Nursing homes across Hardin County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Paradigm At Kountze runs lean on nursing hours, 3.23 per resident day against a national average of 3.86, and weekends dip about 9% below its own weekday coverage. That thinner weekend schedule matters, since two of the 25 deficiencies on record sit at the harm or jeopardy level and two are abuse-related, with one fine of $16,801. What works in its favor is stability: staff turnover of 25.6% is well below the 45.8% national figure, and the quality measure rating is strong. The inspection on file is recent, from August 2025. A for-profit corporation operates the 60-bed home. The tradeoff is real: consistent caregivers, fewer of them per resident.
Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.
Silsbee Oaks runs thin on nursing hours, 3.10 per resident per day against a national average of 3.86, and weekends dip another 11% below what the home staffs on weekdays. That gap is why the federal staffing rating sits at 1 out of 5, even though inspections went well: a 4/5 health inspection score, last survey in January 2026, and 12 deficiencies on record with just one rising to harm or jeopardy level and none involving abuse. The one fine, $8,193, is modest by nursing home standards. What you're looking at is a home that passes its surveys but may leave residents waiting longer for help between shifts, especially Saturdays and Sundays.
Paradigm At The Pines runs on 2.90 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly another 11% beneath its own weekday level. Turnover sits at 67.4% against a national 45.8%, and the staffing star rating reflects that: 1 out of 5. The inspection record shows 34 deficiencies, including one at the harm level and six tied to abuse, with a $8,281 fine. It's a hospital-district home, and the last inspection was recent. The quality measure score is strong, but that's largely self-reported data, the hands-on staffing and inspection findings tell a harder story.
Village Creek runs on 3.27 nurse hours per resident day, roughly 15% under the national average, and weekend coverage dips about 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. The inspection record is the bigger problem: 38 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with three fines totaling $125,838. A 1-out-of-5 inspection rating alongside a 4-out-of-5 quality measure score tells you the charted care metrics look better than the day-to-day compliance record. Turnover at 40.3% is slightly better than the 45.8% national figure, and the hospital district ownership is a point in its favor. Ask about the abuse-related findings directly before deciding.