D

Paradigm at The Pines

705 HWY 418 W, SILSBEE, TX 77656
Score: 51 / 100

Paradigm At The Pines faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.

With 3.27 total nurse hours per resident per day, Paradigm At The Pines falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 34 deficiencies at Paradigm At The Pines, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to organize and participate in resident/family groups in the facility..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.27 3.8 Below Average
Registered Nurses (RN) 0.26 0.7 Below Average
Licensed Practical Nurses (LPN) 1.05 0.7 Above Average
Certified Nursing Assistants (CNA) 1.97 2.4 Below Average
Weekend Total Nursing 2.87 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

34
Total Deficiencies
Dec 9, 2025
Most Recent Inspection
🟠 33 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0565 Severity E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    Dec 9, 2025 · Resident Rights Deficiencies
  • Tag 0804 Severity E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    Dec 9, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Dec 9, 2025 · Infection Control Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Dec 9, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Dec 9, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.5% 4.5% Better
Falls with major injury 0.5% 3.0% Better
On antipsychotic medication 6.7% 14.5% Better
Urinary tract infections 1.0% 2.5% Better
ADL decline (daily activities) 16.6% 14.0% Worse
Excessive weight loss 1.9% 7.5% Better
New/worsened incontinence 10.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $12,740

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - Hospital district
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 9, 2025
Deficiencies (Cycle 1)
15