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Skilled nursing facility · CMS certification number 676244

Willow Creek Lodge

Tomball, Texas · Medicare and Medicaid · 135 certified beds in Care Compare

Download Willow Creek Lodge’s record (CSV, each figure with its worksheet, line and column)

Willow Creek Lodge: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on June 3, 2025.
  • Net patient revenue rose from $4.9M in fiscal year 2023 to $9.3M in fiscal year 2024.
  • Its result from service to patients: −$956K (2022), −$246K (2023), $166K (2024).
  • Its cost reports on file run from fiscal year 2010 to fiscal year 2024.
  • Its net patient revenue of $9.3M ranks 178th of the 681 nursing facilities in Texas whose latest cost report on file is fiscal year 2024.
  • None of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2024, reports a gain on service to patients.

Willow Creek Lodge: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2024
Form CMS-2540-102024 · report 14267432023 · report 13897512022 · report 13609142021 · report 13312352020 · report 13328952019 · report 13111002018 · report 12594192017 · report 12241422016 · report 11951712015 · report 11568832014 · report 11220692013 · report 10876882012 · report 10419972011 · report 1058352
Period beganJanuary 1, 2024May 1, 2023January 1, 2022January 1, 2021January 1, 2020January 1, 2019January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedDecember 31, 2024December 31, 2023December 31, 2022December 31, 2021September 30, 2020December 31, 2019December 31, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year—244——273—————————
Processed by CMSJune 3, 2025July 19, 2024August 3, 2023September 16, 2022September 19, 2022February 28, 2022July 17, 2020May 10, 2019June 22, 2018May 9, 2017April 20, 2016March 24, 2015July 23, 2013April 18, 2014
Total patient revenue$9,753,163$5,181,597$6,064,956$9,286,081$11,880,343$18,198,863$17,795,034$18,442,887$18,486,201$18,455,652$18,586,571$18,803,470$17,322,976$16,035,169
Contractual allowances and discounts$420,942$282,872$35,047$1,559,070$5,432,938$8,261,059$5,605,748$5,971,213$6,309,124$5,910,658$6,786,278$7,315,046$7,156,792$6,542,354
Net patient revenue$9,332,221$4,898,725$6,029,909$7,727,011$6,447,405$9,937,804$12,189,286$12,471,674$12,177,077$12,544,994$11,800,293$11,488,424$10,166,184$9,492,815
Total operating expenses$9,166,708$5,144,409$6,985,977$6,977,977$7,594,640$11,579,661$12,048,646$12,038,726$11,740,795$11,471,619$10,956,773$10,249,987$9,454,399$8,610,961
Net income from service to patients$165,513−$245,684−$956,068$749,034−$1,147,235−$1,641,857$140,640$432,948$436,282$1,073,375$843,520$1,238,437$711,785$881,854
Total other income$161,777$8,640$75,320−$35$904,442$3,148$2,933−$8,476−$31,960−$11,843$150,641−$8,380$72,198$22,900
Net income after other income$327,290−$237,044−$880,748$748,999−$242,793−$1,638,709$143,573$424,472$404,322$1,061,532$994,161$1,230,057$783,983$904,754
Net income$327,290−$237,044−$880,748$748,999−$242,793−$1,638,709$143,573$424,472$404,322$1,061,532$994,161$1,230,057$783,983$904,754
Total facility beds, all components135135135135135135135135135135135135125125
Bed days available, all components49,410—————————————
Medicare (Title XVIII) patient days2,458—————————————
Medicaid (Title XIX) patient days22,320—————————————
Other-payer patient days6,013—————————————
Total patient days, all components30,79117,38025,14721,82723,65137,92042,20443,37745,16244,49444,65143,99842,43239,919
Medicare discharges32—————————————
Medicaid discharges30—————————————
Other-payer discharges96—————————————
Total discharges, all components158167171134331583598579569567550538499505
Average length of stay, Medicare, in days76.8143.1631.2544.847.6728.8240.9845.7740.2639.8739.0944.0839.9944.64
Average length of stay, Medicaid, in days744151.49467.881,096.57115.95187.5224.45220.79289.55381.48276.38232.6282.05180.75
Average length of stay, all patients, in days194.88104.07147.06162.8971.4565.0470.5874.9279.3778.4781.1881.7885.0379.05

Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Form CMS-2540-96: every report is settled.

