Willow Creek Lodge
Nursing home in Tomball, TX
Medicare & Medicaid certified3★ overall (CMS)
Public-record details
- Address
- 11830 Northpointe Boulevard, Tomball, TX 77377
- Phone
- (281) 205-9400
- Listed under
- For-profit, No fines in 3 years
- Medicare CCN
- 676244
- Overall star rating
- 3 of 5 ★★★☆☆
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 135
- Average residents per day
- 81
- Ownership
- For-profit, limited Liability company
- Legal business name
- West Coke County Hospital District
- Chain
- Cross Healthcare Management (6 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Feb 16, 2010
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jul 17, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 24, 2023 to Nov 19, 2025): 4 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Nov 19, 2025 | Post nurse staffing information every day. | C |
| Jul 17, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Jul 17, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| Jul 17, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| Jul 17, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| Jul 17, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Jul 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. | D |
| Jul 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… | D |
| Jul 17, 2025 | Provide and implement an infection prevention and control program. | D |
| Jul 17, 2025 | Ensure each resident receives an accurate assessment. | E |
| Jul 17, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| Jul 2, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.36 hours
- Registered nurse (RN) time per resident per day
- 0.18 hours
- Nurse aide time per resident per day
- 2.05 hours
- Total nurse staffing on weekends
- 3.03 hours
- Nursing staff turnover (yearly)
- 63%
- RN turnover (yearly)
- 73%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.