Mill Creek has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Silsbee facility should carefully review its inspection history and quality metrics.
With 3.22 total nurse hours per resident per day, Mill Creek falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 26 deficiencies at Mill Creek, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.27 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.34 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.61 | 2.4 | Below Average |
| Weekend Total Nursing | 2.79 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 9, 2025 · Infection Control Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andDec 9, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Dec 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Dec 9, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.5% | 4.5% | Better |
| Falls with major injury | 6.0% | 3.0% | Worse |
| On antipsychotic medication | 3.3% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 10.0% | 14.0% | Better |
| Excessive weight loss | 3.3% | 7.5% | Better |
| New/worsened incontinence | 11.4% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $21,425
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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