Willow Creek Lodge
Certified for Medicare and Medicaid since 2010-02-16, Willow Creek Lodge is a 135-bed nursing home in Tomball, Texas, averaging 81.4 residents a day.
Has Willow Creek Lodge been cited for violations?
CMS lists 23 health-inspection deficiencies for Willow Creek Lodge since 2023-03-24, 17 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2025-11-19.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-11-19 | F0732 | Post nurse staffing information every day. | C |
| 2025-07-17 | F0641, F0656 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2025-07-17 | F0550, F0580, F0645, F0655, F0684, F0693, F0742, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-07-02 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2024-06-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-06-13 | F0656, F0710 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D |
| 2023-09-20 | F0622, F0755 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-03-24 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F |
| 2023-03-24 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2023-03-24 | F0582, F0689, F0692, F0759 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Ensure medication error rates are not 5 percent or greater. | D |
How is Willow Creek Lodge staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.36248 | 3.38539 |
| Total nursing staff turnover (%) | 62.5 | 55.3 |
| Average number of residents per day | 81.4 | 75.8 |
Who owns Willow Creek Lodge, and what chain is it in?
Willow Creek Lodge is registered with CMS as For profit - Limited Liability company, operates under the legal business name WEST COKE COUNTY HOSPITAL DISTRICT and belongs to the CROSS HEALTHCARE MANAGEMENT chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | GREWAL, HERMANJEET, JOHN, BIJU | since 05/01/2026 |
| CORPORATE OFFICER | KEETCH, CHAD, MCGUIRE, WESLEY | since 03/01/2011 |
| OPERATIONAL/MANAGERIAL CONTROL | CANYONLANDS PEAK HEALTHCARE LLC, BURNAM, SOON, GREWAL, HERMANJEET, JOHN, BIJU | since 05/01/2026 |
| ADP OF THE SNF | CANYONLANDS PEAK HEALTHCARE LLC, ENSIGN SERVICES INC, NORTHPOINTE BLVD HEALTH HOLDINGS LLC, STANDARD BEARER HEALTHCARE OP, LP, THE ENSIGN GROUP INC, GREWAL, HERMANJEET, JOHN, BIJU | since 02/11/2026 |