Silsbee · 77656
Silsbee Oaks Health Care LLP
920 E Ave L
Silsbee, TX 77656
Paradigm at the Pines
⌖ Silsbee, TX · Hardin County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds90
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)
About Paradigm at the Pines
Paradigm at the Pines is a 90-bed government-run nursing home in Silsbee, TX. Medicare rates it 2 out of 5 stars overall (below average); the average in Texas is 2.7. At its last full inspection (Dec 2025), inspectors found 15 problems, more than the Texas average of 9.4. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 2 hr 54 min a day with each resident, less than the Texas average of 3 hr 23 min. About 67% of its nursing staff left in the past year. Medicare fined it $8,281 in the last three years. Its quality ratings are similar for short-term rehab (5 of 5) and long-term care (5 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameParadigm At The Pines
LocationHardin County, Texas
Phone(409) 385-0033
Address705 Hwy 418 W, Silsbee, TX 77656 · Hardin County
CMS provider number675391
Ownership typeGovernment (hospital district)
Operating companyParadigm Healthcare · 17 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceSeptember 21, 1994 (32 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
7 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Things to ask about
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- Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.Ask about this
- Serious health citations1 for immediate jeopardyCitations where inspectors found residents were harmed or put in immediate danger, most recently in Sep 2025 (about 1 year ago). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $8,281Federal penalties from the last three years, most recently in Sep 2025 (about 1 year ago). The national average is $30,972 per home.Worth asking about
- Health citations at last inspection15 (Dec 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident2 hr 54 min a dayTexas average: 3 hr 23 minWorse than state average
- Registered nurse time per resident15 min a dayTexas average: 26 minWorse than state average
- Nursing staff turnover67% a yearTexas average: 55%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital26.7%State average: 25.7%About average
- Needed an emergency room visit0.0%State average: 12.3%Better than average
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 6 minutes per resident a day. That is more than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury1.0%State average: 3.3%Better than average
- Pressure sores (bedsores)1.9%State average: 3.8%Better than average
- Given antipsychotic drugs5.4%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.9State average: 2.2Worse than average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 73% Medicaid
- 2% Medicare
- 24% Private pay, insurance and other
Beds in use, on average65%Texas typical: 67%
Cost of care per resident day$260Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, up from 1 star in January 2019. It has ranged from 1 to 3 stars and changed 9 times.
Overall rating2★
Health inspections2★
Staffing1★
Quality of care5★
Nurse hours per resident per day2.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 2 | 1 | 4 | 3.5 |
| Jan 2020 | 1 | 2 | 1 | 2 | 3.6 |
| Jan 2021 | 2 | 2 | – | 4 | 3.3 |
| Jan 2022 | 2 | 3 | 1 | 4 | 3.2 |
| Jan 2023 | 3 | 4 | 1 | 4 | 2.7 |
| Jan 2024 | 1 | 2 | 1 | 4 | 3.1 |
| Feb 2025 | 3 | 3 | 1 | 5 | 3.1 |
| Feb 2026 | 3 | 2 | 2 | 5 | 3.3 |
| Sep 2026 | 2 | 2 | 1 | 5 | 2.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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