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Skilled NursingCMS verified

Paradigm at the Pines

705 Hwy 418 W, Silsbee, TX 77656 · Hardin County

2.0CMS overall rating(409) 385-0033Visit website ↗
32
Use Caution
Haven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates use caution.
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Photos via google places, facility website.

Availability outlookUsually has openings

Typically 58% full — availability is generally good.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Silsbee

Paradigm at the Pines is a government-owned skilled nursing facility in Silsbee, TX, with 90 certified beds and an average of about 53 residents per day. It operates as part of the Paradigm Healthcare network.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 1/5 on staffing, 5/5 on quality measures.

Staff provide about 2.98 total nurse hours per resident each day (0.26 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 64.7%, higher than the ~52% national average. On the safety record, CMS notes 15 health deficiencies at its most recent standard survey, and 1 federal fine totaling $12,740 in the recent record. Note: CMS has flagged this facility with an abuse icon. We strongly recommend reviewing the full inspection report and discussing it on any tour.

Strengths

  • Full sprinkler system
  • Active resident & family council

Things to ask about

  • Below-average 2-star overall CMS rating
  • Below-average health-inspection rating
  • Below-average nurse staffing (2.98 hrs/resident/day)
  • 15 deficiencies at last survey
  • CMS abuse-citation flag — review carefully
Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Silsbee options — our advisors can help you compare.

At a glance

Certified beds
90
Avg. residents/day
53
Ownership
Government - Hospital district
Part of a chain
Paradigm Healthcare
Continuing care
No
CMS provider #
675391

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating
Health inspections
Staffing
Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of careMonthly costSource
Skilled Nursing$4,830–$7,240/mo (median $5,830)Local market estimate

2024–2026 published survey medians, state median adjusted to local Beaumont prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Paradigm at the Pines

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day
2.98
National avg ≈ 3.9
RN hrs / resident / day
0.26
National avg ≈ 0.75
Nursing staff turnover
64.7%
National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

⚠️ This community carries a serious CMS flag (abuse citation). We recommend reviewing the full inspection report and raising it directly on any tour.
Health deficiencies (last survey)
15
Federal fines
1 ($12,740)
Total penalties
1
Last standard survey
2025-12-10
Sprinkler system
Yes
Resident & family council
Resident

What inspectors found

The most recent findings from federal health inspections (34 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-12-10Severity E — potential for harmResident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

2025-12-10Severity E — potential for harmNutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2025-12-10Severity E — potential for harmInfection Control Deficiencies

Provide and implement an infection prevention and control program.

2025-12-10Severity D — potential for harmResident Rights Deficiencies

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.

2025-12-10Severity D — potential for harmQuality of Life and Care Deficiencies

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

2025-12-10Severity D — potential for harmQuality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

2025-12-10Severity D — potential for harmPharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-12-10Severity D — potential for harmNutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

DateTypeAmount
2025-09-10Fine$12,740

Services & amenities

  • Full automatic sprinkler system
  • Medicare & Medicaid certified
  • 24-hour licensed nursing
  • On-site rehabilitation therapy
  • Rehabilitation services

Location

705 Hwy 418 W, Silsbee, TX

  • Monday: Open 24 hours
  • Tuesday: Open 24 hours
  • Wednesday: Open 24 hours
  • Thursday: Open 24 hours
  • Friday: Open 24 hours
  • Saturday: Open 24 hours
  • Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Verified family reviews

No verified family reviews yet for Paradigm at the Pines.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Paradigm at the Pines

How much does Paradigm at the Pines cost?

Paradigm at the Pines does not publish exact rates. Comparable skilled nursing in the Silsbee, TX area typically runs $4,830–$7,240 per month (median $5,830, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Paradigm at the Pines's Medicare rating?

Medicare (CMS) rates Paradigm at the Pines 2 out of 5 stars overall, including 2/5 for health inspections, 1/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.

How is the staffing at Paradigm at the Pines?

Staff provide about 2.98 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 64.7% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Paradigm at the Pines?

Paradigm at the Pines has 34 health citations on its recent federal inspection record (last standard survey: 2025-12-10). The full citation-by-citation detail, with severity levels, is published on this page.

Does Paradigm at the Pines have availability?

Typically 58% full — availability is generally good. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Paradigm at the Pines offer?

Paradigm at the Pines in Silsbee, TX offers skilled nursing and is licensed for 90 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

  • Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in Beaumont.
  • The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
  • Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Your next steps — this week

  1. 1
    Confirm the fit
    Check the inspection record and staffing data on this page against your loved one's needs.
  2. 2
    Get exact pricing & availability
    Request current rates for Paradigm at the Pines — takes one minute, answered same day.
  3. 3
    Tour 2–3 communities
    Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
  4. 4
    Hold a spot
    Most communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogle

Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.

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