Paradigm at the Pines

Name: Paradigm at the Pines
Address: 705 HWY 418 W, Silsbee, TX, 77656, US
Telephone: 4093850033

705 Hwy 418 W, Silsbee, TX 77656 · Hardin County · 90 certified beds · avg 53 residents/day · certified since Sep 21, 1994 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)

Part of chain: PARADIGM HEALTHCARE (17 facilities, chain avg rating 1.9★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

2/5

Health inspection rating (on-site)

Serious findings on record

$8,281

Fines, last 3 years

3.07

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Sep 10, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Sep 7, 2025 (Past Non-Compliance)

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 10, 2025	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Dec 10, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 10, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not have policies on smoking.
Sep 10, 2025	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 10, 2025	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 10, 2025	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Sep 10, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Sep 10, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 10, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 2, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 2, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 2, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 2, 2024	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Sep 19, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Sep 20, 2023	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Sep 20, 2023	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Sep 20, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 20, 2023	E · Potential for harm, repeated	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Sep 20, 2023	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Sep 20, 2023	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Sep 20, 2023	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Aug 30, 2023	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Aug 30, 2023	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	12	0	F
2024	7	0	E
2025	15	1	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $8,281.

Date	Type	Amount / length
Sep 10, 2025	Fine	$8,281

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.07	3.46	3.95	bottom 27% in Texas; bottom 16% in the U.S.
Registered Nurse hours	0.26	0.44	0.69	bottom 19% in Texas; bottom 6% in the U.S.
Weekend total nurse staffing	2.73	3.04	3.50	bottom 33% in Texas; bottom 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.18	0.34	0.48	bottom 17% in Texas; bottom 9% in the U.S.
Total nursing staff turnover (%)	67.4	55.3	45.8	bottom 22% in Texas; bottom 8% in the U.S.
RN turnover (%)	80.0	54.6	42.9	bottom 21% in Texas; bottom 6% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.90, RN 0.25, weekend 2.58. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Council, Jeff	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Crayton, Tom	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Douds, Robert	Individual	Corporate Officer	NOT APPLICABLE	01/19/2016
Freudenberger, Joseph	Individual	W-2 Managing Employee	NOT APPLICABLE	06/19/2007
Freudenberger, Joseph	Individual	Corporate Officer	NOT APPLICABLE	06/19/2007
Haley, Jeff	Individual	Corporate Officer	NOT APPLICABLE	01/01/2012
Martin, Melissa	Individual	Corporate Officer	NOT APPLICABLE	01/01/2015
Mefford, Ruthanne	Individual	Corporate Officer	NOT APPLICABLE	01/01/2015
Oakbend Medical Center	Organization	Operational/Managerial Control	NOT APPLICABLE	03/31/2017
Petrosewicz, Norma	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013
Pines Nursing & Rehabilitation LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
Popatia, Amirali	Individual	Corporate Officer	NOT APPLICABLE	01/01/2011
Shkop, Aharon	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2022
SSC Silsbee Operating Company LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/31/2017
Uthman, Edward	Individual	Corporate Officer	NOT APPLICABLE	01/01/2008
Zerwas, John	Individual	W-2 Managing Employee	NOT APPLICABLE	06/19/2007

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Silsbee Oaks Health Care LLP	1.3 mi	Silsbee, TX	★★★☆☆	4/5
Mill Creek	2.4 mi	Silsbee, TX	★★★☆☆	3/5
Village Creek Rehabilitation and Nursing Center	6.9 mi	Lumberton, TX	★☆☆☆☆	1/5
Paradigm at Kountze	10.1 mi	Kountze, TX	★★★★☆	3/5
Jefferson Nursing and Rehabilitation Center	16.3 mi	Beaumont, TX	★☆☆☆☆	2/5
Vidor Health & Rehabilitation Center	17.0 mi	Vidor, TX	★☆☆☆☆	1/5
Harmony Care at Beaumont	17.1 mi	Beaumont, TX		—/5	abuseSFF
Oakwood Manor Nursing Home	17.8 mi	Vidor, TX	★★★★☆	4/5
Calder Woods	19.3 mi	Beaumont, TX	★★★☆☆	3/5
Beaumont Health Care Center	19.5 mi	Beaumont, TX	★★★★☆	4/5
College Street Health Care Center	19.6 mi	Beaumont, TX	★★★★☆	4/5
Spindletop Hill Nursing and Rehabilitation Center	19.6 mi	Beaumont, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Silsbee →

Facility data as of CMS processing date 2026-08-01. CCN 675391.

The Care File

Visit checklist — Paradigm at the Pines

705 Hwy 418 W, Silsbee, TX 77656 · 4093850033

Health inspection rating 2/5 · CMS overall 2/5 · ▲ FEDERAL ABUSE CITATION FLAG· Fines (3y): $8,281

Most serious findings on record:

▲ Sep 10, 2025 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675391 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)