Texas › Harris County › Tomball
Willow Creek Lodge
11830 Northpointe Boulevard, Tomball, TX 77377
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 135 beds, Willow Creek Lodge serves Tomball in Harris County, Texas and has taken Medicare and Medicaid residents since 2010.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (11, 4, 8 by cycle, most recent first), none at the actual-harm level. That is 17.0 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 62.5%.
Compared with county, state and nation
| Measure | This facility | Harris Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 22 | 25 | 28.7 |
| Citations per 100 beds | 17.0 | 19.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 62.5% | 52.1% | 52.1% | 45.8% |
| Fines listed | $0 | $30,361 | $16,801 | — |
County and state figures are medians across facilities (97 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jul 2025, 13 Jun 2024.
Severity mix: D ×16 E ×4 F ×2 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 20 Nov 2025 |
| 17 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 29 Aug 2025 |
| 17 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Aug 2025 |
| 2 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 25 Jul 2025 |
| 13 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Jun 2024 |
| 13 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 20 Jun 2024 |
| 13 Jun 2024 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Standard survey | 20 Jun 2024 |
| 20 Sep 2023 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 16 Oct 2023 |
| 20 Sep 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Oct 2023 |
| 24 Mar 2023 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard survey | 17 Apr 2023 |
| 24 Mar 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 5 Apr 2023 |
| 24 Mar 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 10 Apr 2023 |
| 24 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Mar 2023 |
| 24 Mar 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 25 Mar 2023 |
| 24 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 25 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 62.5%, RNs 72.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.3% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: West Coke County Hospital District. Chain: Cross Healthcare Management (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Canyonlands Peak Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| Canyonlands Peak Healthcare LLC | Adp of the snf | NOT APPLICABLE | 06/10/2026 |
| Ensign Services Inc | Adp of the snf | NOT APPLICABLE | 02/11/2026 |
| Northpointe Blvd Health Holdings LLC | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| Standard Bearer Healthcare Op, LP | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
| The Ensign Group Inc | Adp of the snf | NOT APPLICABLE | 05/01/2026 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Harris County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bayou Manor | Houston | 37 | 5 | 5 | 5 | 7 | 18.9 | — | 19 May 2026 |
| Clarewood House Extended Care Center | Houston | 60 | 5 | 5 | 1 | 5 | 8.3 | — | 3 Dec 2025 |
| East View Healthcare | Houston | 125 | 5 | 5 | 1 | 11 | 8.8 | — | 24 Feb 2026 |
| Hca Houston Healthcare Southeast | Pasadena | 30 | 5 | 5 | 4 | 5 | 16.7 | — | 15 May 2025 |
| Ignite Medical Resort Webster, LLC | Webster | 70 | 5 | 5 | 2 | 12 | 17.1 | — | 24 Apr 2026 |
| Park Manor of Cyfair | Houston | 120 | 5 | 5 | 2 | 8 | 6.7 | — | 1 May 2026 |
| Parkway Place | Houston | 42 | 5 | 3 | 5 | 18 | 42.9 | $46K | 22 Apr 2026 |
| Richard A. Anderson (State of Texas Veterans Land | Houston | 120 | 5 | 4 | 5 | 14 | 11.7 | $15K | 11 Sep 2025 |
All 97 facilities in Harris County
Questions and answers
How many deficiencies has Willow Creek Lodge been cited for?
23 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Willow Creek Lodge been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Willow Creek Lodge compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Willow Creek Lodge?
It is part of the Cross Healthcare Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Canyonlands Peak Healthcare LLC. Individual owners and managers are not listed on this site.
When was Willow Creek Lodge last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2025; the most recent standard health survey was 17 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.