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.
October 2, 2024
Tag F0803Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 1, 2024.
September 19, 2024
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2024.
September 20, 2023
Tag F0693Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
September 20, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 26, 2023.
September 20, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 6, 2023.
September 20, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 20, 2023
Tag F0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 26, 2023.
September 20, 2023
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 20, 2023
Tag F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 20, 2023
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 20, 2023
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
September 20, 2023
Tag F0727Have 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.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 11, 2023.
August 30, 2023
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 4, 2023.
August 30, 2023
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2023.
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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