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Nursing HomeMedicaid Investigative

Mill Creek

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1105 W Hwy 418, Silsbee, TX 7765668 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 167 Google reviews

5
4
3
2
1
Mill Creek Nursing Home in Silsbee, TX — Street View
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6/ 10
high Risk

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

Source: Medicare data

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 details
Food8.0Staff9.0Clean9.0Activities9.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • 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

234'17(1)'19(1)'21(3)'23(18)'25(35)'26(22)

Distribution

5
142
4
7
3
1
2
2
1
2
32 reviews posted between Dec 10, 2024Dec 13, 2024 · 31 were 5-star
29 reviews posted between Jul 18, 2024Jul 20, 2024 · 26 were 5-star
19 reviews posted between May 7, 2026May 8, 2026 · 19 were 5-star

How They Respond to Reviews

100%response rate
Generic

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.

Long-term resident's family · 2025★★★★★

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!

Long-term resident's family · 2025★★★★★

I was in Mill Creek following a car accident in January 2025. Everyone was extremely knowledgeable & considerate of my situation. The food was great!

Rehab patient · 2025★★★★★
Source: 167 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
35%
Registered nurses for medical care
Total Nursing
3.22hrs
78%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.5%
Better than Avg
Here
14.5%
US
19.5%
TX
18.4%
Hardin
30.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
15.4%
TX
9.4%
Hardin
18.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Hardin
10.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.3%
TX
14.9%
Hardin
16.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.2%
Better than Avg
Here
12.2%
US
19.4%
TX
14.2%
Hardin
18.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Hardin
96.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Hardin
88.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Hardin
89.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hardin
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (9.1)
16 complaint-triggered
$21,425 in fines

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, 2025Routine
6
0684ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0578MinorCorrected

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.

0656MinorCorrected

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.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Dec 10, 2025Complaint
1
0689MinorCorrected

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, 2025Complaint
8
0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0758MinorCorrected

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.

0842MinorCorrected

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.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0758MinorCorrected

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.

0842MinorCorrected

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, 2024Routine
5
0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0698MinorCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0761MinorCorrected

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.

0842MinorCorrected

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.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Oct 5, 2023Complaint
5
0580SevereCorrected

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.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0656MinorCorrected

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, 2023Routine
6
0695ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656MinorCorrected

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0804MinorCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0521Minor

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

Owner / Operator

Tyler County Hospital District

Organization Type

for profit

Management Company

SILSBEE HEALTH CARE CENTER LTD CO

Administrator

JENNIFER ZENT

Chain Affiliation

Chain Name

Cantex Continuing Care

Chain Size

38 facilities nationwide

Chain avg rating: 3.2/5 · Rank 37 of 37 (Worst)

Ownership & Management

Owners

Tyler County Hospital District

Owner · Organization

100%

Key personnel

Williams, SondraOfficer / DirectorSilsbee Health Care Center Ltd CoManagerZent, JenniferManagerSilsbee Health Care Center Ltd CoAdp of the SnfHammett, ChadAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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