Cost reports on form CMS-2540-96, fiscal year 2010
Form CMS-2540-962010 · report 417742
Period beganFebruary 16, 2010
Period endedDecember 31, 2010
Processed by CMSSeptember 14, 2011
Net patient revenue$5,019,790
Total operating expenses$5,238,362
Net income from service to patients−$218,572
Total other income$28,294
Net income−$190,278
Total facility beds, all components125
Total patient days, all components20,491
Total discharges, all components293
Average length of stay, Medicare, in days32.91
Average length of stay, Medicaid, in days212.4
Average length of stay, all patients, in days69.94

Net income, fiscal year 2010. Checked against the form’s own arithmetic: what that check shows.

Willow Creek Lodge: nurse staffing hours by quarter →

Who owns Willow Creek Lodge, as filed with CMS

Care Compare

  • ADP OF THE SNF: CANYONLANDS PEAK HEALTHCARE LLC (organization), since 06/10/2026; ENSIGN SERVICES INC (organization), since 02/11/2026; GREWAL, HERMANJEET (individual), since 05/01/2026; JOHN, BIJU (individual), since 05/01/2026; NORTHPOINTE BLVD HEALTH HOLDINGS LLC (organization), since 05/01/2026; STANDARD BEARER HEALTHCARE OP, LP (organization), since 05/01/2026; THE ENSIGN GROUP INC (organization), since 05/01/2026
  • CORPORATE OFFICER: KEETCH, CHAD (individual), since 03/01/2011; MCGUIRE, WESLEY (individual), since 05/01/2023
  • MANAGING CONTROL - GOVERNING BODY: GREWAL, HERMANJEET (individual), since 05/01/2026; JOHN, BIJU (individual), since 05/01/2026
  • OPERATIONAL/MANAGERIAL CONTROL: BURNAM, SOON (individual), since 05/01/2026; CANYONLANDS PEAK HEALTHCARE LLC (organization), since 05/01/2026; GREWAL, HERMANJEET (individual), since 05/01/2026; JOHN, BIJU (individual), since 05/01/2026

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WEST COKE COUNTY HOSPITAL DISTRICT (enrollment ID O20230624000077).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: WEST COKE COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 05/01/2026
  • ADP OF THE SNF: BIJU JOHN (individual), since 05/01/2026; CANYONLANDS PEAK HEALTHCARE LLC (organization), since 06/10/2026; ENSIGN SERVICES INC (organization), since 02/11/2026; HERMANJEET S GREWAL (individual), since 05/01/2026; NORTHPOINTE BLVD HEALTH HOLDINGS LLC (organization), since 05/01/2026; STANDARD BEARER HEALTHCARE OP, LP (organization), since 05/01/2026; THE ENSIGN GROUP INC (organization), since 05/01/2026; No owner named in the filing (organization), since 05/01/2026
  • CORPORATE OFFICER: CHAD KEETCH (individual), since 03/01/2011; WESLEY MCGUIRE (individual), since 05/01/2023
  • MANAGING CONTROL - GOVERNING BODY: BIJU JOHN (individual), since 05/01/2026; HERMANJEET S GREWAL (individual), since 05/01/2026
  • OPERATIONAL/MANAGERIAL CONTROL: BIJU JOHN (individual), since 05/01/2026; CANYONLANDS PEAK HEALTHCARE LLC (organization), since 05/01/2026; HERMANJEET S GREWAL (individual), since 05/01/2026; SOON BURNAM (individual), since 05/01/2026

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: WEST COKE COUNTY HOSPITAL DISTRICT; CANYONLANDS PEAK HEALTHCARE LLC; ENSIGN SERVICES INC; NORTHPOINTE BLVD HEALTH HOLDINGS LLC; STANDARD BEARER HEALTHCARE OP, LP; THE ENSIGN GROUP INC; No owner named in the filing; CANYONLANDS PEAK HEALTHCARE LLC.

