Willow Creek Lodge
11830 Northpointe Boulevard · Tomball, TX · 77377 · 2812059400
135 certified beds For profit - Limited Liability company Chain: Cross Healthcare Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
73% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 3.01 | ≈ weekday level |
| Nursing turnover / year | 73% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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No harm found · C November 19, 2025 · found via complaint
Post nurse staffing information every day.
Corrected November 20, 2025 · Nursing and Physician Services
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Potential for harm · D July 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · D July 17, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 29, 2025 · Resident Rights
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Potential for harm · E July 17, 2025
Ensure each resident receives an accurate assessment.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 17, 2025
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.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 17, 2025
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.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D July 17, 2025
Provide and implement an infection prevention and control program.
Corrected August 29, 2025 · Infection Control
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Potential for harm · E July 2, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected June 20, 2024 · Nursing and Physician Services
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Potential for harm · F June 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 20, 2024 · Nutrition and Dietary
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Potential for harm · D September 20, 2023 · found via complaint
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.
Corrected October 16, 2023 · Resident Rights
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Potential for harm · D September 20, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 16, 2023 · Pharmacy Service
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Potential for harm · D March 24, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 10, 2023 · Resident Rights
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Potential for harm · E March 24, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 5, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 24, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 25, 2023 · Quality of Life and Care
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Potential for harm · D March 24, 2023
Provide enough food/fluids to maintain a resident's health.
Corrected March 25, 2023 · Quality of Life and Care
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Potential for harm · D March 24, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected March 25, 2023 · Pharmacy Service
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Potential for harm · F March 24, 2023
Have enough backup water supply for essential areas of the nursing home.
Corrected April 17, 2023 · Environmental
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676244 · certified since February 16, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.