Paradigm at The Pines

705 Hwy 418 W, Silsbee, TX 77656

Phone: 4093850033

CMS ratings and facility information

Paradigm at The Pines is a Medicare-certified nursing facility in Silsbee, Hardin County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating1 of 5
Quality measures rating5 of 5
Certified beds90
OwnershipGovernment - Hospital district
CMS certification number675391

Staffing

Total nurse hours per resident day2.9
RN hours per resident day0.25
Nurse aide hours per resident day1.65
Total nursing staff turnover percent67.4
RN turnover percent80

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.86events_per_1000_resident_days20250101-20251231
Emergency-department visits3.08events_per_1000_resident_days20250101-20251231
Falls with major injury1.04percent2025Q2-2026Q1
Pressure ulcers1.86percent2025Q2-2026Q1
Urinary tract infections0.53percent2025Q2-2026Q1
Antipsychotic medication use5.41percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-12-100565Honor the resident's right to organize and participate in resident/family groups in the facility.E
2025-12-100804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-12-100880Provide and implement an infection prevention and control program.E
2025-12-100584Honor 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
2025-12-100689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-12-100692Provide enough food/fluids to maintain a resident's health.D
2025-12-100755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-12-100806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2025-12-100926Have policies on smoking.D
2024-10-020804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2024-10-020812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-10-020641Ensure each resident receives an accurate assessment.D
2024-10-020656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-10-020755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-10-020803Ensure 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
2023-09-200727Have 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
2023-09-200801Employ 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
2023-09-200812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-09-200851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F
2023-09-200641Ensure each resident receives an accurate assessment.E
2023-09-200689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E
2023-09-200693Ensure 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
2023-09-200803Ensure 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
2023-09-200805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E
2023-09-200646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.D

Penalties

DateTypeAmount
2025-09-10Fine,281

Ownership records

NameTypeRole
FREUDENBERGER, JOSEPHIndividualW-2 MANAGING EMPLOYEE
ZERWAS, JOHNIndividualW-2 MANAGING EMPLOYEE
COUNCIL, JEFFIndividualCORPORATE OFFICER
CRAYTON, TOMIndividualCORPORATE OFFICER
DOUDS, ROBERTIndividualCORPORATE OFFICER
FREUDENBERGER, JOSEPHIndividualCORPORATE OFFICER
HALEY, JEFFIndividualCORPORATE OFFICER
MARTIN, MELISSAIndividualCORPORATE OFFICER
MEFFORD, RUTHANNEIndividualCORPORATE OFFICER
PETROSEWICZ, NORMAIndividualCORPORATE OFFICER
POPATIA, AMIRALIIndividualCORPORATE OFFICER
UTHMAN, EDWARDIndividualCORPORATE OFFICER
OAKBEND MEDICAL CENTEROrganizationOPERATIONAL/MANAGERIAL CONTROL
PINES NURSING & REHABILITATION LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
SSC SILSBEE OPERATING COMPANY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
SHKOP, AHARONIndividualOPERATIONAL/MANAGERIAL CONTROL

Compare nursing homes in Hardin County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.