Quick answers
- Where is Paradigm at the Pines?
- 705 Hwy 418 W, Silsbee, TX 77656, in Hardin County, Texas.
- What is the phone number of Paradigm at the Pines?
- (409) 385-0033, as listed by Medicare (CMS).
- What is the Medicare star rating of Paradigm at the Pines?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Paradigm at the Pines been fined?
- Medicare lists 1 fine totaling $8,281.
- What did inspectors find at Paradigm at the Pines?
- In its last three inspection cycles (September 20, 2023 to December 10, 2025), Medicare lists 32 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (September 20, 2023 to December 10, 2025), Paradigm at the Pines had 32 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,281 in total (1 fine, the latest on September 10, 2025). Nurse staffing is 2.65 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 10, 2025 — 9 health citations
Inspections in this cycle: December 10, 2025 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0584 Level D
“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.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0926 Level D
“Have policies on smoking.”
Previous cycle: October 2, 2024 — 12 health citations
Inspections in this cycle: October 2, 2024 (complaint investigation); October 2, 2024 (standard health inspection); September 10, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 11 less serious citations (levels A to F)
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0657 Level E
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0803 Level D
“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.”
Earlier cycle: September 20, 2023 — 11 health citations
Inspections in this cycle: September 20, 2023 (standard health inspection); September 19, 2024 (complaint investigation).
Show 11 citations (levels A to F, no actual harm)
F0727 Level F
“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.”
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0693 Level E
“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.”
F0803 Level E
“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.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0646 Level D
“Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (6)
K0361 Level D
“Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.”
K0363 Level D
“Install corridor and hallway doors that block smoke.”
K0347 Level E
“Properly provide smoke detection systems in areas open to corridors.”
K0361 Level E
“Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.”
K0363 Level E
“Install corridor and hallway doors that block smoke.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Fines and payment denials
Total fines over about the last three years: $8,281 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| September 10, 2025 | Fine | $8,281 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.26 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.80 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.58 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 2.65 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.35 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.19 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 71.4% | 50.8% | 45.3% |
| RN turnover (per year) | 60.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 17 nursing homes: Paradigm Healthcare.
Legal business name: Oakbend Medical Center.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Oakbend Medical Center | Management company (operational or managerial control) | NOT APPLICABLE | March 31, 2017 |
| Pines Nursing & Rehabilitation LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2022 |
| SSC Silsbee Operating Company LLC | Management company (operational or managerial control) | NOT APPLICABLE | March 31, 2017 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 90 |
| Average residents per day | 57.4 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Group or chain (affiliated entity) | Paradigm Healthcare |
| Legal business name | Oakbend Medical Center |
| First approved by Medicare/Medicaid | 1994-09-21 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 705 Hwy 418 W, Silsbee, TX 77656 |
| County | Hardin County |
| State | Texas |
| Phone | (409) 385‑0033 |
| CMS Certification Number | 675391 |
| Name in Medicare records | Paradigm at The Pines |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Silsbee Oaks Health Care LLP1.3 mi · Silsbee, TX · 5 of 5 stars
- Mill Creek2.4 mi · Silsbee, TX · 4 of 5 stars
- Village Creek Rehabilitation and Nursing Center6.9 mi · Lumberton, TX · 1 of 5 stars
- Paradigm at Kountze10 mi · Kountze, TX · 4 of 5 stars
- Jefferson Nursing and Rehabilitation Center16 mi · Beaumont, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Altus Lumberton Hospital7.5 mi · Lumberton, TX · Acute Care Hospital
- CHRISTUS Southeast Texas- St Elizabeth18 mi · Beaumont, TX · Acute Care Hospital
- Baptist Beaumont Hospital20 mi · Beaumont, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13