Mill Creek in Silsbee, TX has a 1 out of 5 overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (3.22 vs. 4.1 hours per resident per day). It has no fines in the last 24 months, but it carries the lowest overall rating and recent inspection citations included accident prevention, notification failures, and abuse/neglect/theft policies.
Last inspection: December 10, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2176.
Staffing detail
Registered nurses
0.27
Licensed practical nurses
1.26
Nurse aides
1.69
Weekend nursing
2.88
Hours per resident per day.
Total staff turnover: 58%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
4.5%0%Improving
Residents with a fall causing major injury
6.1%5.8%No change
Residents with pressure ulcers (bedsores)
5.6%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.2%10.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.7%9.7%No change
Residents whose ability to walk got worse
—8.2%—
Long-stay residents on antianxiety or sleep medication
15.6%9.7%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
6.4%15.1%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited October 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $21,425 in total fines.
Federal fine
Oct 5, 2023
$13,232
Federal fine
Jun 6, 2023
$8,193
Operator & ownership
Ownership
For profit - Partnership
Chain
Part of CANTEX CONTINUING CARE · 38 homes · 3.2 stars avg
Occupancy
59.7 residents on an average day (89% of 67 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.