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Mill Creek

1105 W Hwy 418, Silsbee, TX 77656 · Hardin County

For-profit · 67 certified beds · 91% occupancy · (409) 385-3784

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.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.

TX median 3.27

3.16 nurse hours per resident per day. 3% below the Texas median of 3.27.

Total nurse
3.16 hrs
RN
0.32 hrs
LPN
1.23 hrs
Aide
1.61 hrs

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.

25
total findings
3
immediate jeopardy
0
caused actual harm
11
from complaints
  • 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.

Ownership

Part of the Cantex Continuing Care chain (38 facilities), chain average overall rating 3★.