Nursing home report
SILSBEE, TX · Medicare-certified · 90 beds
Paradigm at The Pines in Silsbee, TX has an overall 2-star rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (2.90 vs. 4.1 hours per resident per day). It also has a recent abuse citation and $8,281 in fines in the last 24 months; quality measures are 5 stars, but health inspections are 2 stars.
Health inspections
Staffing
2.9025 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9025.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 $8,281 was recorded.
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 · $8,281 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.
