Nursing home report
SILSBEE, TX · Medicare-certified · 90 beds
Paradigm at The Pines in Silsbee, TX has a 2-star overall rating, with 2 stars for health inspections and 1 star for staffing, while quality measures are 5 stars. Staffing is below the federal benchmark (2.98 vs. 4.1 hours per resident per day), and the facility has had $12,740 in fines in the last 24 months plus a recent abuse citation.
Health inspections
Staffing
2.9838 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9838.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2023 — widespread issue, potential for harm.
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited September 2023 — widespread issue, potential for harm.
F-Tag 801 — 42 CFR §483.60 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited September 2023 — widespread issue, potential for harm.
F-Tag 851 — 42 CFR §483.70 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 9 health deficiencies.
A federal fine of $12,740 was recorded.
Health inspection found 6 health deficiencies.
Health inspection found 6 health deficiencies.
On record with Medicare: 1 fine · $12,740 in total fines.
Federal fine
Sep 10, 2025
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