Private equity company, real estate investment trust and holding company: Paused by CMS: BIJU JOHN; HERMANJEET S GREWAL; CHAD KEETCH; WESLEY MCGUIRE; BIJU JOHN; HERMANJEET S GREWAL; BIJU JOHN; HERMANJEET S GREWAL; SOON BURNAM.

Changes in ownership

  • July 1, 2026, enrollment ownership file; no longer listed: a listing under ADP OF THE SNF with no owner named; KILGORE FAMILY TRUST-2012 (ADP OF THE SNF); ARMSTRONG BACKUS & CO LLP (ADP OF THE SNF); 11830NPB, LLC (ADP OF THE SNF); 11830NPB, LLC (5% OR GREATER MORTGAGE INTEREST); DEREK D RANKIN (OPERATIONAL/MANAGERIAL CONTROL); CROSS HEALTHCARE MANAGEMENT, LLC (ADP OF THE SNF); WILLOW CREEK OPCO LLC (OPERATIONAL/MANAGERIAL CONTROL); KTFW-TX LLC (ADP OF THE SNF); KTFW-TX LLC (5% OR GREATER MORTGAGE INTEREST); CHRISTOPHER R LOCKHART (ADP OF THE SNF); CHRISTOPHER R LOCKHART (OPERATIONAL/MANAGERIAL CONTROL); CHRISTOPHER MARTIN (OPERATIONAL/MANAGERIAL CONTROL); listed: SOON BURNAM (OPERATIONAL/MANAGERIAL CONTROL); CANYONLANDS PEAK HEALTHCARE LLC (ADP OF THE SNF); CANYONLANDS PEAK HEALTHCARE LLC (OPERATIONAL/MANAGERIAL CONTROL); NORTHPOINTE BLVD HEALTH HOLDINGS LLC (ADP OF THE SNF); STANDARD BEARER HEALTHCARE OP, LP (ADP OF THE SNF); HERMANJEET S GREWAL (ADP OF THE SNF); HERMANJEET S GREWAL (MANAGING CONTROL - GOVERNING BODY); HERMANJEET S GREWAL (OPERATIONAL/MANAGERIAL CONTROL); a listing under ADP OF THE SNF with no owner named; THE ENSIGN GROUP INC (ADP OF THE SNF); BIJU JOHN (ADP OF THE SNF); BIJU JOHN (MANAGING CONTROL - GOVERNING BODY); BIJU JOHN (OPERATIONAL/MANAGERIAL CONTROL); first listed: CHAD KEETCH (CORPORATE OFFICER), associated since March 1, 2011; ENSIGN SERVICES INC (ADP OF THE SNF), associated since February 11, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • October 1, 2025, enrollment ownership file; no longer listed: DEREK D RANKIN (W-2 MANAGING EMPLOYEE); first listed: a listing under ADP OF THE SNF with no owner named, associated since May 1, 2023; KILGORE FAMILY TRUST-2012 (ADP OF THE SNF), associated since May 1, 2023; ARMSTRONG BACKUS & CO LLP (ADP OF THE SNF), associated since May 1, 2023; 11830NPB, LLC (ADP OF THE SNF), associated since May 1, 2023; 11830NPB, LLC (5% OR GREATER MORTGAGE INTEREST), associated since May 1, 2023; DEREK D RANKIN (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; CROSS HEALTHCARE MANAGEMENT, LLC (ADP OF THE SNF), associated since June 1, 2023; KTFW-TX LLC (ADP OF THE SNF), associated since May 1, 2023; KTFW-TX LLC (5% OR GREATER MORTGAGE INTEREST), associated since May 1, 2023; CHRISTOPHER R LOCKHART (ADP OF THE SNF), associated since May 1, 2023; CHRISTOPHER R LOCKHART (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; CHRISTOPHER MARTIN (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
  • March 1, 2024, enrollment ownership file; no longer listed: DARLENE INVESTMENT GROUP - TOMBALL INC. (OPERATIONAL/MANAGERIAL CONTROL); TROY CLANTON (OPERATIONAL/MANAGERIAL CONTROL); first listed: DEREK D RANKIN (W-2 MANAGING EMPLOYEE), associated since December 28, 2023; WILLOW CREEK OPCO LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-03-01.csv
  • December 1, 2023, enrollment ownership file; no longer listed: BRIAN L MARTIN (W-2 MANAGING EMPLOYEE); DARLENE INVESTMENT GROUP I, INC (5% OR GREATER DIRECT OWNERSHIP INTEREST); TROY CLANTON (OFFICER); TROY CLANTON (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SOUTH STAR SENIOR LIVING, INC. (OPERATIONAL/MANAGERIAL CONTROL); DARLENE INVESTMENT GROUP, INC. (5% OR GREATER INDIRECT OWNERSHIP INTEREST); first listed: DARLENE INVESTMENT GROUP - TOMBALL INC. (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; TROY CLANTON (OPERATIONAL/MANAGERIAL CONTROL), associated since May 1, 2023; WESLEY MCGUIRE (OFFICER), associated since May 1, 2023; WEST COKE COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-12-01.csv

