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Nursing homes in Hardin County, Texas
Hardin County, Texas, has 5 Medicare-certified nursing homes with 497 certified beds.
40% of them are rated 1 or 2 stars overall, a smaller share than the state (48%). Inspectors recorded 134 health deficiencies over three cycles, 27.0 per 100 beds against 24.4 statewide.
Fines in the period covered total $152K across 7 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Hardin County | Texas | US |
|---|---|---|---|
| Facilities | 5 | 1177 | 14690 |
| Rated 1–2 stars overall | 40% | 48% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 27.0 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.2 | 3.3 | 3.7 |
| Fines listed | $152K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Paradigm At Kountze | Kountze | 60 | 4 | 3 | 3 | 25 | 41.7 | $17K | 13 Aug 2025 |
| Mill Creek | Silsbee | 67 | 3 | 3 | 1 | 25 | 37.3 | $13K | 10 Dec 2025 |
| Silsbee Oaks Health Care LLP | Silsbee | 160 | 3 | 4 | 1 | 12 | 7.5 | $8K | 28 Jan 2026 |
| Paradigm At the Pinesabuse icon | Silsbee | 90 | 2 | 2 | 1 | 34 | 37.8 | $8K | 10 Dec 2025 |
| Village Creek Rehabilitation and Nursing Center | Lumberton | 120 | 1 | 1 | 2 | 38 | 31.7 | $105K | 26 Mar 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 10 |
| F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 8 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 7 |
| F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 7 |
| F0880 | Provide and implement an infection prevention and control program. | 6 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 3 |
| Government | 2 |
Chains present: Paradigm Healthcare (2), Cantex Continuing Care (1), Nexion Health (1).
Questions and answers
How many nursing homes are in Hardin County, Texas?
5 Medicare-certified nursing homes with 497 certified beds.
Which nursing homes in Hardin County have the highest CMS ratings?
Paradigm At Kountze (4 stars), Mill Creek (3 stars), Silsbee Oaks Health Care LLP (3 stars)
How do Hardin County nursing homes compare with Texas?
40% are rated 1–2 stars overall against 48% statewide; citations run at 27.0 per 100 beds against 24.4 statewide.