Mill Creek
1105 W HWY 418, Silsbee, TX 77656
Silsbee, Texas · CMS verdict
Mill Creek holds a 1 of 5 CMS overall star rating - below the Texas state average of 2.8, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Mill Creek in Silsbee, Texas holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 35 of 100 (grade F). The 67-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (thinner bed book)
At 67 certified beds, this facility sits in the lower U.S. bed tercile (≤80). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 35 is built
Each segment is a dimension's weighted points toward the score, summing to 35.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Mill Creek's thinner certified-bed book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Mill Creek's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (1/5), and quality measures (4/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Silsbee, Texas, this facility operates 67 certified beds with an average daily census of roughly 59 residents - an occupancy rate of about 88%. The facility is classified under for profit - partnership ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At about 88% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Same-ownership peers
Within Texas, Mill Creek is one of 39 for profit - partnership nursing homes CMS rates. Its 1-star overall rating sits below the for profit - partnership-segment average of 2.8 stars, ahead of roughly 0% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (26 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Mill Creek's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Mill Creek ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Mill Creek’s 1-star overall rating is higher than 0% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
267 Texas homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 67 |
| Residents | 59 |
| Ownership | For profit - Partnership |
| County | Hardin |
| Penalties | 2 |
| Deficiencies | 26 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Mill Creek? ▾
1 out of 5 stars is Mill Creek's current CMS overall rating, built from a health inspection rating of 2/5, a staffing rating of 1/5, and a quality measures rating of 4/5.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does Mill Creek offer? ▾
Mill Creek operates as a skilled nursing facility (67 beds with approximately 59 current residents) under for profit - partnership ownership. CMS inspections have recorded 26 deficiencies and 2 penalties there.
Does Mill Creek have any deficiencies or penalties? ▾
Mill Creek has multiple deficiencies (26 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 675338.
Read our methodology - how this data is sourced, computed, and verified.