Nursing home
Paradigm at The Pines
705 Hwy 418 W, Silsbee, TX 77656 · Map
Government - Hospital district · Part of Paradigm Healthcare (18 facilities) · 90 certified beds
Paradigm at The Pines is a Medicare-certified nursing home in Silsbee, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.27 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 10, 2025 cited 15 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $12,740In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Paradigm at The Pines compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.27 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.26 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.97 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 62.5% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 15.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 10, 2025 inspection was corrected by December 11, 2025
Penalties in CMS records: 1 fine totaling $12,740, 1 total penalty.
What inspectors found at Paradigm at The Pines
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 10, 2025 · Full report (PDF) - Potential for harm
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 · Dec 10, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 10, 2025 · Full report (PDF) - Potential for harm
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 · Sep 10, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 10, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 705 Hwy 418 W
Silsbee, TX 77656 - CMS certification #
- 675391
- Ownership
- Government - Hospital district
- Certified beds
- 90
- Avg residents/day
- 53.6
- Provider type
- Medicare and Medicaid
- First certified
- 1994-09-21
- Chain
- Paradigm Healthcare (18 facilities)
- Setting
- Urban
Part of Paradigm Healthcare
Paradigm Healthcare operates 18 nursing facilities across the United States. View all Paradigm Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Paradigm at The Pines using Google Maps.
Other public records
- Website says Works with hospice, diabetes care, transportation
- Emergency In FEMA's high-risk flood area (Zone A)
Full public records, with dates and sources
Care and services
From the community’s website
What Paradigm at The Pines says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Hospice Services
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetes Management
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private & Semi-Private Rooms
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Altus Lumberton Hospital, Lumberton. 7.5 miles away, straight line.
- Nearest Medicare nursing home
- Silsbee Oaks Health Care LLP, Silsbee. 1.3 miles away, straight line.
- Nearest home health agency office
- Pulse Homecare Ltd, Beaumont. 12.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 77656 as metropolitan (metropolitan high commuting).
- Hospice
- 24 Medicare hospices tell CMS they serve ZIP code 77656.
Heart To Heart Hospice Of The Gulf Coast, office in Beaumont, 17.1 miles away, straight line
Harbor Hospice House, office in Beaumont, 17.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Accentcare Hospice & Palliative Care Of Texas, office in Beaumont, 17.4 miles away, straight line - Nearest geriatric medicine practice
- Cs Pacs 3 Southwest, LLC, Dayton. 48.8 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone A: 1% annual chance flood area (high risk); no base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- Wildfire risk to homes
- In Silsbee, TX, risk to homes is greater than 65% of communities in Texas and 82% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively moderate, coastal flooding relatively low, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Paradigm at The Pines a good nursing home?
CMS gives Paradigm at The Pines an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Paradigm at The Pines staffed?
Paradigm at The Pines reports 3.27 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Paradigm at The Pines had inspection problems?
Its most recent CMS inspection cited 15 deficiencies.
How many beds does Paradigm at The Pines have?
Paradigm at The Pines is certified for 90 beds.