47/100
Below average
705 Hwy 418 W, Silsbee, TX 77656
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$8,281 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 67%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: December 10, 2025 (8 months ago).
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Part of PARADIGM HEALTHCARE, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| FREUDENBERGER, JOSEPH | Individual | W-2 MANAGING EMPLOYEE | — |
| ZERWAS, JOHN | Individual | W-2 MANAGING EMPLOYEE | — |
| COUNCIL, JEFF | Individual | CORPORATE OFFICER | — |
| CRAYTON, TOM | Individual | CORPORATE OFFICER | — |
| DOUDS, ROBERT | Individual | CORPORATE OFFICER | — |
| FREUDENBERGER, JOSEPH | Individual | CORPORATE OFFICER | — |
| HALEY, JEFF | Individual | CORPORATE OFFICER | — |
| MARTIN, MELISSA | Individual | CORPORATE OFFICER | — |
| MEFFORD, RUTHANNE | Individual | CORPORATE OFFICER | — |
| PETROSEWICZ, NORMA | Individual | CORPORATE OFFICER | — |
| POPATIA, AMIRALI | Individual | CORPORATE OFFICER | — |
| UTHMAN, EDWARD | Individual | CORPORATE OFFICER | — |
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Paradigm At The Pines holds an ElderGrade of D (47 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 2.90 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 34 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Paradigm At The Pines is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.