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Mill Creek

Nursing Home Facility

1105 W Hwy 418, Silsbee, TX 77656

Assisted Living Nursing Home Care Senior Living
Mill Creek

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.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 5/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

  • 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.

    Inspected December 2025. Corrected by December 11, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected December 2025. Corrected by December 11, 2025.

  • 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.

    Inspected December 2025. Corrected by December 11, 2025.

  • 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.

    Inspected December 2025. Corrected by December 11, 2025.

  • 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.

    Inspected December 2025. Corrected by December 11, 2025.

  • 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.

    Inspected December 2025, after a complaint. Corrected by January 6, 2026.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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Resident & family reviews

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