For profit - Corporation · 112 certified beds · CMS number 676357
The Broadmoor at Creekside Park, The Woodlands, TX
CMS records 29 health deficiencies at The Broadmoor at Creekside Park in The Woodlands, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 13, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $46,833 in the last three years.
- 29deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $46,833fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for The Broadmoor at Creekside Park as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and The Broadmoor at Creekside Park may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Mar 13, 2026. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 13, 2026 · Standard + complaint inspection
7 deficiencies, highest J
F814 · Garbage disposal
Requirement cited (CMS): Dispose of garbage and refuse properly.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Mar 16, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 16, 2026
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 16, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 16, 2026
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 16, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 23, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 16, 2026
Dec 12, 2025 · Complaint inspection
1 deficiency, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 13, 2025
Nov 20, 2025 · Complaint inspection
1 deficiency, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
Previous cycle: 11 deficiencies (standard inspection Dec 17, 2024)
Standard inspection Dec 17, 2024. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Dec 17, 2024 · Standard inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2024
F849 · Hospice services
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 18, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2024
F691 · Ostomy care
Requirement cited (CMS): Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 18, 2024
Dec 12, 2024 · Complaint inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2024
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Nov 18, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Nov 11, 2024
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 17, 2024
Earlier cycle: 9 deficiencies (standard inspection Oct 2, 2023)
Standard inspection Oct 2, 2023. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 19, 2024 · Complaint inspection
1 deficiency, highest G
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date May 9, 2024
Oct 2, 2023 · Standard + complaint inspection
8 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Oct 3, 2023
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Oct 3, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 3, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 3, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at The Broadmoor at Creekside Park; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F677 Help with daily care | 3 | Mar 13, 2026; Dec 17, 2024; Dec 12, 2024 (PNC) |
| F755 Pharmacy services and a consultant pharmacist | 3 | Mar 13, 2026; Dec 17, 2024; Oct 2, 2023 |
| F880 Infection prevention and control program | 3 | Dec 17, 2024; Dec 12, 2024; Oct 2, 2023 |
| F684 Quality of care | 2 | Nov 20, 2025; Apr 19, 2024 |
| F759 Medication error rate under 5 percent | 2 | Mar 13, 2026; Oct 2, 2023 |
| F761 Drug labeling and secure storage | 2 | Mar 13, 2026; Oct 2, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 13, 2026 | Fine | $10,361 |
| Oct 2, 2023 | Fine | $36,472 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.46 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.49 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.18 h
- Nursing staff turnover
- 55.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for The Broadmoor at Creekside Park, copied as published; Texas medians are ours.
Facility details
- Address
- 5665 Creekside Forest Drive, The Woodlands, TX 77389
- Phone
- (281) 255-8180
- County
- Montgomery
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Cantex Continuing Care
- Certified beds
- 112
- Average residents per day
- 100.1
- In Medicare/Medicaid since
- Apr 10, 2014
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
Other nursing homes in The Woodlands and the same chain
- The Woodlands Nursing and Rehabilitation Center
The Woodlands · 30 deficiencies - Ridgewood at the Woodlands
The Woodlands · 20 deficiencies - Park Manor of the Woodlands
The Woodlands · 12 deficiencies - Sorrento
San Antonio · 50 deficiencies - The Crescent
Sugar Land · 43 deficiencies - Park Valley Inn Health Center
Round Rock · 42 deficiencies - The Colonnades at Reflection Bay
Pearland · 42 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.