Paradigm At The Pines
705 Hwy 418 W, Silsbee, TX 77656 · Hardin County
Government · 90 certified beds · 58% occupancy · (409) 385-0033
Paradigm At The Pines reviews: what the government record shows
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.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 2.90 hrs/resident/day (-11% vs TX median)
- Antipsychotic drug use
- 5.4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $8,281
- Inspection findings
- 34 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- Yes
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Nurse staffing of 2.90 hrs/resident/day is below the Texas median of 3.27.
- !Currently carries the federal abuse-warning icon on CMS Care Compare.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·What was the abuse-warning finding, and what has changed since?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Paradigm At The Pines
Is Paradigm At The Pines a good nursing home?
Paradigm At The Pines in Silsbee, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Paradigm At The Pines staffed?
Paradigm At The Pines reports 2.90 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Paradigm At The Pines been fined or flagged for abuse?
Paradigm At The Pines has paid approximately $8,281 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. 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.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Paradigm Healthcare chain, which operates 17 facilities, with a chain-average CMS rating of 1.9 stars.