Inspections of Willow Creek Lodge

  • Cycle 1: health July 17, 2025 (11 deficiencies), fire safety July 17, 2025 (5)
  • Cycle 2: health June 13, 2024 (4 deficiencies), fire safety June 13, 2024 (3)
  • Cycle 3: health March 24, 2023 (6 deficiencies), fire safety March 24, 2023 (2)

Deficiencies cited at Willow Creek Lodge

23 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0732, nursing and physician services: November 19, 2025 (C, from a complaint, corrected November 20, 2025).
  • F 0550, resident rights: July 17, 2025 (D, corrected August 29, 2025).
  • F 0580, resident rights: July 17, 2025 (D, corrected August 29, 2025).
  • F 0641, resident assessment and care planning: July 17, 2025 (E, corrected August 29, 2025).
  • F 0645, resident assessment and care planning: July 17, 2025 (D, corrected August 29, 2025).
  • F 0655, resident assessment and care planning: July 17, 2025 (D, corrected August 29, 2025).
  • F 0656, resident assessment and care planning: July 17, 2025 (E, corrected August 29, 2025); July 2, 2025 (E, from a complaint, corrected July 25, 2025); June 13, 2024 (D, corrected June 20, 2024).
  • F 0684, quality of life and care: July 17, 2025 (D, corrected August 29, 2025).
  • F 0693, quality of life and care: July 17, 2025 (D, corrected August 29, 2025).
  • F 0742, quality of life and care: July 17, 2025 (D, corrected August 29, 2025).
  • F 0880, infection control: July 17, 2025 (D, corrected August 29, 2025).
  • F 0710, nursing and physician services: June 13, 2024 (D, corrected June 20, 2024).
  • F 0812, nutrition and dietary: June 13, 2024 (F, corrected June 20, 2024).
  • F 0622, resident rights: September 20, 2023 (D, from a complaint, corrected October 16, 2023).
  • F 0755, pharmacy service: September 20, 2023 (D, from a complaint, corrected October 16, 2023).
  • F 0582, resident rights: March 24, 2023 (D, corrected April 10, 2023).
  • F 0607, freedom from abuse, neglect, and exploitation: March 24, 2023 (E, corrected April 5, 2023).
  • F 0689, quality of life and care: March 24, 2023 (D, corrected March 25, 2023).
  • F 0692, quality of life and care: March 24, 2023 (D, corrected March 25, 2023).
  • F 0759, pharmacy service: March 24, 2023 (D, corrected March 25, 2023).
  • F 0922, environmental: March 24, 2023 (F, corrected April 17, 2023).

Willow Creek Lodge in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: WEST COKE COUNTY HOSPITAL DISTRICT
  • Date First Approved to Provide Medicare and Medicaid Services: 2010-02-16
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Harris
  • Telephone Number: 2812059400
  • Chain Name: CROSS HEALTHCARE MANAGEMENT
  • Chain ID: 751
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 83.9
  • Overall Rating: 3
  • Health Inspection Rating: 4
  • QM Rating: 3
  • Long-Stay QM Rating: 5
  • Short-Stay QM Rating: 1

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for Willow Creek Lodge: no penalty in Care Compare.

Other nursing facilities in Tomball and Texas

Report a figure on Willow Creek Lodge’s record that differs from its CMS file, quoting 676244.