Willow Creek Lodge
11830 Northpointe Boulevard, Tomball, TX 77377 · CCN 676244
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 135
- Avg residents/day
- 87.3
- Phone
- 2812059400
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-17 | 12 | 9.1 | 9.5 | +2.9 worse |
| 2 | 2024-06-13 | 3 | 9.4 | 9.8 | -6.4 better |
| 3 | 2023-03-24 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 5 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.17 | 74.5% |
| RN staffing (reported) | 0.28 | 70.0% |
| Total nurse staffing (adjusted) | 3.48 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CROSS HEALTHCARE MANAGEMENT
- Facilities in chain
- 6
- Chain avg overall
- 3.00 / 5
Inspection citations (23)
- CF0732Post nurse staffing information every day.2025-11-19 · Health
Potential for minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0693Ensure 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.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0742Provide 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.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-17 · Health · corrected 2025-08-29
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-02 · Health · corrected 2025-07-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-06-13 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.2024-06-13 · Health · corrected 2024-06-20
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-06-13 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2023-09-20 · Health · corrected 2023-10-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-20 · Health · corrected 2023-10-16
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2023-03-24 · Health · corrected 2023-04-10
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-24 · Health · corrected 2023-04-05
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-03-24 · Health · corrected 2023-03-25
Potential for more than minimal harm
- FF0922Have enough backup water supply for essential areas of the nursing home.2023-03-24 · Health · corrected 2023-04-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST COKE COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-05-01 |
| WILLOW CREEK OPCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-01 |
| LOCKHART, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| MARTIN, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| RANKIN, DEREK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-05-01 |
| MCGUIRE, WESLEY | Individual | CORPORATE OFFICER | — | 2023-05-01 |
| 11830NPB, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2023-05-01 |
| KTFW-TX LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2023-05-01 |
Other facilities in Tomball
| Name | Overall | Beds |
|---|---|---|
| Lawrence Street Health Care Center | ★★★★☆ | 150 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.