Paradigm at The Pines
Nursing Home Facility
705 Hwy 418 W, Silsbee, TX 77656
Paradigm at The Pines is a senior care community located in Silsbee, TX. It provides nursing home care and senior living for older adults in the Silsbee area. To learn more or schedule a tour, call (409) 385-0033.
Operated by Paradigm Healthcare, which runs 16 communities in our directory.
Paradigm at The Pines is licensed for 90 beds, about typical for the area, where senior care communities in Silsbee average about 106 beds.
Federal reporting puts occupancy at about 58% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Silsbee average of roughly 80%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in December 2025 and recorded 15 deficiencies.
Residents receive about 2.9 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 67%, which is high and can affect continuity of care.
The community is located in Hardin County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 34 problems at Paradigm at The Pines. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 10 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $8,281.
Findings from the most recent inspection cycle
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Put residents in immediate danger, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Show 7 more
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, one or a few residents
Environmental
Have policies on smoking.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Paradigm at The Pines offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 90
- Occupancy 58%
- Nursing hours per resident/day 2.9
- Annual staff turnover 67%
- Last health inspection December 2025
Resident & family reviews
No one has shared a review of Paradigm at The Pines yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.