Paradigm At The Pines
705 Hwy 418 W, Silsbee, TX 77656 · Hardin County
Government · 90 certified beds · 58% occupancy · (409) 385-0033
The U.S. government (CMS) rates Paradigm At The Pines 2 out of 5 stars overall — below average. Its nurse staffing is 11% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
2.90 nurse hours per resident per day. 11% below the Texas median of 3.27.
Nursing staff turnover: 67.4% · RN turnover: 80%
Safety & compliance flags
- Federal abuse warning icon
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Sep 10, 2025ComplaintCorrected Sep 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0565 · Dec 10, 2025Corrected Dec 11, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
- Potential for harmTag F0804 · Dec 10, 2025Corrected Dec 11, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Dec 10, 2025Corrected Dec 11, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0600 · Sep 10, 2025ComplaintCorrected Sep 11, 2025
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
- Potential for harmTag F0610 · Sep 10, 2025ComplaintCorrected Sep 26, 2025
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0657 · Sep 10, 2025ComplaintCorrected Sep 11, 2025
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
- Potential for harmTag F0584 · Dec 10, 2025Corrected Dec 11, 2025
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
- Potential for harmTag F0689 · Dec 10, 2025Corrected Dec 11, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0692 · Dec 10, 2025Corrected Dec 11, 2025
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 34 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Paradigm Healthcare chain (18 facilities), chain average overall rating 1.8★.