Nursing HomeInspections

Paradigm at The Pines

Nursing home in Silsbee, TX

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

Call (409) 385-0033Send a messageMap ↗

Public-record details

Address
705 Hwy 418 W, Silsbee, TX 77656
Phone
(409) 385-0033
Listed under
Government-owned
Medicare CCN
675391
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
90
Average residents per day
53
Ownership
Government, hospital district
Legal business name
Oakbend Medical Center
Chain
Paradigm Healthcare (17 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 21, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675391. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 10, 2025. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 30, 2023 to Dec 10, 2025): 10 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Dec 10, 2025Honor 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		D
Potential for more than minimal harm, isolated
Dec 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 10, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Dec 10, 2025Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
Dec 10, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
Dec 10, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Dec 10, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Sep 10, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 10, 2025Protect 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 · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 34. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,281 in the last three years.

Sep 10, 2025Fine: $8,281

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.90 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.65 hours
Total nurse staffing on weekends
2.58 hours
Nursing staff turnover (yearly)
67%
RN turnover (yearly)
80%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Silsbee

Mill Creek1105 W Hwy 418 · Silsbee, TX 77656 · (409) 385-3784 · For-profit25 health citations in 3 inspection cycles · last standard inspection Dec 10, 2025 · $13,232 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Silsbee Oaks Health Care LLP920 E Ave L · Silsbee, TX 77656 · (409) 385-5571 · For-profit12 health citations in 3 inspection cycles · last standard inspection Jan 28, 2026 · $8,193 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

All 3 in Silsbee →