Home›Browse›Texas›Tomball›Willow Creek Lodge

Nursing homeFAID #14612

Willow Creek Lodge

11830 NORTHPOINTE BOULEVARD, TOMBALL, TX, 77377

(281) 205-9400

135 licensed beds

CMS rates Willow Creek Lodge 3 out of 5 overall. Federal inspectors issued 31 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Bucktoothzombie

Address

11830 Northpointe Boulevard

Tomball, TX 77377

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Public record summary

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Bed capacity

135

CMS facility ID

676244

Care type

Nursing home

County

Harris

Facility name

Willow Creek Lodge

Street address

11830 NORTHPOINTE BOULEVARD

City / state / ZIP

Tomball, TX 77377

Phone

(281) 205-9400

Website

crosshm.com/willow-creek

About this facility — Willow Creek Lodge

Willow Creek Lodge is a Medicare/Medicaid-certified skilled nursing facility in Tomball, Texas. It is licensed for 135 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 20 senior care facilities in Tomball and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Willow Creek Lodge 31 times across 8 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Cross Healthcare Management

Ownership type

For profit - Limited Liability company

Registered owners & officers

Burnam, Soon

Operational control — since 2026

Canyonlands Peak Healthcare Llc

Operational control · Additional disclosable party — since 2026

Ensign Services Inc

Additional disclosable party — since 2026

Grewal, Hermanjeet

Governing body · Operational control · Additional disclosable party — since 2026

John, Biju

Governing body · Operational control · Additional disclosable party — since 2026

Keetch, Chad

Officer — since 2011

Mcguire, Wesley

Officer — since 2023

Northpointe Blvd Health Holdings Llc

Additional disclosable party — since 2026

Standard Bearer Healthcare Op, Lp

Additional disclosable party — since 2026

The Ensign Group Inc

Additional disclosable party — since 2026

Regulatory standing

Licensed / certified since

2010-02-16

CMS overall rating

3 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-07-17

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$245 per day (≈ $7,450/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

80% Medicaid · 5% Medicare · 15% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

12% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

135

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily 8:00 AM – 5:00 PM

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-11-19Health inspectionComplaint-triggered1 citation

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2025-11-20

2025-07-17Health inspection10 citations

F-0550

D · No harm found

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

Corrected 2025-08-29

F-0580

D · No harm found

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

Corrected 2025-08-29

F-0641

E · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-08-29

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-08-29

F-0655

D · No harm found

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

Corrected 2025-08-29

F-0656

E · No harm found

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

Corrected 2025-08-29

F-0684

D · No harm found

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

Corrected 2025-08-29

F-0693

D · No harm found

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 2025-08-29

F-0742

D · No harm found

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 2025-08-29

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-08-29

6 earlier / fire-safety inspections (20 citations)

2025-07-02Health inspectionComplaint-triggered1 citation

F-0656

E · No harm foundFrom a complaint

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

Corrected 2025-07-25

2024-06-13Health inspection3 citations

F-0656

D · No harm found

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

Corrected 2024-06-20

F-0710

D · No harm found

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

Corrected 2024-06-20

F-0812

F · No harm foundFood safety

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

Corrected 2024-06-20

2023-03-24Health inspection6 citations

F-0582

D · No harm found

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

Corrected 2023-04-10

F-0607

E · No harm found

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

Corrected 2023-04-05

F-0689

D · No harm found

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

Corrected 2023-03-25

F-0692

D · No harm found

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

Corrected 2023-03-25

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-03-25

F-0922

F · No harm found

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

Corrected 2023-04-17

2025-07-17Fire-safety inspection5 citations

K-0281

E · No harm found

Install proper backup exit lighting.

Corrected 2025-08-29

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-08-29

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-29

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-08-29

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2025-08-29

2024-06-13Fire-safety inspection3 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-06-20

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-20

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-06-18

2023-03-24Fire-safety inspection2 citations

K-0222

F · No harm found

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.

Corrected 2023-03-24

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2023-03-24

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676244.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 43% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 48% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

56%

Higher than 65% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 10 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	6.6%	15.8%	13.5%	Better than state
Lose too much weight	1.6%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.3%	0.8%	1.5%	Better than state
Have depressive symptoms	4.4%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	0.0%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	99.7%	96.4%	93.7%	Near state average
Ability to walk independently worsened	8.4%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	31.3%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	89.2%	97.0%	95.3%	Near state average
With pressure ulcers	1.5%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	21.6%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	11.6%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.81	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.31	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	96.9%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	1.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	90.1%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	36.4%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	24.4%	12.2%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K-0345 2 inspections. Have approved installation, maintenance and testing program for fire alarm systems.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Hca Houston Healthcare Tomball, about 4.3 miles. CMS rating 3 of 5.
St Luke's Hospital At the Vintage, about 4.9 miles. CMS rating 4 of 5.
Cypress Creek Hospital, about 12 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

The Heights of Tomball, Tomball, about 3.5 miles. CMS rating 4 of 5.
Park Manor of Tomball, Tomball, about 4.1 miles. CMS rating 2 of 5.
Lawrence Street Health Care Center, Tomball, about 4.2 miles. CMS rating 4 of 5.
Cypress Creek Rehabilitation and Healthcare Center, Cypress, about 5.3 miles. CMS rating 3 of 5.
Tomball Rehab & Nursing, Tomball, about 5.4 miles. CMS rating 3 of 5.

Visitor reviews

What people say on Google.

4.666 ratings on Google

★★★★★Gabrielle Austin · 2026-07-01 · via Google
“It has been three days, and I feel like this is such a great place for rehabilitation! The staff is friendly, albeit they are short on staff, they manage really well with the team they have and if you have an urgency, they manage to be there in a timely manner. My grandma has seen and stayed in her fair share of specialized care facilities and hated all of them, until this one! They do a good job …”

★★★★Sherry Grissom · 2026-04-05 · via Google
“I transitioned my mother from Assisted Living to Willow Creek in Tomball in July of 2024. She is on the skilled set nursing side. The facility is clean. The office staff is very helpful and responsive. Special thank you to Megan, Veronica, Belinda, Victoria, Jalen, Shay, Rosa, and Leslie. They truly care about their patients. The falls stopped upon her transition to Willow Creek. They ke…”

★★★★★D. L. Pierce · 2026-06-19 · via Google
“As of June 19, I rate Willow Creek five stars. The admissions process was smooth, thanks to Megan’s patience and understanding. Because of a previous experience, I came in feeling traumatized and very skeptical of care facilities. However, the professionalism shown by the Admissions team, Business Office, and Social Services staff has made a positive impression on me. Thank you all for your profe…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

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Inspection citations — last 5 years

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The 31 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

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