Paradigm at The Pines
Nursing home in Silsbee, Texas, CMS certification number 675391
705 Hwy 418 W, Silsbee, TX 77656 · Hardin County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 90
- Certified for
- Medicare and Medicaid
- Last standard inspection
- December 10, 2025
- Deficiencies at that inspection
- 9
- Fines in 3 years
- $8,281 (1)
Does Paradigm at The Pines take Medicare and Medicaid?
Yes to both. Paradigm at The Pines is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 3 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Paradigm at The Pines reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.65
- Registered nurse hours
- 0.26
- Licensed practical nurse hours
- 0.80
- Nurse aide hours
- 1.58
- Weekend total hours
- 2.35
- Nursing staff turnover
- 71.4%
- Registered nurse turnover
- 60%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on December 10, 2025 and cited 9 deficiencies, plus 0 from complaint visits.
The visit before, on October 2, 2024, found 6.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Paradigm at The Pines 1 time in the past 3 years, for $8,281 in total.
Beds and residents
On an average day 57.4 residents live here, about 64% of its 90 certified beds.
- Certified beds
- 90
- Average residents per day
- 57.4
- Certified since
- September 21, 1994
- Resident or family council
- Resident
Who owns Paradigm at The Pines
- Legal business name
- Oakbend Medical Center
- Ownership type
- Government - Hospital district
- Chain
- 17 homes nationally under Paradigm Healthcare, 2.1-star chain average
Other nursing homes near Paradigm at The Pines
- Silsbee Oaks Health Care LLP920 E Ave L, Silsbee 77656
- Mill Creek1105 W Hwy 418, Silsbee 77656
- Village Creek Rehabilitation and Nursing Center705 N Main St, Lumberton 77657
- Paradigm at Kountze604 FM 1293, Kountze 77625
- Jefferson Nursing and Rehabilitation Center3840 Pointe Parkway, Beaumont 77706
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Paradigm at The Pines, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Paradigm at The Pines
What is the CMS star rating of Paradigm at The Pines?
3 out of 5 stars overall.
Does Paradigm at The Pines accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Paradigm at The Pines?
9 cited at the last standard visit.
Who owns Paradigm at The Pines?
Oakbend Medical Center, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.