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Nursing homeFAID #14082

Paradigm At the Pines

705 HWY 418 W, SILSBEE, TX, 77656
(409) 385-0033
90 licensed beds

CMS rates Paradigm At the Pines 3 out of 5 overall. Federal inspectors issued 38 citations across 9 inspections in the last three years, with $8,281 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall3/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
90
CMS facility ID
675391
Care type
Nursing home
County
Hardin
Facility name
Paradigm At the Pines
Street address
705 HWY 418 W
City / state / ZIP
Silsbee, TX 77656
Phone
(409) 385-0033

About this facility — Paradigm At the Pines

Paradigm At the Pines is a Medicare/Medicaid-certified skilled nursing facility in Silsbee, Texas. It is licensed for 90 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Silsbee and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Paradigm Healthcare, a group of 17 facilities on this site.

Federal inspectors have cited Paradigm At the Pines 38 times across 9 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $8,281 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Paradigm Healthcare
Ownership type
Government - Hospital district

Registered owners & officers

Council, Jeff
Officer — since 2013
Crayton, Tom
Officer — since 2013
Douds, Robert
Officer — since 2016
Freudenberger, Joseph
Managing employee · Officer — since 2007
Haley, Jeff
Officer — since 2012
Martin, Melissa
Officer — since 2015
Mefford, Ruthanne
Officer — since 2015
Oakbend Medical Center
Operational control — since 2017
Petrosewicz, Norma
Officer — since 2013
Pines Nursing & Rehabilitation Llc
Operational control — since 2022
Popatia, Amirali
Officer — since 2011
Shkop, Aharon
Operational control — since 2022
Ssc Silsbee Operating Company Llc
Operational control — since 2017
Uthman, Edward
Officer — since 2008
Zerwas, John
Managing employee — since 2007

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1994-09-21
CMS overall rating
3 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$8,281 total
Last standard inspection
2025-12-10
Nurse staffing
2.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$230 per day (≈ $6,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 4% Medicare · 27% private/other
Occupancy
66% (fiscal year 2023)
Vs. state median
17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
90
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 9 food-safety citations on its three-year record — flagged below among the inspections.
2025-12-10Health inspection9 citations
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-12-11
F-0584
D · No harm found
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.
Corrected 2025-12-11
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-11
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-12-11
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-11
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-12-11
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-12-11
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-11
F-0926
D · No harm found
Have policies on smoking.
Corrected 2025-12-11
2025-09-10Health inspectionComplaint-triggered6 citations
F-0600
E · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-11
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-26
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-09-26
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-11
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-07
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-11
6 earlier / fire-safety inspections (23 citations)
2024-10-02Health inspectionComplaint-triggered6 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-11-01
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-01
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-01
F-0803
D · No harm foundFood safety
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.
Corrected 2024-11-01
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-01
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-01
2024-09-19Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-19
2023-09-20Health inspection10 citations
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-09-26
F-0646
D · No harm found
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2023-09-26
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-06
F-0693
E · No harm found
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.
Corrected 2023-10-06
F-0727
F · No harm found
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.
Corrected 2023-10-11
F-0801
F · No harm foundFood safety
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.
Corrected 2023-10-11
F-0803
E · No harm foundFood safety
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.
Corrected 2023-10-11
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-10-11
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-11
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-10-11
2025-12-10Fire-safety inspection2 citations
K-0361
D · No harm found
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2026-01-23
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2026-01-23
2024-10-02Fire-safety inspection3 citations
K-0347
E · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-11-15
K-0361
E · No harm found
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2024-11-15
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-11-15
2023-09-20Fire-safety inspection1 citation
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-06

Federal penalties

2025-09-10Fine$8,281
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675391.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
38
More than 60% of nursing homes in the state
State median: 33
Federal fines, 3 years
$8,281
More than 36% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
2.7
Among the lowest of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
71%
Higher than 93% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 13 and worse on 1. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased16.7%15.8%13.5%Near state average
Lose too much weight0.0%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.5%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.0%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened11.3%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication18.6%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers2.3%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence5.7%12.5%18.3%Better than state
Received an antipsychotic medication6.0%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.822.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.551.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication0.7%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine89.1%85.4%80.1%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-0804 2 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • K-0361 2 inspections. Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
  • K-0363 2 inspections. Install corridor and hallway doors that block smoke.
  • F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Altus Lumberton Hospital, about 7.5 miles.
  • Christus Southeast Texas- St Elizabeth, about 18 miles. CMS rating 4 of 5.
  • Baptist Beaumont Hospital, about 20 miles. CMS rating 3 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 38 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered