Paradigm at the Pines
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews

Watch Paradigm at the Pines
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low staffing rating (2/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High staff turnover (62%)
Above average in Texas · Critically understaffed (RN) · Chain outperformer · $12,740 in fines · Abuse citation
What this means for your family
This facility is an excellent choice for patients focused on intensive rehabilitation and physical therapy. However, families should closely monitor nursing communication and be prepared to advocate for their loved one during night shifts, as recent reviews indicate potential lapses in care and staffing during those hours.
Google Reviews
Google Reviews
23 reviews analyzed“Families can expect a facility that excels in rehabilitation and physical therapy, with several reviewers noting significant improvements in mobility and care quality. However, there are serious concerns regarding nursing professionalism, communication, and potential understaffing during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Effective rehabilitation and therapy teams
- Compassionate and welcoming staff members
- Improved facility cleanliness and maintenance
- Dedicated administrative and liaison staff
Concerns
- Nursing professionalism and communication issues (mentioned by 2 reviewers)
- Potential understaffing during night/overnight hours (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides personalized, empathetic responses to negative reviews by acknowledging specific grievances and attempting to move the conversation offline. For positive reviews, the responses vary between personalized praise for staff and repetitive, templated gratitude.
Questions for Your Tour
- 1I noticed the administration team is very active in responding to feedback; how do you typically share updates or important news with families regarding a resident's care?
- 2With the focus on rehabilitation mentioned by many, could you tell me more about how the therapy team works with residents to meet their mobility goals?
- 3What specific steps are being taken to ensure consistent communication between the nursing staff and family members, especially during shift changes?
- 4How is the dining experience structured here, and are there plans to expand the variety or quality of the meal options?
- 5Can you walk me through the protocol for handling medical emergencies or urgent care needs during the overnight hours?
- 6What kind of daily activities or social engagement programs are available to help residents stay connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“I came In on crutches and leaving walking out ! Great Therapy team !!!”
“My sister has had to stay here twice to recover from illness. both times she received the BEST care possible. The staff has gone above and beyond to help her rehabilitate her to the point that she was stronger and better than ever since her disability.”
“We have seen improvements in daytime staffing support (we're there during the day only) since Paradigm has taken over. Furthermore; the facilities have undergone improvements and seem to be kept cleaner.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
2
measures
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints over the past three years, triggering investigations that found serious issues with abuse protection, accident prevention, and medication management. The facility shows recurring problems with safety hazards, dietary services, and abuse prevention policies across multiple surveys from 2023 through 2025. While all deficiencies show correction dates, the pattern of repeated issues in core care areas suggests ongoing challenges with consistent quality care.
Dec 10, 2025Routine11
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Environmental Deficiencies
Have policies on smoking.
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Sep 10, 2025Complaint6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Oct 2, 2024Routine8
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary Deficiencies
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.
Oct 2, 2024Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 19, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Sep 20, 2023Routine11
Nursing and Physician Services Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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.
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Federal Penalties
Fine
Sep 10, 2025
$12,740
Ownership & Operations
Who Operates This Facility
Oakbend Medical Center
government
PINES NURSING & REHABILITATION LLC
SCOTT HAGGARD
Chain Affiliation
Paradigm Healthcare
18 facilities nationwide
Chain avg rating: 2.1/5 · Rank 5 of 15
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit paradigmatthepines.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Mill Creek
< 1 miNursing Home · Silsbee, TX
Spanish Trail Assisted Living
1.3 miAssisted Living · Silsbee, TX
Silsbee Oaks Health Care Llp
1.4 miNursing Home · Silsbee, TX
Village Creek Rehabilitation and Nursing Center
6.9 miNursing Home · Lumberton, TX
Paradigm at Kountze
8.4 miNursing Home · Kountze, TX
The Haven
9.5 miAssisted Living · Lumberton, TX