Paradigm at the Pines

    705 Hwy 418 W, Silsbee, TX 77656
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.57·(30)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.6
    • Staff

      4.6
    • Meals

      2.5
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Compassionate and attentive nursing staff
    • Skilled rehabilitation and therapy services
    • Clean, well-maintained facility environment
    • Engaging social and recreational programming (Bingo, games, shopping)
    • Nutritious and varied meal offerings
    • Secure unit and specialized tracheostomy program
    • Responsive admissions and family liaison support
    • Private-room accommodations with in-room entertainment
    • Supportive and visible administrative leadership
    • Strong respiratory and clinical therapy staff

    Cons

    • Inconsistent staffing levels, notably at night
    • Variable food temperature and overall meal consistency
    • Limited on-site physician coverage
    • Inconsistent staff communication and conduct
    • High cost relative to perceived value
    • Limited availability of social-work and care-coordination access
    • Variation in care quality across units

    Summary of reviews

    Overall impression: Reviews of Paradigm at the Pines present a predominantly positive view of frontline care and rehabilitation, combined with recurring operational concerns. Many families praised the facility for its caring culture, successful therapy outcomes, and improvements in cleanliness and daytime staffing under recent management changes. At the same time, a subset of reviewers raised concerns about staffing consistency (particularly overnight), meal delivery, and communication or conduct in some interactions.

    Care and staff: The most consistent strength cited is the caregiving team. Reviewers frequently describe nurses, therapists, and respiratory staff as compassionate, attentive, and skilled; several named individual staff and therapists as instrumental in positive outcomes and transitions. Rehabilitation services and physical therapy are highlighted for mobility gains and successful discharges. That said, there are also concerns about inconsistent staffing coverage and occasional lapses in communication or interpersonal tone, which some families felt affected the overall caregiving experience.

    Dining and activities: Dining receives mixed but generally favorable remarks: many note good, varied meals and accommodating service, while others called out issues with meal temperature and inconsistency. The facility offers a range of social and recreational programming — Bingo, dominoes, quizzes, shopping trips, and other engagement opportunities — which reviewers cite as supportive of resident morale and socialization.

    Facilities and specialized services: The physical environment and housekeeping are commonly described as clean and welcoming, with improvements noted after a change in ownership/management. Specialized offerings such as a secure unit and a tracheostomy program were identified as distinct strengths for residents with higher-acuity needs. Private-room accommodations and in-room TVs were also appreciated.

    Management and operations: Administrative leadership and liaison staff received positive feedback for responsiveness and assistance with placements; several reviewers recommended asking for the facility liaison by name. Operational weaknesses that recur across reviews include variability in staffing levels (especially nights), limited on-site physician coverage, inconsistent access to social-work or care-coordination, and perceptions that cost may be high relative to some families' experiences of value. There is also variability in perceived care quality across different units or shifts.

    Notable patterns and guidance for families: The overall pattern is one of strong hands-on caregiving and effective therapy programs coupled with operational inconsistencies that can affect day-to-day experience. Prospective residents and families may benefit from an in-person visit during meal service and an evening or night-time visit to observe staffing levels, ask about physician coverage and care-coordination access, and speak directly with the admissions liaison and therapy staff about specialized programs (for example, tracheostomy care). These targeted observations can help clarify whether the facility’s strengths align with a particular resident’s needs.

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    Medicare Ratings

    2·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Paradigm at the Pines is located at 705 Hwy 418 W, Silsbee, TX, 77656.

    About Paradigm at the Pines

    Paradigm at The Pines sits in Silsbee, Texas, right in the collection of facilities that belong to Paradigm Healthcare, and people will notice that it uses the name "Paradigm at The Pines," which makes it stand out among other places in the area. The community offers many services for older adults, including Independent Living, Assisted Living, Memory Care, Home Care that's non-medical, as well as Adult Day Services, Long-Term Care, Skilled Nursing, Home Health Care that follows Medicare rules, and also Hospice Care when that's needed. It covers all care levels, so someone there can get help with daily life, deal with memory problems, or even recover after a hospital stay since post-hospital care and rehab are both available, and if someone needs to stay for a long time, they provide that kind of support too. The staff handle health services and care options that fit different needs, and the building itself comes with the usual senior living features, though details about specific amenities aren't listed. People will find things in the community that make living there a bit easier and more comfortable, and the environment is described as warm and welcoming, which can matter a lot to families. Paradigm at The Pines mostly focuses on care, comfort, and providing different ways for people to get the right kind of help, all inside one community, which can make change easier for seniors who need more support as they get older.

    People often ask...

    Paradigm at the Pines offers assisted living, memory care, and skilled nursing.

    There are 4 photos of Paradigm at the Pines on Mirador.

    The full address for this community is 705 Hwy 418 W, Silsbee, TX 77656.

    No, Paradigm at the Pines does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RqDHHAA3
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity90 residents
    LicenseeOAKBEND MEDICAL CENTER
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    3

    Reports

    12

    Citations

    0

    Complaints

    1

    Years

    22 Oct 2026Inspection
    Cited a violation for failing to protect residents' privacy and confidentiality of personal and clinical records.
    • —Health Visit
    10 Dec 2025Inspection
    Found multiple deficiencies affecting resident safety, care, and living conditions across several domains. The noted issues included safety and accessibility, grievance handling, hydration, nutrition, medications, infection control, policies, accident prevention, and smoking policies.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    09 Dec 2025Life Safety
    Cited Life Safety Code deficiencies for an existing Health Care Occupancy.
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Paradigm at the Pines. The information above has not been verified or approved by the owner or operator. For exact information, please contact Paradigm at the Pines directly. There is no cost for this service. We are compensated by the community you select.

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