Paradigm at the Pines in Silsbee, TX

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Paradigm at the Pines is a medicare and medicaid certified nursing home in Silsbee, Texas. It is located in Hardin county at 705 Hwy 418 W, Silsbee, Texas 77656. You can reach out to the office of Paradigm at the Pines via phone at (409) 385-0033. This skilled nursing facility has 90 federally certified beds with average occupancy rate of 58.44%. Its legal business name is Oakbend Medical Center and has the following ownership type - Government - Hospital District. It is part of Paradigm Healthcare, a chain of 17 nursing homes.

Paradigm at the Pines (Medicare CCN 675391) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1994 (32 years certified) and the last quality survey was conducted in December, 2025.

Contact Information

Paradigm at the Pines
705 Hwy 418 W, Silsbee, Texas 77656
(409) 385-0033

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Nursing Home Profile

NameParadigm at the Pines
Location705 Hwy 418 W, Silsbee, Texas
Certified ByMedicare and Medicaid
No. of Certified Beds90
Occupancy Rate58.44%
Medicare ID (CCN)675391
Legal Business NameOakbend Medical Center
Ownership TypeGovernment - Hospital District
ChainParadigm Healthcare (17 nursing homes)
Chain Average Overall Rating1.9 out of 5

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Paradigm at the Pines in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1043331101
MatchConfirmed listed in Medicare enrollment records
Organization NameOakbend Medical Center
Doing Business AsPine Arbor
Address705 Fm 418 West, Silsbee, TX 77656
Phone Number409-385-0033

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Paradigm at the Pines are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Paradigm at the Pines give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Paradigm at the Pines, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day2.93.86
Registered nurse (RN) hours per resident per day0.250.69
Licensed practical nurse (LPN) hours per resident per day10.86
Nurse aide hours per resident per day1.652.32
Total nurse staff hours per resident per day on the weekend2.583.42
RN hours per resident per day on the weekend0.180.48
Physical therapist hours per resident per day0.10.07
Total nursing staff turnover67.4%45.8%
Registered nurse turnover80%42.9%
Number of administrators who have left the nursing home10.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)Yes
Number of Fines1
Total Amount of Fines in Dollars$8,281
Number of Payment Denials0
Total Number of Penalties1

Health Inspections:

In its most recent inspection cycle (standard health inspection in December, 2025, plus any complaint inspections), inspectors cited Paradigm at the Pines for 15 health deficiencies (national average: 9.3). The 30 most recent of its 34 citations since 2023 are listed below.

DateDeficiencyHarm LevelStatus
Dec 10, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565, Resident Rights, Standard inspection		Potential for harm, patternCorrected by Dec 11, 2025
Dec 10, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804, Nutrition and Dietary, Standard inspection		Potential for harm, patternCorrected by Dec 11, 2025
Dec 10, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection		Potential for harm, patternCorrected by Dec 11, 2025
Dec 10, 2025Honor 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, Standard inspection		Potential for harm, isolatedCorrected by Dec 11, 2025
Dec 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection		Potential for harm, isolatedCorrected by Dec 11, 2025
Dec 10, 2025Provide enough food/fluids to maintain a resident's health.
F0692, Quality of Life and Care, Standard inspection		Potential for harm, isolatedCorrected by Dec 11, 2025
Dec 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755, Pharmacy Service, Standard inspection		Potential for harm, isolatedCorrected by Dec 11, 2025
Dec 10, 2025Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806, Nutrition and Dietary, Standard inspection		Potential for harm, isolatedCorrected by Dec 11, 2025
Dec 10, 2025Have policies on smoking.
F0926, Environmental, Standard inspection		Potential for harm, isolatedCorrected by Dec 11, 2025
Sep 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection		Immediate jeopardy, isolatedPast non-compliance (already corrected)
Sep 10, 2025Protect 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, Complaint inspection		Potential for harm, patternCorrected by Sep 11, 2025
Sep 10, 2025Respond appropriately to all alleged violations.
F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection		Potential for harm, patternCorrected by Sep 26, 2025
Sep 10, 2025Develop 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, Complaint inspection		Potential for harm, patternCorrected by Sep 11, 2025
Sep 10, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection		Potential for harm, isolatedCorrected by Sep 26, 2025
Sep 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755, Pharmacy Service, Complaint inspection		Potential for harm, isolatedCorrected by Sep 11, 2025
Oct 2, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804, Nutrition and Dietary, Standard inspection		Potential for harm, patternCorrected by Nov 1, 2024
Oct 2, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection		Potential for harm, patternCorrected by Nov 1, 2024
Oct 2, 2024Ensure each resident receives an accurate assessment.
F0641, Resident Assessment and Care Planning, Standard inspection		Potential for harm, isolatedCorrected by Nov 1, 2024
Oct 2, 2024Develop 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, Standard inspection		Potential for harm, isolatedCorrected by Nov 1, 2024
Oct 2, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755, Pharmacy Service, Standard inspection, Complaint inspection		Potential for harm, isolatedCorrected by Nov 1, 2024
Oct 2, 2024Ensure 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, Standard inspection		Potential for harm, isolatedCorrected by Nov 1, 2024
Sep 19, 2024Protect 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, Complaint inspection		Potential for harm, isolatedCorrected by Oct 19, 2024
Sep 20, 2023Have 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, Standard inspection		Potential for harm, widespreadCorrected by Oct 11, 2023
Sep 20, 2023Employ 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, Standard inspection		Potential for harm, widespreadCorrected by Oct 11, 2023
Sep 20, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection		Potential for harm, widespreadCorrected by Oct 11, 2023
Sep 20, 2023Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851, Administration, Standard inspection		Potential for harm, widespreadCorrected by Oct 11, 2023
Sep 20, 2023Ensure each resident receives an accurate assessment.
F0641, Resident Assessment and Care Planning, Standard inspection		Potential for harm, patternCorrected by Sep 26, 2023
Sep 20, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection		Potential for harm, patternCorrected by Oct 6, 2023
Sep 20, 2023Ensure 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, Standard inspection		Potential for harm, patternCorrected by Oct 6, 2023
Sep 20, 2023Ensure 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, Standard inspection		Potential for harm, patternCorrected by Oct 11, 2023

Quality of Resident Care:

These quality measures of Paradigm at the Pines, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased15.4913.87
Percentage of long-stay residents who lose too much weight0.675.19
Percentage of long-stay residents with a catheter inserted and left in their bladder00.82
Percentage of long-stay residents with a urinary tract infection0.531.59
Percentage of long-stay residents who have depressive symptoms0.5712.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury1.043.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine10093.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10082.04
Percentage of short-stay residents who newly received an antipsychotic medication01.56
Percentage of long-stay residents whose ability to walk independently worsened7.2314.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication19.0819.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10095.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10079.75
Percentage of long-stay residents with pressure ulcers1.864.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4119.01
Percentage of long-stay residents who received an antipsychotic medication5.4115.38

Reviews and Comments


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Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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