Paradigm at The Pines
Paradigm at The Pines is a 90-bed nursing home in SILSBEE, Texas. CMS has certified it for Medicare and Medicaid since 1994-09-21. It averages 52.6 residents a day.
What harm was found in the violations cited at Paradigm at The Pines?
CMS lists 34 health-inspection deficiencies for Paradigm at The Pines, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-10.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-10 | F0565, F0804, F0880 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2025-12-10 | F0584, F0689, F0692, F0755, F0806, F0926 | 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Have policies on smoking. | D |
| 2025-09-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-09-10 | F0600, F0610, F0657 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2025-09-10 | F0609, F0755 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-10-02 | F0804, F0812 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-10-02 | F0641, F0656, F0755, F0803 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure 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 |
| 2024-09-19 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-09-20 | F0727, F0801, F0812, F0851 | Have 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. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2023-09-20 | F0641, F0689, F0693, F0803, F0805 | Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure 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. / Ensure 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E |
| 2023-09-20 | F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D |
| 2023-08-30 | F0607, F0609 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
Why was Paradigm at The Pines fined?
| Date | Type | Amount |
|---|---|---|
| 2025-09-10 | Fine | $8,281 |
How is Paradigm at The Pines staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.90249 | 3.38539 |
| Total nursing staff turnover (%) | 67.4 | 55.3 |
| Average number of residents per day | 52.6 | 75.8 |
Who owns Paradigm at The Pines, and what chain is it in?
Paradigm at The Pines is registered with CMS as Government - Hospital district, operates under the legal business name OAKBEND MEDICAL CENTER and belongs to the PARADIGM HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| W-2 MANAGING EMPLOYEE | FREUDENBERGER, JOSEPH, ZERWAS, JOHN | since 06/19/2007 |
| CORPORATE OFFICER | COUNCIL, JEFF, CRAYTON, TOM, DOUDS, ROBERT, FREUDENBERGER, JOSEPH, HALEY, JEFF, MARTIN, MELISSA, MEFFORD, RUTHANNE, PETROSEWICZ, NORMA, POPATIA, AMIRALI, UTHMAN, EDWARD | since 01/01/2008 |
| OPERATIONAL/MANAGERIAL CONTROL | OAKBEND MEDICAL CENTER, PINES NURSING & REHABILITATION LLC, SSC SILSBEE OPERATING COMPANY LLC, SHKOP, AHARON | since 03/31/2017 |
Were you or a family member harmed at Paradigm at The Pines?