Mill Creek
Nursing Home Facility
1105 W Hwy 418, Silsbee, TX 77656

While Silsbee Convalescent Center offers services associated with traditional nursing homes and assisted living facilities, it’s so much more.
Operated by Centex, which runs 20 communities in our directory.
With 68 beds, Mill Creek is smaller than most nearby options, senior care communities in Silsbee average about 106 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 91% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Silsbee average of roughly 80%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in December 2025 and recorded 6 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Nursing staff turnover over the past year was about 55%.
The community is located in Hardin County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 25 problems at Mill Creek. 3 findings involved harm to a resident, including 3 that put residents in immediate danger. 11 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Mill Creek offers assisted living, nursing home care, and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 68
- Occupancy 91%
- Nursing hours per resident/day 3.2
- Annual staff turnover 55%
- Last health inspection December 2025
Resident & family reviews
No one has shared a review of Mill Creek yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.