All 3 Medicare-certified nursing homes in Silsbee,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Mill Creek runs lean on nursing staff, 3.16 hours per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday coverage. That thinness shows up in the numbers: staff turnover sits at 54.7% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The 25 deficiencies on record include three at the harm or jeopardy level and three tied to abuse, with one fine of $13,232. Quality measures score well and the last inspection was recent, but a for-profit partnership operating 67 beds at this staffing level leaves little margin when problems surface.
Silsbee Oaks runs thin on nursing hours, 3.10 per resident per day against a national average of 3.86, and weekends dip another 11% below what the home staffs on weekdays. That gap is why the federal staffing rating sits at 1 out of 5, even though inspections went well: a 4/5 health inspection score, last survey in January 2026, and 12 deficiencies on record with just one rising to harm or jeopardy level and none involving abuse. The one fine, $8,193, is modest by nursing home standards. What you're looking at is a home that passes its surveys but may leave residents waiting longer for help between shifts, especially Saturdays and Sundays.
Paradigm At The Pines runs on 2.90 nurse hours per resident per day, about a quarter below the national average, and weekends drop roughly another 11% beneath its own weekday level. Turnover sits at 67.4% against a national 45.8%, and the staffing star rating reflects that: 1 out of 5. The inspection record shows 34 deficiencies, including one at the harm level and six tied to abuse, with a $8,281 fine. It's a hospital-district home, and the last inspection was recent. The quality measure score is strong, but that's largely self-reported data, the hands-on staffing and inspection findings tell a harder story.