Mill Creek
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 167 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (10 vs median 8.0)
- High staff turnover (67%)
- High RN turnover (80%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CANTEX CONTINUING CARE chain · $21,425 in fines
What this means for your family
This facility is an excellent choice for families seeking a clean, warm, and highly active environment where staff members truly treat residents like family. While the overall quality of care is high, you should closely monitor medical follow-ups and wound care protocols, as some past residents experienced issues with medical oversight.
Google Reviews
Google Reviews
167 reviews analyzed“Mill Creek is highly regarded by families for its warm, family-oriented atmosphere and exceptionally caring staff members. Reviewers frequently praise the cleanliness of the facility and the engaging activities provided by the team. However, potential residents should be aware of isolated reports regarding medical oversight and specific incidents of property loss.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and well-maintained facility
- Engaging resident activities and programs
- Warm, family-like atmosphere
Concerns
- Issues with medical follow-up and wound care oversight (mentioned by 2 reviewers)
- Occasional lapses in responsiveness from certain staff members (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on a small set of repetitive templates to respond to reviews. While they occasionally personalize responses by including the reviewer's name, the content of the messages rarely acknowledges the specific details or staff members mentioned in the reviews.
Questions for Your Tour
- 1It’s wonderful to see how much the management engages with the community through online feedback; how do you use resident and family suggestions to improve daily care?
- 2We’ve heard such lovely things about the warm, family-like atmosphere here; what kind of social activities or programs do you have planned to keep residents engaged?
- 3Could you walk us through your specific protocols for managing wound care and ensuring consistent medical follow-ups with outside doctors?
- 4How do you ensure that nursing care remains highly responsive and attentive, especially during shift changes or late-night hours?
- 5In the event of a medical emergency, what is the immediate process for notifying the family and coordinating with emergency services?
- 6With a close-knit community of 68 residents, how do you ensure that every individual's specific medical and personal needs are being monitored closely?
Personalized based on this facility's data
Key Review Excerpts
“They treated my mom just like their mom. I never had a complaint. They offer activities that everyone loves. I can’t recommend a better nursing home in the area.”
“The staff at Millcreek nursing home... My dad was at Millcreek nursing home and was very well taken care of! it's a very beautiful facility and the staff is awesome!”
“I was in Mill Creek following a car accident in January 2025. Everyone was extremely knowledgeable & considerate of my situation. The food was great!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
15
measures
1
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Mill Creek has faced multiple complaint-driven inspections, with families filing reports that led to 12 deficiencies across safety concerns, care planning, and medication management. The facility shows recurring issues with accident prevention and safety hazards appearing across multiple surveys, along with problems in care planning and pharmacy services. While all deficiencies have correction dates, the pattern of repeated safety violations and family complaints raises concerns about consistent quality oversight.
Dec 10, 2025Routine6
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Dec 10, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 11, 2025Complaint8
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 18, 2024Routine5
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 5, 2023Complaint5
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Aug 9, 2023Routine6
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Oct 5, 2023
$13,232
Fine
Jun 6, 2023
$8,193
Ownership & Operations
Who Operates This Facility
Tyler County Hospital District
for profit
SILSBEE HEALTH CARE CENTER LTD CO
JENNIFER ZENT
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 37 of 37 (Worst)
Ownership & Management
Owners
Tyler County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
167 reviews from families & visitors
Official Website
Visit cantexcc.com
Medicare data downloads
Original nursing home datasets
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