Senior Care in Silsbee, TX

Silsbee Oaks Health Care is a 160-bed nursing home in Silsbee, Hardin County, accepting both Medicare and Medicaid residents. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 4-star health inspection rating — but a 1-star staffing rating pulls against that picture. The facility has been licensed since 1991, holds an active license through 2027, and is currently operating at about 147 residents per day.

Paradigm At The Pines is a 90-bed nursing home in Silsbee, Texas, licensed to Oakbend Medical Center (a county hospital district) and managed by Pines Nursing & Rehabilitation LLC. CMS rates it 3 stars overall, with a 2-star health inspection rating and a substantiated abuse or neglect finding in the past 36 months. Quality-of-care measures score 5 stars. The facility is running at about 60% of licensed beds — roughly 54 residents currently.

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.

Spanish Trail Assisted Living is a 16-bed Type B assisted living facility in Silsbee, Hardin County, Texas. It does not offer memory care. The active license (No. 311228) runs through December 2025 and has been in operation since 2013. Creative Solutions In Healthcare, Inc. manages the facility; the current administrator is Quashana Warren.