Paradigm at The Pines
705 HWY 418 W, SILSBEE, TX 77656 · CCN 675391
Abuse icon
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 90
- Avg residents/day
- 53.6
- Phone
- 4093850033
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-10 | 15 | 9.1 | 9.5 | +5.9 worse |
| 2 | 2024-10-02 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2023-09-20 | 12 | 8.1 | 9.3 | +3.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.27 | 62.5% |
| RN staffing (reported) | 0.26 | — |
| Total nurse staffing (adjusted) | 3.70 | — |
Fines & penalties
- Total fines
- $12,740
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- PARADIGM HEALTHCARE
- Facilities in chain
- 18
- Chain avg overall
- 2.10 / 5
Inspection citations (34)1 immediate jeopardy
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0584Honor 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.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- DF0926Have policies on smoking.2025-12-10 · Health · corrected 2025-12-11
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-09-10 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-10 · Health · corrected 2025-09-26
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-09-10 · Health · corrected 2025-09-26
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-09-10 · Health · corrected 2025-09-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-10 · Health · corrected 2025-09-07
Immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-10 · Health · corrected 2025-09-11
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-10-02 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-10-02 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-02 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0803Ensure 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.2024-10-02 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-02 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-02 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-19 · Health · corrected 2024-10-19
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2023-09-20 · Health · corrected 2023-09-26
Potential for more than minimal harm
- DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2023-09-20 · Health · corrected 2023-09-26
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-20 · Health · corrected 2023-10-06
Potential for more than minimal harm
- EF0693Ensure 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.2023-09-20 · Health · corrected 2023-10-06
Potential for more than minimal harm
- FF0727Have 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.2023-09-20 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-09-20 · Health · corrected 2023-10-11
Potential for more than minimal harm
- EF0803Ensure 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.2023-09-20 · Health · corrected 2023-10-11
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-09-20 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-20 · Health · corrected 2023-10-11
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-09-20 · Health · corrected 2023-10-11
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-30 · Health · corrected 2023-09-01
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-30 · Health · corrected 2023-09-04
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-31 |
| PINES NURSING & REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-01 |
| SSC SILSBEE OPERATING COMPANY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-03-31 |
| SHKOP, AHARON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-10-01 |
| COUNCIL, JEFF | Individual | CORPORATE OFFICER | — | 2013-01-01 |
| CRAYTON, TOM | Individual | CORPORATE OFFICER | — | 2013-01-01 |
| DOUDS, ROBERT | Individual | CORPORATE OFFICER | — | 2016-01-19 |
| FREUDENBERGER, JOSEPH | Individual | CORPORATE OFFICER | — | 2007-06-19 |
| HALEY, JEFF | Individual | CORPORATE OFFICER | — | 2012-01-01 |
| MARTIN, MELISSA | Individual | CORPORATE OFFICER | — | 2015-01-01 |
| MEFFORD, RUTHANNE | Individual | CORPORATE OFFICER | — | 2015-01-01 |
| PETROSEWICZ, NORMA | Individual | CORPORATE OFFICER | — | 2013-01-01 |
| POPATIA, AMIRALI | Individual | CORPORATE OFFICER | — | 2011-01-01 |
| UTHMAN, EDWARD | Individual | CORPORATE OFFICER | — | 2008-01-01 |
| FREUDENBERGER, JOSEPH | Individual | W-2 MANAGING EMPLOYEE | — | 2007-06-19 |
| ZERWAS, JOHN | Individual | W-2 MANAGING EMPLOYEE | — | 2007-06-19 |
Other facilities in SILSBEE
| Name | Overall | Beds |
|---|---|---|
| SILSBEE OAKS HEALTH CARE LLP | ★★★★☆ | 160 |
| MILL CREEK | ★☆☆☆☆ | 67 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.