Mill Creek
1105 W HWY 418, Silsbee, TX, 77656
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: Cantex Continuing Care
- Certified beds
- 67 · avg 59 residents/day
- Total nursing staff turnover
- 67.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 80% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $21,425 total
State licensing & capacity
- License number
- 145636
- Service type
- Medicare/medicaid
- Licensed capacity
- 68 beds
- Bed type breakdown
- 1 licensed-only · 6 Medicare-only · 61 Medicaid/Medicare
- Current license effective
- February 1, 2025
- Current license expires
- February 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Tyler County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Silsbee Health Care Center Ltd Co
- Administrator
- Jennifer Zent
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Cantex Continuing Care chain — 38 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (6 on record)
- Silsbee Health Care Center Ltd co
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Jennifer Zent
Operational/managerial Control · since 2024
- Chad w Hammett
Adp of The Snf · since 2022
- Tyler County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2015
- Sondra Williams
Corporate Director · since 2007
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 26)
- D0689·Dec 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Dec 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0684·Dec 10, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0677·Dec 10, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0656·Dec 10, 2025
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.
- D0578·Dec 10, 2025
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.
- D0842·Apr 11, 2025Complaint
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.
- D0758·Apr 11, 2025Complaint
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 li…
Federal penalties
By year
- 20232 fines · $21K
Most recent events
- Oct 5, 2023Fine · $13K
- Jun 6, 2023Fine · $8,193
Largest single fine on record: $13K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Dec 10, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Mill Creek is a 68-bed nursing home in Silsbee, Texas, licensed since 1971 and managed by Silsbee Health Care Center Ltd Co under the Cantex Continuing Care chain. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and 2-star health inspection rating, though quality-of-care measures rate 4 stars. Two CMS fines totaling $21,425 have been assessed. The license is active through February 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Mill Creek 1 star on staffing — the bottom tier, shared by about 38% of Texas nursing homes. Residents receive roughly 193 minutes of nursing care per day, about 48 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 193 minutes stretch thinner than the raw number suggests.
Roughly 7 in 10 nursing staff left in the past year. A long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover is also high, at about 8 in 10 RNs departing annually.
One administrator has turned over in the past year — a level CareWitness flags as elevated.
CMS has recorded 2 fines totaling $21,425. That total sits just above the Texas state median of $20,699 across fined facilities; about 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels and daily coverage
With a 1-star staffing rating and 193 minutes of nursing care per resident per day, ask how many nurses and aides are on each shift and how the facility handles call-outs.
Nursing staff continuity
About 7 in 10 nursing staff left in the past year — ask how long current direct-care staff have been on the unit your parent would live on.
RN presence on the floor
RN turnover ran at roughly 8 in 10 last year; ask how many hours per day a registered nurse is physically present in the building, not just on call.
Recent leadership changes
The facility had an administrator change in the past year — ask who is currently in that role and how long they have been in place.
Quality measures versus staffing gap
CMS rates quality-of-care outcomes at 4 stars despite the 1-star staffing rating — ask which specific measures drive that score and how they are tracked.
Resident and Family Council activity
Both councils are listed as active — ask how often each meets and how concerns raised there are documented and addressed.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.