Paradigm at The Pines: Staffing, Turnover, and Inspection Record
Paradigm at The Pines is a 90-bed government-run nursing home in Silsbee, Texas, part of Paradigm Healthcare. In the CMS August 2026 release it reported 1.65 nurse aide hours per resident per day, 17% below the Texas average of 2.00, and 67.4% nursing staff turnover (Texas average 55.3%).
Paradigm at The Pines
705 Hwy 418 WSilsbee, TX 77656
Hardin County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Paradigm at The Pines, nurse aides logged 1.65 hours per resident per day, 17% below the Texas average. With about 53 residents a day, that works out to roughly 87 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.65 | 2.00 | 2.32 |
| Licensed practical nurses | 1.00 | 0.95 | 0.86 |
| Registered nurses | 0.25 | 0.43 | 0.69 |
| All nursing staff | 2.90 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.58 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
67.4% of nursing staff at Paradigm at The Pines left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 10, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,281 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 10, 2025 | Fine | $8,281 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Paradigm at The Pines holds 2 of 5 overall; the Texas average is 2.6.
About Paradigm at The Pines
- Ownership: Government - Hospital district
- Chain: Paradigm Healthcare, 17 homes
- Legal name: Oakbend Medical Center
- Medicare and Medicaid certified since: Sep 21, 1994
- Councils: resident council
- Area: urban
Nursing homes near Paradigm at The Pines
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Silsbee Oaks Health Care LLP Silsbee | 1.3 | 160 | 2.13 | 3.10 | — | 3 | $8,193 |
| Mill Creek Silsbee | 2.4 | 67 | 1.61 | 3.16 | 54.7% | 3 | $13,232 |
| Village Creek Rehabilitation and Nursing Center Lumberton | 6.9 | 120 | 2.09 | 3.27 | 40.3% | 1 | $105,486 |
| Paradigm at Kountze Kountze | 10.1 | 60 | 1.82 | 3.23 | 25.6% | 4 | $16,801 |
| Jefferson Nursing and Rehabilitation Center Beaumont | 16.3 | 120 | 2.03 | 3.30 | 52.2% | 1 | $194,652 |
| Vidor Health & Rehabilitation Center Vidor | 17.0 | 144 | 1.53 | 2.88 | 93.5% | 1 | $43,212 |
| Harmony Care at Beaumont Beaumont · Special Focus Facility · abuse citation | 17.1 | 98 | 2.96 | 4.72 | — | — | $371,472 |
| Oakwood Manor Nursing Home Vidor | 17.8 | 100 | 2.06 | 3.23 | 37.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.