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
October 2, 2024
Tag F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
Penalties (1)
Total fines: $8,281
September 10, 2025 · Fine
CMS recorded a civil money penalty of $8,281 against this nursing home on September 10, 2025.
Staffing
2.65 nurse hours per resident per day in Q2 2026, down from 2.98 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Paradigm Healthcare, a chain of 17 nursing homes.
Average CMS star ratings across the chain: 2.1 overall, 2.1 for health inspections, 1.5 for staffing, 4.0 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Silsbee.
Nursing Homes · Silsbee, TX
Silsbee Oaks Health Care LLP
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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