Senior Care Records.

Willow Creek Lodge

11830 Northpointe Boulevard, Tomball, TX, 77377

Nursing home135 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 11 deficiencies against Willow Creek Lodge in Tomball, Texas at its most recent standard inspection on 2025-07-17, 2 of them arising from complaints. Medicare rates it 3 out of 5 overall.

3 / 5Medicare overall rating
135certified beds
11deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.22
Potential for minimal harmThe least serious band.1
Most recent

The last 20 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies · F0732 · 2025-11-19 · from a complaint · No actual harm, potential for minimal harm

C

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies · F0641 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0550 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Rights Deficiencies · F0580 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

D

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies · F0645 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0655 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

D

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

Quality of Life and Care Deficiencies · F0684 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

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.

Quality of Life and Care Deficiencies · F0693 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

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.

Quality of Life and Care Deficiencies · F0742 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

D

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2025-07-17 · standard survey · No actual harm, potential for more than minimal harm

D

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2025-07-02 · from a complaint · No actual harm, potential for more than minimal harm

E

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

Nutrition and Dietary Deficiencies · F0812 · 2024-06-13 · standard survey · No actual harm, potential for more than minimal harm

F

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

Resident Assessment and Care Planning Deficiencies · F0656 · 2024-06-13 · standard survey · No actual harm, potential for more than minimal harm

D

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

Nursing and Physician Services Deficiencies · F0710 · 2024-06-13 · standard survey · No actual harm, potential for more than minimal harm

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.

Resident Rights Deficiencies · F0622 · 2023-09-20 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Pharmacy Service Deficiencies · F0755 · 2023-09-20 · from a complaint · No actual harm, potential for more than minimal harm

D

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

Environmental Deficiencies · F0922 · 2023-03-24 · standard survey · No actual harm, potential for more than minimal harm

F

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2023-03-24 · standard survey · No actual harm, potential for more than minimal harm

E

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

Resident Rights Deficiencies · F0582 · 2023-03-24 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles4 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.36248
Nursing staff turnoverShare of nursing staff who left in a year62.5%
Ownership

Who owns Willow Creek Lodge

Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.

OwnerRoleShareSince
11830NPB, LLCOrganizationNOT APPLICABLEsince 05/01/2023
KTFW-TX LLCOrganizationNOT APPLICABLEsince 05/01/2023
MCGUIRE, WESLEYIndividualNOT APPLICABLEsince 05/01/2023
WILLOW CREEK OPCO LLCOrganizationNOT APPLICABLEsince 05/01/2022
LOCKHART, CHRISTOPHERIndividualNOT APPLICABLEsince 05/01/2023
MARTIN, CHRISTOPHERIndividualNOT APPLICABLEsince 05/01/2023
RANKIN, DEREKIndividualNOT APPLICABLEsince 05/01/2023
KILGORE, JOSHUAIndividualNOT APPLICABLEsince 04/12/2025
11830NPB, LLCOrganizationNOT APPLICABLEsince 05/01/2023
ARMSTRONG BACKUS & CO LLPOrganizationNOT APPLICABLEsince 05/01/2023
CROSS HEALTHCARE MANAGEMENT, LLCOrganizationNOT APPLICABLEsince 06/01/2023
KILGORE FAMILY TRUST-2012OrganizationNOT APPLICABLEsince 05/01/2023

Part of the CROSS HEALTHCARE MANAGEMENT group.

Nearby

Other licensed providers within six miles

Listed by distance. Nobody paid to appear here and the order is not for sale.

Contact

Ask Willow Creek Lodge a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Willow Creek Lodge has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 2812059400 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676244.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction