Federal inspection record · CMS data as of October 1, 2026

The Broadmoor at Creekside Park

5665 Creekside Forest Drive, The Woodlands, TX · (281) 255-8180

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
112
Residents per day
99
Ownership
For-Profit
Chain
Cantex Continuing Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 10, 2014

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

The Broadmoor at Creekside Park carries 102.25 inspection points. That is fewer than 35% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 102.25 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–26 pts
  • 4★ 26–51 pts
  • 3★ 51–85 pts
  • 2★ 85–145.75 pts
  • 1★ over 145.75 pts

Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

29 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 10 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (4)

  1. J

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

    March 13, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 23, 2026

  2. G

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

    April 19, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected May 9, 2024

  3. J

    Provide safe, appropriate pain management for a resident who requires such services.

    October 2, 2023 · Complaint inspection · Quality of Life and Care · F697 · Corrected October 3, 2023

  4. J

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

    October 2, 2023 · Complaint inspection · Pharmacy Service · F755 · Corrected October 3, 2023

Everything else, by area of care

Quality of Life and Care7E
  1. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 13, 2026 · Standard · F677 · Corrected March 16, 2026

  2. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 13, 2026 · Standard · F698 · Corrected March 16, 2026

  3. D

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

    November 20, 2025 · Complaint · F684 · Corrected November 21, 2025

  4. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 17, 2024 · Standard · F677 · Corrected December 18, 2024

  5. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    December 17, 2024 · Standard · F690 · Corrected December 18, 2024

  6. D

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    December 17, 2024 · Standard · F691 · Corrected December 18, 2024

  7. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    December 12, 2024 · Complaint · F677 · Corrected November 11, 2024

Pharmacy Service6E
  1. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    March 13, 2026 · Standard · F761 · Corrected March 16, 2026

  2. D

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

    March 13, 2026 · Standard · F755 · Corrected March 16, 2026

  3. D

    Ensure medication error rates are not 5 percent or greater.

    March 13, 2026 · Standard · F759 · Corrected March 16, 2026

  4. D

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

    December 17, 2024 · Standard · F755 · Corrected December 18, 2024

  5. E

    Ensure medication error rates are not 5 percent or greater.

    October 2, 2023 · Complaint · F759 · Corrected October 3, 2023

  6. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    October 2, 2023 · Complaint · F761 · Corrected October 3, 2023

Resident Assessment and Care Planning3E
  1. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 17, 2024 · Standard · F842 · Corrected December 18, 2024

  2. E

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

    October 2, 2023 · Complaint · F656 · Corrected October 3, 2023

  3. D

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

    October 2, 2023 · Complaint · F655 · Corrected October 3, 2023

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    December 17, 2024 · Standard · F880 · Corrected December 18, 2024

  2. D

    Provide and implement an infection prevention and control program.

    December 12, 2024 · Complaint · F880 · Corrected December 18, 2024

  3. D

    Provide and implement an infection prevention and control program.

    October 2, 2023 · Complaint · F880 · Corrected October 3, 2023

Nutrition and Dietary1C
  1. C

    Dispose of garbage and refuse properly.

    March 13, 2026 · Standard · F814 · Corrected March 16, 2026

Environmental1E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    December 12, 2025 · Complaint · F921 · Corrected December 13, 2025

Administration1D
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    December 17, 2024 · Standard · F849 · Corrected December 18, 2024

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    December 12, 2024 · Complaint · F725 · Corrected November 18, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    December 12, 2024 · Complaint · F602 · Corrected December 17, 2024

Resident Rights1D
  1. D

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

    October 2, 2023 · Complaint · F580 · Corrected October 3, 2023

Inspection history

  1. 2026-03-13

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-12-17

    11 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2023-10-02

    9 health deficiencies · 2 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 37 min of nursing staff time a day, 33 min of it from a registered nurse.

This home

3 h 37 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 63% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$10,361 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-13Fine$10,361

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.5 pts worse90.9%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better98.6%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better2.3%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms4.7 pts worse7.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight0.3 pts better2.6%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts better12.6%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.7 pts better2.1%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.8 pts better10.1%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts worse17.4%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts worse1.5%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.1 pts better8.4%12.5%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts better3.2%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.4 pts worse80.3%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts better4.9%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts worse70.8%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.1 pts better23.4%25.5%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Sweeny Hospital District5% Or Greater Direct Ownership Interest · Organization100%9 facilities
Mcarthur, AngelaOperational/Managerial Control · Individual0%1 facilities
Mcarthur, AngelaAdp Of The SNF · Individual0%1 facilities
Park, KellyCorporate Officer · Individual0%10 facilities

·

Fire safety

7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5E
  1. E

    Provide properly protected cooking facilities.

    March 13, 2026 · K324 · Corrected March 16, 2026

  2. E

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

    March 13, 2026 · K372 · Corrected March 16, 2026

  3. E

    Provide properly protected cooking facilities.

    December 17, 2024 · K324 · Corrected December 18, 2024

  4. D

    Inspect, test, and maintain automatic sprinkler systems.

    December 17, 2024 · K353 · Corrected December 18, 2024

  5. D

    Provide properly protected cooking facilities.

    October 2, 2023 · K324 · Corrected October 3, 2023

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    December 17, 2024 · K712 · Corrected December 18, 2024

  2. F

    Have simulated fire drills held at unexpected times.

    October 2, 2023 · K712 · Corrected October 3, 2023

·

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