Overview
Paradigm at the Pines has a Medicare overall rating of 3 out of 5, in line with the Texas average of 2.8. It ranks 3rd of 3 nursing homes in Silsbee. It scores best on quality of care (5 of 5) and lowest on staffing (1 of 5).
Residents receive about 2.7 hours of nursing care per day, fewer than at 96% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.3 hours come from registered nurses.
Its most recent standard inspection, on December 10, 2025, found 9 health deficiencies, fewer than the Texas average of 9.6. Medicare records 1 fine totaling $8,281 in the past three years.
Paradigm at the Pines is a government-run facility with 90 certified beds, caring for about 57 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1994.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 35%
Top 33%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- December 10, 2025
- Health deficiencies cited
- 9
- Complaint-related deficiencies
- 0
- Fines in the last 3 years
- 1 totaling $8,281
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff2.65 hrs
- Registered nurses (RN)0.26 hrs
- Licensed practical nurses (LPN)0.80 hrs
- Nurse aides1.58 hrs
- Physical therapists0.11 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 90
- Average residents per day
- 57
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- September 21, 1994
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes