Mill Creek
1105 W Hwy 418, Silsbee, TX 77656 · Hardin County
For-profit · 67 certified beds · 91% occupancy · (409) 385-3784
Mill Creek reviews: what the government record shows
The U.S. government (CMS) rates Mill Creek 3 out of 5 stars overall, average. Its nurse staffing is 3% below the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 3.16 hrs/resident/day (-3% vs TX median)
- Antipsychotic drug use
- 3.2% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 6.3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $13,232
- Inspection findings
- 25 cited, 3 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !Nurse staffing of 3.16 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Serious-fall rate of 6.3% is well above the Texas median of 3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Mill Creek
Is Mill Creek a good nursing home?
Mill Creek in Silsbee, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Mill Creek staffed?
Mill Creek reports 3.16 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Mill Creek been fined or flagged for abuse?
Mill Creek has paid approximately $13,232 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.16 nurse hours per resident per day. 3% below the Texas median of 3.27.
Nursing staff turnover: 54.7% · RN turnover: 50%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0684 · Dec 10, 2025Corrected Dec 11, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Dec 10, 2025Corrected Dec 11, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0578 · Dec 10, 2025Corrected Dec 11, 2025
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
- Potential for harmTag F0656 · Dec 10, 2025Corrected Dec 11, 2025
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
- Potential for harmTag F0677 · Dec 10, 2025Corrected Dec 11, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0689 · Dec 10, 2025ComplaintCorrected Jan 6, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0583 · Apr 11, 2025ComplaintCorrected Apr 12, 2025
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
- Potential for harmTag F0755 · Apr 11, 2025ComplaintCorrected Apr 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0758 · Apr 11, 2025ComplaintCorrected Apr 12, 2025
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
- Potential for harmTag F0842 · Apr 11, 2025ComplaintCorrected Apr 12, 2025
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
Showing the 10 most recent and serious of 25 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - partnership). It is part of the Cantex Continuing Care chain, which operates 37 facilities, with a chain-average CMS rating of 3.1 stars.