All states › Texas › Silsbee › Paradigm at the Pines
705 Hwy 418 W Silsbee, TX 77656 · Hardin County
All 3 nursing homes in Silsbee, TX (3 take Medicaid)
CMS certification number 675391 · See this home on Medicare Care Compare
Is Paradigm at the Pines a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Paradigm at the Pines as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.65 hours per resident per day at Paradigm at the Pines, below the Texas median of 3.30 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 2.35 hours, 11% below its all-week average. 71.4% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Paradigm at the Pines: Medicare and Medicaid
Paradigm at the Pines is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on December 10, 2025 and found 9 deficiencies. In total, inspectors issued 32 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 32 citations at Paradigm at the Pines across 5 inspection dates, 8 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 10, 2025 (complaint inspection). The most common areas cited were nutrition and dietary (9) and quality of life and care (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, September 10, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
December 10, 2025 · 9 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProvide and implement an infection prevention and control program.
DHonor 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DHave policies on smoking.
September 10, 2025 · 6 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
ERespond appropriately to all alleged violations.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
October 2, 2024 · 6 citations · includes complaint inspection
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
September 19, 2024 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
September 20, 2023 · 10 citations
FHave 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.
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EEnsure each resident receives an accurate assessment.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure 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.
EEnsure 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Questions to ask on a tour of Paradigm at the Pines
- Inspectors cited the home at the immediate-jeopardy level on September 10, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 10, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 71.4% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,281 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 10, 2025 | Fine | $8,281 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 1/5 | 5/5 |
| August 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
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Location
Hospitals near Paradigm at the Pines
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 7.5 mi
-
18.3 mi
CHRISTUS Hospital BeaumontEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 15m for patients treated and sent home
- 18.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Paradigm at the Pines › All nursing homes in Silsbee ›
Compare Paradigm at the Pines with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Silsbee Oaks Health Care LLP · Silsbee · 5 stars · 1.3 mi
- Mill Creek · Silsbee · 4 stars · 2.4 mi
Other Paradigm Healthcare nursing homes in Texas
- Paradigm at the Brazos · Richmond · 5 stars
- Paradigm at Bay City · Bay City · 4 stars
- Paradigm at Kountze · Kountze · 4 stars
- Nazareth Living Care Center · El Paso · 3 stars
- Paradigm at Faith Memorial · Pasadena · 3 stars
- Paradigm at Katy · Katy · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 17 Paradigm Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.