CareSentinel

Federal Nursing-Home Survey Record

Willow Creek Lodge

CCN 676244 · 11830 Northpointe Boulevard, Tomball, TX, 77377 · Operated within the CROSS HEALTHCARE MANAGEMENT chain

Does Willow Creek Lodge have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Willow Creek Lodge (CCN 676244), in Tomball, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 12 deficiencies; the most serious carries scope/severity E on CMS's A–L scale. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 4  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-11-19
CURRENT CYCLE
F732S/S C

Post nurse staffing information every day.

2025-07-17
CURRENT CYCLE
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2025-07-17
CURRENT CYCLE
F641S/S E

Ensure each resident receives an accurate assessment.

2025-07-17
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-07-17
CURRENT CYCLE
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2025-07-17
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2025-07-17
CURRENT CYCLE
F655S/S D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

2025-07-17
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-07-17
CURRENT CYCLE
F693S/S D

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.

2025-07-17
CURRENT CYCLE
F742S/S D

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.

2025-07-17
CURRENT CYCLE
F880S/S D

Provide and implement an infection prevention and control program.

2025-07-02
CURRENT CYCLE
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-06-13
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-06-13
HISTORICAL
F710S/S D

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

2024-06-13
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-09-20
HISTORICAL
F622S/S D

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.

2023-09-20
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-03-24
HISTORICAL
F922S/S F

Have enough backup water supply for essential areas of the nursing home.

2023-03-24
HISTORICAL
F607S/S E

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2023-03-24
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2023-03-24
HISTORICAL
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-03-24
HISTORICAL
F692S/S D

Provide enough food/fluids to maintain a resident's health.

2023-03-24
HISTORICAL
F582S/S D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Willow Creek Lodge?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…