Paradigm at The Pines
Nursing Home · Silsbee, TX
CMS certification number675391
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
705 Hwy 418 WSilsbee, TX 77656
Hardin County
- Phone
- (409) 385-0033
- ZIP code
- 77656 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 52.6 (58% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Oakbend Medical Center
- Chain
- Paradigm Healthcare (17 facilities, avg 1.9★)
- Medicare certified since
- September 21, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.90 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.25 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.00 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.65 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.58 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 67.4 (state 55.3 · U.S. 45.8)%
- RN turnover
- 80.0 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- December 10, 2025
- Health deficiencies (last cycle)
- 15.0 (state 9.3 · U.S. 9.3)
- From complaints
- 6
- Citations on record (3 years)
- 34 health · 6 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-12-10 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-12-10 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-11 |
| 2025-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-09-07 |
| 2025-09-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-11 |
| 2025-09-10 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-11 |
| 2025-09-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-11 |
| 2024-10-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-02 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-10-02 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-01 |
| 2024-09-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-19 |
| 2023-09-20 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-20 | 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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-20 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-20 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-26 |
| 2023-09-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-09-20 | 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. F0693 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-06 |
| 2023-09-20 | 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. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-20 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-11 |
| 2023-09-20 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. F0646 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-26 |
| 2023-08-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-01 |
| 2023-08-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-04 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $8,281 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-09-10 | Fine | $8,281 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Council, Jeff (individual) | Corporate Officer · NOT APPLICABLE | |
| Crayton, Tom (individual) | Corporate Officer · NOT APPLICABLE | |
| Douds, Robert (individual) | Corporate Officer · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | Corporate Officer · NOT APPLICABLE | |
| Haley, Jeff (individual) | Corporate Officer · NOT APPLICABLE | |
| Martin, Melissa (individual) | Corporate Officer · NOT APPLICABLE | |
| Mefford, Ruthanne (individual) | Corporate Officer · NOT APPLICABLE | |
| Petrosewicz, Norma (individual) | Corporate Officer · NOT APPLICABLE | |
| Popatia, Amirali (individual) | Corporate Officer · NOT APPLICABLE | |
| Uthman, Edward (individual) | Corporate Officer · NOT APPLICABLE | |
| Oakbend Medical Center (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Pines Nursing & Rehabilitation LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Shkop, Aharon (individual) | Operational/managerial Control · NOT APPLICABLE | |
| SSC Silsbee Operating Company LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freudenberger, Joseph (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Zerwas, John (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Paradigm at The Pines?
Paradigm at The Pines has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Paradigm at The Pines have?
It has 90 certified beds and cares for about 53 residents per day.
Has Paradigm at The Pines been fined?
Yes. CMS lists 1 penalty totaling $8,281 in the last three years.
Who owns Paradigm at The Pines?
It is part of Paradigm Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Paradigm at The Pines?
(409) 385-0033. The facility is located at 705 Hwy 418 W, Silsbee, TX 77656.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.