nursing home in Silsbee, TX
Mill Creek
1105 W Hwy 418, Silsbee, TX 77656 · (409) 385-3784
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Mill Creek at a glance
Mill Creek is a 67-bed for-profit nursing home in Silsbee, Texas (Hardin County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (December 10, 2025) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $13,232.
Nursing staff turnover is 54.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 67
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cantex Continuing Care
- Medicare-certified since
- June 16, 1994
- Resident/family council
- Both
- County
- Hardin County
- CMS Certification Number
- 675338
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.16 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.32 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.61 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.79 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 54.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 84 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $13,232 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 67 | 113 | 107 | |
| Average residents per day | 61 | 76 | 86 | |
| Occupancy | 91.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.3% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.2% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.1% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.3% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 13% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 10, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| December 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 10, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 11, 2025 |
| December 10, 2025 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 6, 2026 |
| December 10, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected December 11, 2025 |
| December 10, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 11, 2025 |
| April 11, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 12, 2025 |
| April 11, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 12, 2025 |
| April 11, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 12, 2025 |
| April 11, 2025 Complaint | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected April 12, 2025 |
| September 18, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| September 18, 2024 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected September 19, 2024 |
| September 18, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected September 19, 2024 |
| September 18, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 19, 2024 |
| September 18, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 19, 2024 |
| October 5, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected October 6, 2023 |
| October 5, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected October 6, 2023 |
| October 5, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected October 6, 2023 |
| October 5, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 6, 2023 |
| October 5, 2023 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected October 6, 2023 |
| August 9, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| August 9, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected September 1, 2023 |
| August 9, 2023 Standard | 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 · Tag F0656 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 9, 2023 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 9, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 9, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 1, 2023 |
| August 9, 2023 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected September 1, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $13,232 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 5, 2023 | Fine | $13,232 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TYLER COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 02/01/2015 |
| HAMMETT, CHAD Individual | adp of the snf | NOT APPLICABLE | 04/01/2022 |
| SILSBEE HEALTH CARE CENTER LTD CO Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| ZENT, JENNIFER Individual | adp of the snf | NOT APPLICABLE | 05/13/2024 |
| WILLIAMS, SONDRA Individual | corporate director | NOT APPLICABLE | 06/18/2007 |
| SILSBEE HEALTH CARE CENTER LTD CO Organization | operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| ZENT, JENNIFER Individual | operational/managerial control | NOT APPLICABLE | 05/13/2024 |
Other nursing homes near Mill Creek
- ★★★★★3Average
Paradigm at the Pines
705 Hwy 418 W, Silsbee, TX 77656 · 2.4 mi
Government · 90 beds · Part of Paradigm Healthcare
- Abuse citation
★★★★★2Below averageVillage Creek Rehabilitation and Nursing Center
705 N Main St, Lumberton, TX 77657 · 6.1 mi
Government · 120 beds · Part of Nexion Health
★★★★★1Much below averageParadigm at Kountze
604 Fm 1293, Kountze, TX 77625 · 7.7 mi
For-profit · 60 beds · Part of Paradigm Healthcare
★★★★★4Above averageJefferson Nursing and Rehabilitation Center
3840 Pointe Parkway, Beaumont, TX 77706 · 16 mi
Non-profit · 120 beds · Part of Wellsential Health
★★★★★1Much below averageHarmony Care at Beaumont
2660 Brickyard Rd, Beaumont, TX 77703 · 17.3 mi
Government · 98 beds · Part of Harmony Care Group
- Special Focus Facility
- Abuse citation
Not rated
Frequently asked questions
What is Mill Creek's rating?
Mill Creek has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Mill Creek receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Mill Creek accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Mill Creek?
It is for profit - partnership and part of Cantex Continuing Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Mill Creek and how do I contact it?
Mill Creek is at 1105 W Hwy 418, Silsbee, TX 77656. Phone: (409) 385-3784.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.