Texas › Hardin County › Silsbee
Paradigm At the Pines
705 Hwy 418 W, Silsbee, TX 77656
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Paradigm At the Pines, in Silsbee, Texas, is certified for 90 beds under government, hospital district ownership and belongs to the Paradigm Healthcare chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 5.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (15, 7, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.8 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 2.9 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 67.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Hardin Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 25 | 25 | 28.7 |
| Citations per 100 beds | 37.8 | 37.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 67.4% | 54.7% | 52.1% | 45.8% |
| Fines listed | $8,281 | $13,232 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 2 Oct 2024.
Severity mix: J ×1 D ×14 E ×15 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0584 | 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. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0926 | Have policies on smoking. | D | Standard survey | 11 Dec 2025 |
| 10 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Sep 2025 |
| 10 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 11 Sep 2025 |
| 10 Sep 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 26 Sep 2025 |
| 10 Sep 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 11 Sep 2025 |
| 10 Sep 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 26 Sep 2025 |
| 10 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 11 Sep 2025 |
| 2 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Nov 2024 |
| 2 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Nov 2024 |
| 2 Oct 2024 | F0803 | 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. | D | Standard survey | 1 Nov 2024 |
| 19 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 19 Oct 2024 |
| 20 Sep 2023 | F0727 | 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. | F | Standard survey | 11 Oct 2023 |
| 20 Sep 2023 | F0801 | 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. | F | Standard survey | 11 Oct 2023 |
| 20 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Oct 2023 |
| 20 Sep 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 11 Oct 2023 |
| 20 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 26 Sep 2023 |
| 20 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 6 Oct 2023 |
| 20 Sep 2023 | F0693 | 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. | E | Standard survey | 6 Oct 2023 |
| 20 Sep 2023 | F0803 | 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. | E | Standard survey | 11 Oct 2023 |
| 20 Sep 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 11 Oct 2023 |
| 20 Sep 2023 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Standard survey | 26 Sep 2023 |
| 30 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 1 Sep 2023 |
| 30 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 4 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 10 Sep 2025 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 67.4%, RNs 80.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 5.4% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Oakbend Medical Center. Chain: Paradigm Healthcare (17 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Oakbend Medical Center | Operational/managerial control | NOT APPLICABLE | 03/31/2017 |
| Pines Nursing & Rehabilitation LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2022 |
| Ssc Silsbee Operating Company LLC | Operational/managerial control | NOT APPLICABLE | 03/31/2017 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hardin County
| 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 |
| Village Creek Rehabilitation and Nursing Center | Lumberton | 120 | 1 | 1 | 2 | 38 | 31.7 | $105K | 26 Mar 2026 |
All 5 facilities in Hardin County
Questions and answers
How many deficiencies has Paradigm At the Pines been cited for?
34 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Paradigm At the Pines been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Paradigm At the Pines compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Paradigm At the Pines?
It is part of the Paradigm Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Oakbend Medical Center, Pines Nursing & Rehabilitation LLC and Ssc Silsbee Operating Company LLC. Individual owners and managers are not listed on this site.
When was Paradigm At the Pines last inspected?
The most recent survey or investigation in the CMS record is dated 10 Dec 2025; the most recent standard health survey was 10 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.