nursing home in Tomball, TX
Willow Creek Lodge
11830 Northpointe Boulevard, Tomball, TX 77377 · (281) 205-9400
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Willow Creek Lodge at a glance
Willow Creek Lodge is a 135-bed for-profit nursing home in Tomball, Texas (Harris County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.2 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (July 17, 2025) found 11 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 62.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 135
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Cross Healthcare Management
- Medicare-certified since
- February 16, 2010
- Resident/family council
- Resident
- County
- Harris County
- CMS Certification Number
- 676244
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.36 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.18 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.05 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.03 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.5% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 72.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 44 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 135 | 113 | 107 | |
| Average residents per day | 81 | 76 | 86 | |
| Occupancy | 60.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.1% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.3% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.6% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 5% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 36.7% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.5% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 86.2% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.7% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 93.8% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 19, 2025 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 20, 2025 |
| July 17, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 29, 2025 |
| July 17, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 29, 2025 |
| July 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 17, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 17, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 17, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 17, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected August 29, 2025 |
| July 17, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 17, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 29, 2025 |
| July 2, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected July 25, 2025 |
| June 13, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected June 20, 2024 |
| June 13, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 13, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 18, 2024 |
| June 13, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 20, 2024 |
| June 13, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 13, 2024 Standard | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Tag F0710 | D Potential harm, isolated | Corrected June 20, 2024 |
| September 20, 2023 Complaint · Infection control | 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected October 16, 2023 |
| September 20, 2023 Complaint · Infection control | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 16, 2023 |
| March 24, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected March 24, 2023 |
| March 24, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 24, 2023 |
| March 24, 2023 Standard | Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Tag F0922 | F Potential harm, widespread | Corrected April 17, 2023 |
| March 24, 2023 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected April 5, 2023 |
| March 24, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 24, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 24, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 25, 2023 |
| March 24, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected April 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CANYONLANDS PEAK HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 06/10/2026 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 02/11/2026 |
| GREWAL, HERMANJEET Individual | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| JOHN, BIJU Individual | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| NORTHPOINTE BLVD HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 05/01/2026 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| MCGUIRE, WESLEY Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| GREWAL, HERMANJEET Individual | managing control - governing body | NOT APPLICABLE | 05/01/2026 |
| JOHN, BIJU Individual | managing control - governing body | NOT APPLICABLE | 05/01/2026 |
| BURNAM, SOON Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| CANYONLANDS PEAK HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| GREWAL, HERMANJEET Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
| JOHN, BIJU Individual | operational/managerial control | NOT APPLICABLE | 05/01/2026 |
Other nursing homes near Willow Creek Lodge
The Heights of Tomball
27840 Johnson Road, Tomball, TX 77375 · 3.5 mi
For-profit · 131 beds · Part of Touchstone Communities
★★★★★4Above averagePark Manor of Tomball
250 School Street, Tomball, TX 77375 · 4.1 mi
For-profit · 125 beds · Part of Hmg Healthcare
★★★★★2Below averageLawrence Street Health Care Center
615 Lawrence St, Tomball, TX 77375 · 4.2 mi
Non-profit · 150 beds · Part of Health Services Management
★★★★★4Above averageCypress Creek Rehabilitation and Healthcare Center
13600 Birdcall Lane, Cypress, TX 77429 · 5.3 mi
For-profit · 122 beds · Part of Momentum Skilled Services
★★★★★3AverageTomball Rehab & Nursing
815 Peach St., Tomball, TX 77375 · 5.4 mi
Government · 126 beds · Part of Advanced Healthcare Solutions
★★★★★1Much below averageNorth Houston Transitional Care
9814 Grant Rd, Houston, TX 77070 · 6.2 mi
For-profit · 70 beds · Part of Pacs Group
★★★★★3Average
Frequently asked questions
What is Willow Creek Lodge's rating?
Willow Creek Lodge has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Willow Creek Lodge receive?
Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Willow Creek Lodge accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Willow Creek Lodge?
It is for profit - limited liability company and part of Cross Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Willow Creek Lodge and how do I contact it?
Willow Creek Lodge is at 11830 Northpointe Boulevard, Tomball, TX 77377. Phone: (281) 205-9400.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.