Texas › Hardin County › Silsbee
Mill Creek
1105 W Hwy 418, Silsbee, TX 77656
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 67 beds, Mill Creek serves Silsbee in Hardin County, Texas and has taken Medicare and Medicaid residents since 1994.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 1 and quality measures 5.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (6, 8, 11 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 37.3 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 54.7%.
Compared with county, state and nation
| Measure | This facility | Hardin Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 25 | 28.7 |
| Citations per 100 beds | 37.3 | 37.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.2 | 0.4 | 0.7 |
| Nursing staff turnover | 54.7% | 54.7% | 52.1% | 45.8% |
| Fines listed | $13,232 | $13,232 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 18 Sep 2024.
Severity mix: J ×3 D ×19 E ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0578 | 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. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 11 Dec 2025 |
| 10 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 6 Jan 2026 |
| 11 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 12 Apr 2025 |
| 11 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 12 Apr 2025 |
| 11 Apr 2025 | F0758 | 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. | D | Complaint investigation | 12 Apr 2025 |
| 11 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 12 Apr 2025 |
| 18 Sep 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 19 Sep 2024 |
| 18 Sep 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 19 Sep 2024 |
| 18 Sep 2024 | F0761 | 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. | D | Standard survey | 19 Sep 2024 |
| 18 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 19 Sep 2024 |
| 5 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 6 Oct 2023 |
| 5 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 6 Oct 2023 |
| 5 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 6 Oct 2023 |
| 5 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 6 Oct 2023 |
| 5 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Oct 2023 |
| 9 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 1 Sep 2023 |
| 9 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Sep 2023 |
| 9 Aug 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 1 Sep 2023 |
| 9 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Sep 2023 |
| 9 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Sep 2023 |
| 9 Aug 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 1 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Oct 2023 | Fine | $13,232 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 54.7%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.1% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, partnership. Legal business name: Tyler County Hospital District. Chain: Cantex Continuing Care (37 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tyler County Hospital District | 5% or greater direct ownership interest | 100% | 02/01/2015 |
| Silsbee Health Care Center Ltd Co | Operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| Silsbee Health Care Center Ltd Co | Adp of the snf | NOT APPLICABLE | 04/04/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hardin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Paradigm At Kountze | Kountze | 60 | 4 | 3 | 3 | 25 | 41.7 | $17K | 13 Aug 2025 |
| Silsbee Oaks Health Care LLP | Silsbee | 160 | 3 | 4 | 1 | 12 | 7.5 | $8K | 28 Jan 2026 |
| Paradigm At the Pinesabuse icon | Silsbee | 90 | 2 | 2 | 1 | 34 | 37.8 | $8K | 10 Dec 2025 |
| Village Creek Rehabilitation and Nursing Center | Lumberton | 120 | 1 | 1 | 2 | 38 | 31.7 | $105K | 26 Mar 2026 |
All 5 facilities in Hardin County
Questions and answers
How many deficiencies has Mill Creek been cited for?
25 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Mill Creek been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at Mill Creek compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Mill Creek?
It is part of the Cantex Continuing Care chain. Ownership type is for-profit, partnership. Organisations in the CMS ownership record include Tyler County Hospital District and Silsbee Health Care Center Ltd Co. Individual owners and managers are not listed on this site.
When was Mill Creek last inspected?
The most recent survey or investigation in the CMS record is dated 10 Dec 2025; the most recent standard health survey was 10 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.