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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D16 | E17 | F4 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 10, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 10, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Sep 10, 2025 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Oct 2, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 2, 2024 | Health | Health Complaint, Health Standard | 6 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 20, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Sep 20, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Sep 10, 2025 | Civil money penalty (fine) | $8,281 | — | 675391|Fine|135127 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D16 | E17 | F4 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 10, 2025 | K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2026 | |
| Dec 10, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 23, 2026 | |
| Dec 10, 2025 | F-0565 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 35 facilities.
17 facilities in 2 states. CMS chain ID 620.
Chain average overall rating (CMS): 2.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Oakbend Medical Center | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 31, 2017 |
| Pines Nursing & Rehabilitation LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Ssc Silsbee Operating Company LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 31, 2017 |
| Aharon Shkop | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2022 |
| Jeff Council | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2013 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Stevens 204 Walter St, Yoakum, TX 77995 CCN 455544 | 106 | May 15, 2026 | 541 open | — | |
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Paradigm at Bay City 1800 13th St, Bay City, TX 77414 CCN 455582 | 105 | Jul 23, 2026 | 41 | — | |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Silsbee Oaks Health Care LLP 920 E Ave L, Silsbee, TX 77656 CCN 676008 | 2.1 km | 160 | Jan 28, 2026 | 19 | — | |
| Mill Creek 1105 W Hwy 418, Silsbee, TX 77656 CCN 675338 | 3.8 km | 67 | Dec 10, 2025 | 283 IJ | — | |
| Village Creek Rehabilitation and Nursing Center 705 N Main St, Lumberton, TX 77657 CCN 675975 | 11 km | 120 | Mar 26, 2026 | 435 IJ1 harm | $105k | |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 16.2 km | 60 | Aug 13, 2025 | 302 IJ1 open | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675391 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675391 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect |
| E · Potential harm Pattern |
| Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 11, 2025 |
| Dec 10, 2025 | F-0926 | Have policies on smoking. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 11, 2025 |
| Sep 10, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Sep 7, 2025 | Complaint |
| Sep 10, 2025 | F-0600 | 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 · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 11, 2025 | Complaint |
| Sep 10, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2025 | Complaint |
| Sep 10, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 26, 2025 | Complaint |
| Sep 10, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 11, 2025 | Complaint |
| Sep 10, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 11, 2025 | Complaint |
| Oct 2, 2024 | K-0347 | Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 2, 2024 | K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 2, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Oct 2, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2024 |
| Oct 2, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2024 |
| Oct 2, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 1, 2024 | Complaint |
| Oct 2, 2024 | F-0803 | 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 · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 1, 2024 |
| Oct 2, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 1, 2024 |
| Oct 2, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Nov 1, 2024 |
| Sep 19, 2024 | F-0600 | 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 · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 19, 2024 | Complaint |
| Sep 20, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Sep 20, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 26, 2023 |
| Sep 20, 2023 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 26, 2023 |
| Sep 20, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Sep 20, 2023 | F-0693 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 6, 2023 |
| Sep 20, 2023 | F-0727 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Oct 11, 2023 |
| Sep 20, 2023 | F-0801 | 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 · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 11, 2023 |
| Sep 20, 2023 | F-0803 | 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 · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 11, 2023 |
| Sep 20, 2023 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 11, 2023 |
| Sep 20, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 11, 2023 |
| Sep 20, 2023 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 11, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.39 (case-mix index 1.55).
| Tom Crayton |
| Individual |
| Corporate officer / director |
| CORPORATE OFFICER |
| not provided |
| Jan 1, 2013 |
| Robert Douds | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 19, 2016 |
| Joseph Freudenberger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 19, 2007 |
| Jeff Haley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2012 |
| Melissa Martin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2015 |
| Ruthanne Mefford | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2015 |
| Norma Petrosewicz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2013 |
| Amirali Popatia | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2011 |
| Edward Uthman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2008 |
| Joseph Freudenberger | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 19, 2007 |
| John Zerwas | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 19, 2007 |
| Jul 23, 2026 |
41 |
| — |
| Paradigm at Kountze 604 Fm 1293, Kountze, TX 77625 CCN 455594 | 60 | Aug 13, 2025 | 302 IJ1 open | $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714 | 148 | Aug 5, 2026 | 405 IJ | $51k |
| Oakbend Medical Center 1705 Jackson Street, Rosenberg, TX 77469 CCN 455770 | 36 | Jun 17, 2026 | 13 | $12k |
| The Lev at Town Park 8820 Town Park Dr, Houston, TX 77036 CCN 455800 | 180 | Nov 17, 2025 | 342 IJ1 harm | $31k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |
| Aug 13, 2025 |
302 IJ1 open |
| $17k |
| Paradigm at the Creek 1405 Valhalla Dr, Wharton, TX 77488 CCN 455699Abuse icon | 120 | Aug 18, 2026 | 615 IJ3 harm | $75k |
| Paradigm Northwest 17600 Cali Dr, Houston, TX 77090 CCN 455714 | 148 | Aug 5, 2026 | 405 IJ | $51k |
| Paradigm at First Colony 4710 Lexington Blvd, Missouri City, TX 77459 CCN 455812 | 150 | Jul 24, 2026 | 493 IJ | $65k |
| Paradigm at Woodwind Lakes 7215 Windfern Rd, Houston, TX 77040 CCN 675085SFF | 180 | Not rated | Jun 5, 2026 | 461 IJ4 harm | $90k |
| Paradigm at Faith Memorial 811 Garner Rd, Pasadena, TX 77502 CCN 675321 | 112 | Apr 23, 2026 | 322 IJ | $19k |
| Paradigm at Sweeny 109 N Mckinney, Sweeny, TX 77480 CCN 675344SFF CandidateAbuse icon | 90 | Jul 1, 2026 | 304 IJ1 harm | $50k |