Nursing homes › Texas › Paradigm at the Pines
705 Hwy 418 W, Silsbee, TX 77656 · (409) 385-0033 · 90 certified beds
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Open your comparisonCMS overall star rating: this provider 2/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
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Per CMS filings, this facility is affiliated with Paradigm Healthcare, a group operating 17 facilities in 2 states. Group record: average rating 1.9/5, 5 abuse citation icons, 3 facilities on the Special Focus list, $1,413,175 in federal fines. This facility rates above its group average (1.9/5).
Total nurse staffing: 2.90 (Texas median: 3.27). RN hours: 0.25. Weekend total: 2.58. Nursing staff turnover: 67%.
In the downloaded CMS dataset: 34 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-10 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2025-12-11 |
| 2025-12-10 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-12-11 |
| 2025-12-10 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-12-11 |
| 2025-12-10 | Honor 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. | D | Health | corrected 2025-12-11 |
| 2025-12-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-12-11 |
| 2025-12-10 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2025-12-11 |
| 2025-12-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-12-11 |
| 2025-12-10 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2025-12-11 |
| 2025-12-10 | Have policies on smoking. | D | Health | corrected 2025-12-11 |
| 2025-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-09-07 |
| 2025-09-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | complaint | corrected 2025-09-11 |
| 2025-09-10 | Respond appropriately to all alleged violations. | E | complaint | corrected 2025-09-26 |
| 2025-09-10 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2025-09-11 |
| 2025-09-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-09-26 |
| 2025-09-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2025-09-11 |
| 2024-10-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2024-11-01 |
| 2024-10-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2024-11-01 |
| 2024-10-02 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-11-01 |
| 2024-10-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-11-01 |
| 2024-10-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2024-11-01 |
| 2024-10-02 | Ensure 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. | D | Health | corrected 2024-11-01 |
| 2024-09-19 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2024-10-19 |
| 2023-09-20 | Have 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. | F | Health | corrected 2023-10-11 |
| 2023-09-20 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Health | corrected 2023-10-11 |
| 2023-09-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-10-11 |
| 2023-09-20 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2023-10-11 |
| 2023-09-20 | Ensure each resident receives an accurate assessment. | E | Health | corrected 2023-09-26 |
| 2023-09-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-10-06 |
| 2023-09-20 | Ensure 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. | E | Health | corrected 2023-10-06 |
| 2023-09-20 | Ensure 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. | E | Health | corrected 2023-10-11 |
| 2023-09-20 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Health | corrected 2023-10-11 |
| 2023-09-20 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Health | corrected 2023-09-26 |
| 2023-08-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2023-09-01 |
| 2023-08-30 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2023-09-04 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-10 | Fine | $8,281 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| COUNCIL, JEFF | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2013 |
| CRAYTON, TOM | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2013 |
| DOUDS, ROBERT | Corporate Officer | Individual | NOT APPLICABLE | since 01/19/2016 |
| FREUDENBERGER, JOSEPH | Corporate Officer | Individual | NOT APPLICABLE | since 06/19/2007 |
| HALEY, JEFF | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2012 |
| MARTIN, MELISSA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2015 |
| MEFFORD, RUTHANNE | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2015 |
| PETROSEWICZ, NORMA | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2013 |
| POPATIA, AMIRALI | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2011 |
| UTHMAN, EDWARD | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2008 |
| OAKBEND MEDICAL CENTER | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/31/2017 |
| PINES NURSING & REHABILITATION LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2022 |
| SSC SILSBEE OPERATING COMPANY LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/31/2017 |
| SHKOP, AHARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2022 |
How to cite this page: CareRecords, “Paradigm at the Pines — compliance, penalty and ownership record” (CCN 675391), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/paradigm-at-the-pines-silsbee-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675391. Corrections: data@carerecords.org.