Nursing HomeInspections

Mill Creek

Nursing home in Silsbee, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (409) 385-3784Send a messageMap ↗

Public-record details

Address
1105 W Hwy 418, Silsbee, TX 77656
Phone
(409) 385-3784
Listed under
For-profit
Medicare CCN
675338
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
67
Average residents per day
61
Ownership
For-profit, partnership
Legal business name
Tyler County Hospital District
Chain
Cantex Continuing Care (37 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 16, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 675338. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 10, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 9, 2023 to Dec 10, 2025): 11 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 10, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 10, 2025Develop 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		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 10, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 10, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Dec 10, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Apr 11, 2025Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2025Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 11, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 18, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 18, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $13,232 in the last three years.

Oct 5, 2023Fine: $13,232

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.16 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
1.61 hours
Total nurse staffing on weekends
2.79 hours
Nursing staff turnover (yearly)
55%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Silsbee

Silsbee Oaks Health Care LLP920 E Ave L · Silsbee, TX 77656 · (409) 385-5571 · For-profit12 health citations in 3 inspection cycles · last standard inspection Jan 28, 2026 · $8,193 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Paradigm at The Pines705 Hwy 418 W · Silsbee, TX 77656 · (409) 385-0033 · Government-owned34 health citations in 3 inspection cycles · last standard inspection Dec 10, 2025 · $8,281 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

All 3 in Silsbee →