Paradigm at The Pines

705 HWY 418 W, SILSBEE, TX 77656 · CCN 675391 · 90 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Get the full report Watch this facility

Serious inspection findings

2025-09-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.20

state median 2.67

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.14

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

67%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Paradigm at The Pines.

Penalties and enforcement

1 enforcement action(s), totaling $8,281 in fines.

Date	Type	Amount
2025-09-10	Fine	$8,281

Ownership

Ownership type: Government - Hospital district. Part of the PARADIGM HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

CONTINUING HEALTHCARE OF CUYAHOGA FALLS (CUYAHOGA FALLS, OH) — CMS overallnot rated
CONTINUING HEALTHCARE OF GAHANNA (GAHANNA, OH) — CMS overallnot rated
Paradigm at Stevens (Yoakum, TX) — CMS overall1 of 5
PARADIGM AT BAY CITY (BAY CITY, TX) — CMS overall2 of 5
PARADIGM AT KOUNTZE (KOUNTZE, TX) — CMS overall4 of 5
Paradigm at the Creek (Wharton, TX) — CMS overall1 of 5
Paradigm Northwest (Houston, TX) — CMS overall1 of 5
PARADIGM AT FIRST COLONY (MISSOURI CITY, TX) — CMS overall1 of 5

Full citation history

By severity: Potential for more than minimal harm: 33 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2025-12-10	F0565	Resident Rights Deficiencies	E	not recorded
2025-12-10	F0584	Resident Rights Deficiencies	D	not recorded
2025-12-10	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-12-10	F0692	Quality of Life and Care Deficiencies	D	not recorded
2025-12-10	F0755	Pharmacy Service Deficiencies	D	not recorded
2025-12-10	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-12-10	F0806	Nutrition and Dietary Deficiencies	D	not recorded
2025-12-10	F0880	Infection Control Deficiencies	E	not recorded
2025-12-10	F0926	Environmental Deficiencies	D	not recorded
2025-09-10	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-09-10	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-09-10	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-09-10	F0657	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-09-10	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-09-10	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-10-02	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-02	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-10-02	F0755	Pharmacy Service Deficiencies	D	not recorded
2024-10-02	F0803	Nutrition and Dietary Deficiencies	D	not recorded
2024-10-02	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2024-10-02	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2024-09-19	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-09-20	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-09-20	F0646	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-09-20	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-09-20	F0693	Quality of Life and Care Deficiencies	E	not recorded
2023-09-20	F0727	Nursing and Physician Services Deficiencies	F	not recorded
2023-09-20	F0801	Nutrition and Dietary Deficiencies	F	not recorded
2023-09-20	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2023-09-20	F0805	Nutrition and Dietary Deficiencies	E	not recorded
2023-09-20	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-09-20	F0851	Administration Deficiencies	F	not recorded
2023-08-30	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-08-30	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Paradigm at The Pines, SILSBEE” at medicare.gov/care-compare.