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Willow Creek Lodge

11830 Northpointe Boulevard, Tomball, TX 77377
2812059400
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Overall CMS Rating

4.0/5

vs State Average: 2.8 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 2.1/5

5.0/5

Quality Measures

vs State Average: 3.8/5

1 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description 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 Ensure each resident receives an accurate assessment. E
Jul 17, 2025 PASARR screening for Mental disorders or Intellectual Disabilities D
Score
1.0
State Average
2.1
National Average
2.9
0.3 RN Hours / Resident / Day
3.2 Total Nurse Hours / Resident / Day
70.0% RN Turnover Rate
Score
5.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
87.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST WEST COKE COUNTY HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL WILLOW CREEK OPCO LLC
OPERATIONAL/MANAGERIAL CONTROL LOCKHART, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL MARTIN, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL RANKIN, DEREK
CORPORATE OFFICER MCGUIRE, WESLEY
5% OR GREATER MORTGAGE INTEREST 11830NPB, LLC
5% OR GREATER MORTGAGE INTEREST KTFW-TX LLC
Recent Penalties
Date Type Fine
Mar 6, 2023 Fine $4,194

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