Unclaimed
Willow Creek Lodge in Tomball, TX
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Ratings Deep Dive
5Deficiencies found in last inspections
0Penalties in last 3 years
0Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| F0732 | Nov 19, 2025 | Post nurse staffing information every day. | C |
| F0656 | Jul 17, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| F0550 | Jul 17, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| F0580 | 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 |
| F0641 | Jul 17, 2025 | Ensure each resident receives an accurate assessment. | E |
0.2RN Hours / Resident / Day
3.4Total Nurse Hours / Resident / Day
72.7%RN Turnover Rate
5.0Long-Stay QM Rating
2.0Short-Stay QM Rating
81.4Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.275% | Long Stay |
| Percentage of long-stay residents who lose too much weight | 2.230% | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.000% | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | 0.651% | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | 5.036% | Long Stay |
| Percentage of long-stay residents who were physically restrained | 0.000% | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.000% | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.679% | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.013% | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.081% | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
ADP OF THE SNFCANYONLANDS PEAK HEALTHCARE LLC
MANAGING CONTROL - GOVERNING BODYJOHN, BIJU
ADP OF THE SNFJOHN, BIJU
ADP OF THE SNFTHE ENSIGN GROUP INC
ADP OF THE SNFGREWAL, HERMANJEET
MANAGING CONTROL - GOVERNING BODYGREWAL, HERMANJEET
OPERATIONAL/MANAGERIAL CONTROLCANYONLANDS PEAK HEALTHCARE LLC
OPERATIONAL/MANAGERIAL CONTROLBURNAM, SOON
OPERATIONAL/MANAGERIAL CONTROLGREWAL, HERMANJEET
OPERATIONAL/MANAGERIAL CONTROLJOHN, BIJU
Recent Penalties
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