The Broadmoor at Creekside Park

Name: The Broadmoor at Creekside Park
Address: 5665 Creekside Forest Drive, The Woodlands, TX, 77389, US
Telephone: 2812558180

5665 Creekside Forest Drive, The Woodlands, TX 77389 · Montgomery County · 112 certified beds · avg 100 residents/day · certified since Apr 10, 2014

Part of chain: CANTEX CONTINUING CARE (37 facilities, chain avg rating 3.1★)

2/5

Health inspection rating (on-site)

Serious findings on record

$46,833

Fines, last 3 years

3.49

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Mar 13, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Feb 23, 2026 (Past Non-Compliance)

▲ Immediate jeopardy, one-off · Oct 2, 2023 · F-0697 · triggered by a complaint

The facility did not provide safe and appropriate pain management for a resident who needed it.

Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.

Corrected: Oct 3, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Oct 2, 2023 · F-0755 · triggered by a complaint

The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.

Corrected: Oct 3, 2023 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Apr 19, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 9, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 13, 2026	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 13, 2026	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 13, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Mar 13, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 13, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 13, 2026	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.
Dec 12, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Nov 20, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 17, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 17, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 17, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 17, 2024	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Dec 17, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 17, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Dec 17, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 12, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Dec 12, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Dec 12, 2024	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Dec 12, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 19, 2024	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 2, 2023	▲ J · Immediate jeopardy, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Oct 2, 2023	▲ J · Immediate jeopardy, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 2, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 2, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Oct 2, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Oct 2, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 2, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Oct 2, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	8	2	J ▲
2024	12	1	G ▲
2025	2	0	E
2026	7	1	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $46,833.

Date	Type	Amount / length
Mar 13, 2026	Fine	$10,361
Oct 2, 2023	Fine	$36,472

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.49	3.46	3.95	top 35% in Texas; bottom 36% in the U.S.
Registered Nurse hours	0.49	0.44	0.69	top 27% in Texas; bottom 37% in the U.S.
Weekend total nurse staffing	3.20	3.04	3.50	top 28% in Texas; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.34	0.48	top 22% in Texas; top 43% in the U.S.
Total nursing staff turnover (%)	55.2	55.3	45.8	bottom 43% in Texas; bottom 25% in the U.S.
RN turnover (%)	66.7	54.6	42.9	bottom 34% in Texas; bottom 15% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.46, RN 0.49, weekend 3.18. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Sweeny Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2024
McArthur, Angela	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2024
McArthur, Angela	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2024
Park, Kelly	Individual	Corporate Officer	NOT APPLICABLE	08/01/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Woodlands Nursing and Rehabilitation Center	1.6 mi	The Woodlands, TX	★★★☆☆	2/5
Ridgewood at the Woodlands	2.1 mi	The Woodlands, TX	★☆☆☆☆	2/5
The Village at Gleannloch Farms	5.1 mi	Spring, TX	★★★★★	5/5
Park Manor of the Woodlands	5.5 mi	The Woodlands, TX	★★★★☆	4/5
Tomball Rehab & Nursing	6.8 mi	Tomball, TX	★☆☆☆☆	2/5
Park Manor of Tomball	7.6 mi	Tomball, TX	★★☆☆☆	2/5
Lawrence Street Health Care Center	7.9 mi	Tomball, TX	★★★★☆	4/5
The Heights of Tomball	8.3 mi	Tomball, TX	★★★★☆	4/5
Paradigm Northwest	9.0 mi	Houston, TX	★☆☆☆☆	1/5
The Heights of North Houston	9.1 mi	Houston, TX	★★☆☆☆	2/5
Park Manor of Cypress Station	9.2 mi	Houston, TX	★☆☆☆☆	1/5	abuse
The Brightpointe	9.9 mi	Conroe, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in The Woodlands →

Facility data as of CMS processing date 2026-08-01. CCN 676357.

The Care File

Visit checklist — The Broadmoor at Creekside Park

5665 Creekside Forest Drive, The Woodlands, TX 77389 · 2812558180

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $46,833

Most serious findings on record:

▲ Mar 13, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Oct 2, 2023 (F-0697, Immediate jeopardy, one-off): The facility did not provide safe and appropriate pain management for a resident who needed it.
▲ Oct 2, 2023 (F-0755, Immediate jeopardy, one-off): The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676357 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)