Paradigm at the Pines

How to file a complaint about care →

1 fine totaling $8,281.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.90 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

All 16 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Paradigm Healthcare — 17 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Paradigm at the Prairies — El Campo, TX · overall 1/5abuse
• Paradigm at Westbury — Houston, TX · overall 1/5
• Paradigm at Woodwind Lakes — Houston, TX · overall —/5SFF
• Paradigm Northwest — Houston, TX · overall 1/5
• Continuing Healthcare of Cuyahoga Falls — Cuyahoga Falls, OH · overall —/5SFF
• Continuing Healthcare of Gahanna — Gahanna, OH · overall —/5SFF
• Nazareth Living Care Center — El Paso, TX · overall 2/5
• Paradigm at Bay City — Bay City, TX · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 16 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

• "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 67% total nursing staff turnover here — who on the care team has been with you longest?"
• "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

All facilities in Silsbee →