Mill Creek
1105 W Hwy 418 · Silsbee, TX · 77656 · 4093853784
67 certified beds For profit - Partnership Chain: Cantex Continuing Care
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $13,232 |
Inspection citations (26 in the current record)
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Potential for harm · D December 10, 2025
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.
Corrected December 11, 2025 · Resident Rights
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Potential for harm · D December 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 11, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 2025
Provide and implement an infection prevention and control program.
Corrected December 11, 2025 · Infection Control
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Potential for harm · D December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 6, 2026 · Quality of Life and Care
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Potential for harm · D April 11, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 12, 2025 · Resident Rights
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Potential for harm · D April 11, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 12, 2025 · Pharmacy Service
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Potential for harm · D April 11, 2025 · found via complaint
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.
Corrected April 12, 2025 · Pharmacy Service
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Potential for harm · D April 11, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 18, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 19, 2024 · Quality of Life and Care
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Potential for harm · D September 18, 2024
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.
Corrected September 19, 2024 · Pharmacy Service
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Potential for harm · D September 18, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 19, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 5, 2023 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 6, 2023 · Resident Rights
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Immediate jeopardy · J October 5, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J October 5, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 6, 2023 · Quality of Life and Care
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Potential for harm · D October 5, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 5, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 9, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 9, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 9, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · E August 9, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · D August 9, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 1, 2023 · Nutrition and Dietary
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Potential for harm · D August 9, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 5, 2023 | Fine | $13,232 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675338 · certified since June 16, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.