Paradigm At The Pines
705 HWY 418 W, Silsbee, TX, 77656
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Paradigm Healthcare
- Certified beds
- 90 · avg 54 residents/day
- Total nursing staff turnover
- 62.5% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $12,740 total
State licensing & capacity
- License number
- 147413
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 10 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- March 31, 2023
- Current license expires
- March 31, 2026
- Initial license date
- September 6, 1994
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Pines Nursing & Rehabilitation Llc
- Administrator
- Scott Haggard
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Paradigm Healthcare chain — 18 facilities across 2 states. Chain-wide average overall rating 2.1 / 5.
Disclosed owners (15 on record)
- Aharon Shkop
Operational/managerial Control · 100% · since 2022
- Pines Nursing & Rehabilitation Llc
Operational/managerial Control · 100% · since 2022
- Oakbend Medical Center
Operational/managerial Control · since 2017
- Ssc Silsbee Operating Company Llc
Operational/managerial Control · 100% · since 2017
- Robert Douds
Corporate Officer · since 2016
- Melissa Martin
Corporate Officer · since 2015
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 34)
- D0926·Dec 10, 2025
Environmental Deficiencies
Have policies on smoking.
- E0880·Dec 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0806·Dec 10, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E0804·Dec 10, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0755·Dec 10, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0692·Dec 10, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0689·Dec 10, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0584·Dec 10, 2025
Resident Rights Deficiencies
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.
Federal penalties
By year
- 20251 fine · $13K
Most recent events
- Sep 10, 2025Fine · $13K
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Dec 10, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Paradigm At The Pines is a 90-bed nursing home in Silsbee, Texas, licensed to Oakbend Medical Center (a county hospital district) and managed by Pines Nursing & Rehabilitation LLC. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated abuse or neglect finding in the past 36 months. Quality-of-care measures score 5 stars. The facility is running at about 60% of licensed beds — roughly 54 residents currently.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That flag appears on the CMS Care Compare record and reflects a formal determination, not an unresolved complaint.
CMS rates staffing 2 stars here. Each resident receives about 196 minutes of nursing care per day — roughly 45 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating. Registered nurse time is 15 minutes per resident per day; the 4-star threshold in Texas is 37 minutes.
Roughly 6 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for total turnover is 60% — this facility sits at that boundary. A long-stay resident is likely to go through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year. That level of leadership change can affect how consistently care policies are applied day to day.
CMS recorded one fine totaling $12,740. About 30% of Texas nursing homes have no fines; the state median for facilities that do have fines is $20,699, so this fine falls below that midpoint.
Despite the 2-star health inspection and staffing ratings, quality-of-care measures score 5 stars — the highest rating. That combination means the measurable resident outcomes (things like pressure wounds, falls with injury, or hospital readmissions) are strong relative to peers, even as the inspection record and staffing levels lag.
The facility is operating at about 60% of its 90 licensed beds, with roughly 54 residents on a given day. That is below typical occupancy for Texas nursing homes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Details behind the abuse finding
CMS has a substantiated abuse or neglect finding on record here within the past 36 months — ask what happened, who was involved, and what specific policy changes followed.
Staffing on nights and weekends
Reported weekend nursing hours are 2.87 per resident per day, lower than the overall daily average of 3.27 — ask how many nurses and aides are scheduled on a typical Saturday night.
Why six in ten staff left last year
Total nursing staff turnover was 62.5% in the past year; ask whether departures were concentrated in a particular unit or shift, and what the facility is doing to retain staff.
Administrator transition and continuity
One administrator turned over in the past year — ask who is currently in charge, how long they have been in the role, and whether the same Director of Nursing has been in place.
Current census and waitlist status
The facility is at roughly 60% occupancy with about 54 residents in 90 beds — ask whether that reflects a recent discharge trend, staffing limits on admissions, or something else.
How quality scores stay high despite inspection rating
Quality-of-care measures rate 5 stars while health inspections rate 2 stars — ask which specific deficiencies drove the inspection score and how care plans are monitored between inspections.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.