Willow Creek Lodge
11830 Northpointe Boulevard, Tomball, TX 77377
Phone: 2812059400
CMS ratings and facility information
Willow Creek Lodge is a Medicare-certified nursing facility in Tomball, Harris County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 3 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 135 |
| Ownership | For profit - Limited Liability company |
| CMS certification number | 676244 |
Staffing
| Total nurse hours per resident day | 3.36 |
|---|---|
| RN hours per resident day | 0.18 |
| Nurse aide hours per resident day | 2.05 |
| Total nursing staff turnover percent | 62.5 |
| RN turnover percent | 72.7 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 1.7 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 2.35 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 0 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 1.09 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 0.65 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 10.99 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-07-17 | 0641 | Ensure each resident receives an accurate assessment. | E |
| 2025-07-17 | 0656 | 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 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-07-17 | 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-07-17 | 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| 2025-07-17 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2025-07-17 | 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-17 | 0693 | 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. | D |
| 2025-07-17 | 0742 | 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. | D |
| 2025-07-17 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-06-13 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-06-13 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-06-13 | 0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D |
| 2023-03-24 | 0922 | Have enough backup water supply for essential areas of the nursing home. | F |
| 2023-03-24 | 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2023-03-24 | 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D |
| 2023-03-24 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-03-24 | 0692 | Provide enough food/fluids to maintain a resident's health. | D |
| 2023-03-24 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
Penalties
No penalties were listed in this CMS data snapshot.
Ownership records
| Name | Type | Role |
|---|---|---|
| GREWAL, HERMANJEET | Individual | MANAGING CONTROL - GOVERNING BODY |
| JOHN, BIJU | Individual | MANAGING CONTROL - GOVERNING BODY |
| KEETCH, CHAD | Individual | CORPORATE OFFICER |
| MCGUIRE, WESLEY | Individual | CORPORATE OFFICER |
| CANYONLANDS PEAK HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| BURNAM, SOON | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| GREWAL, HERMANJEET | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| JOHN, BIJU | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CANYONLANDS PEAK HEALTHCARE LLC | Organization | ADP OF THE SNF |
| ENSIGN SERVICES INC | Organization | ADP OF THE SNF |
| NORTHPOINTE BLVD HEALTH HOLDINGS LLC | Organization | ADP OF THE SNF |
| STANDARD BEARER HEALTHCARE OP, LP | Organization | ADP OF THE SNF |
| THE ENSIGN GROUP INC | Organization | ADP OF THE SNF |
| GREWAL, HERMANJEET | Individual | ADP OF THE SNF |
| JOHN, BIJU | Individual | ADP OF THE SNF |
Compare nursing homes in Harris County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.