Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

November 20, 2025 Complaint Investigation

Fines and Penalties by Year

2022 3 penalties totaling $183,829

$23,989
Aug 5, 2022

Fine

$159,840
Jun 16, 2022

Fine

$0
Jun 16, 2022

Payment Denial

2021 3 penalties totaling $18,408

$9,750
Nov 3, 2021

Fine

$8,658
May 7, 2021

Fine

$0
May 7, 2021

Payment Denial

2018 1 penalties totaling $7,803

$7,803
Jul 6, 2018

Fine

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Health Violations by Year

2024 1 violations

Tag 0684 G Apr 19, 2024

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

✓ Corrected: May 9, 2024

2023 11 violations

Tag 0580 D Oct 2, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0655 D Oct 2, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0656 E Oct 2, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0697 J Oct 2, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0755 J Oct 2, 2023

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

✓ Corrected: Oct 3, 2023
Tag 0759 E Oct 2, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Oct 3, 2023
Tag 0761 E Oct 2, 2023

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.

✓ Corrected: Oct 3, 2023
Tag 0880 D Oct 2, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 3, 2023
Tag 0572 D Jun 21, 2023

Give residents a notice of rights, rules, services and charges.

✓ Corrected: Jul 20, 2023
Tag 0578 D Jun 21, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Jul 20, 2023
Tag 0755 D May 24, 2023

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

✓ Corrected: Jun 17, 2023

2022 17 violations

Tag 0677 D Aug 23, 2022

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

✓ Corrected: Aug 24, 2022
Tag 0607 D Aug 5, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 6, 2022
Tag 0609 C Aug 5, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 6, 2022
Tag 0645 D Aug 5, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Aug 6, 2022
Tag 0656 D Aug 5, 2022

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

✓ Corrected: Aug 6, 2022
Tag 0755 D Aug 5, 2022

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

✓ Corrected: Aug 6, 2022
Tag 0812 F Aug 5, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Aug 6, 2022
Tag 0813 E Aug 5, 2022

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

✓ Corrected: Aug 6, 2022
Tag 0554 D Jun 16, 2022

Allow residents to self-administer drugs if determined clinically appropriate.

✓ Corrected: Jun 17, 2022
Tag 0606 D Jun 16, 2022

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

✓ Corrected: Jun 17, 2022
Tag 0609 D Jun 16, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jun 17, 2022
Tag 0610 E Jun 16, 2022

Respond appropriately to all alleged violations.

✓ Corrected: Jul 13, 2022
Tag 0677 G Jun 16, 2022

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

✓ Corrected: Aug 1, 2022
Tag 0684 G Jun 16, 2022

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

✓ Corrected: Jun 17, 2022
Tag 0690 E Jun 16, 2022

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

✓ Corrected: Aug 1, 2022
Tag 0777 G Jun 16, 2022

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Jun 17, 2022
Tag 0880 G Jun 16, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 1, 2022

2021 13 violations

Tag 0656 D Nov 3, 2021

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

✓ Corrected: Dec 1, 2021
Tag 0732 B Nov 3, 2021

Post nurse staffing information every day.

✓ Corrected: Dec 1, 2021
Tag 0842 D Nov 3, 2021

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

✓ Corrected: Dec 1, 2021
Tag 0880 E Nov 3, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 1, 2021
Tag 0657 D Sep 10, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Oct 14, 2021
Tag 0880 E Sep 5, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 4, 2021
Tag 0655 D May 7, 2021

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

✓ Corrected: May 14, 2021
Tag 0656 E May 7, 2021

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

✓ Corrected: May 14, 2021
Tag 0684 G May 7, 2021

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

✓ Corrected: Jun 28, 2021
Tag 0761 F May 7, 2021

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.

✓ Corrected: May 14, 2021
Tag 0812 F May 7, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 14, 2021
Tag 0689 D Feb 25, 2021

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

✓ Corrected: Mar 25, 2021
Tag 0695 D Feb 25, 2021

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 25, 2021

2020 1 violations

Tag 0773 D Nov 17, 2020

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Nov 18, 2020

2019 9 violations

Tag 0609 D Jul 12, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Jul 29, 2019
Tag 0641 D Jul 12, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Jul 29, 2019
Tag 0684 D Jul 12, 2019

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

✓ Corrected: Jul 29, 2019
Tag 0689 D Jul 12, 2019

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

✓ Corrected: Jul 29, 2019
Tag 0880 E Jul 12, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 19, 2019
Tag 0609 D Apr 5, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 10, 2019
Tag 0755 E Apr 5, 2019

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

✓ Corrected: May 10, 2019
Tag 0658 D Jan 16, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jan 25, 2019
Tag 0880 D Jan 16, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 25, 2019

2018 16 violations

Tag 0583 D Dec 21, 2018

Keep residents' personal and medical records private and confidential.

✓ Corrected: Dec 22, 2018
Tag 0557 E Nov 9, 2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Dec 10, 2018
Tag 0677 E Nov 9, 2018

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

✓ Corrected: Dec 10, 2018
Tag 0690 G Nov 9, 2018

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

✓ Corrected: Dec 10, 2018
Tag 0693 D Nov 9, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Dec 10, 2018
Tag 0697 G Nov 9, 2018

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

✓ Corrected: Dec 10, 2018
Tag 0725 E Nov 9, 2018

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

✓ Corrected: Dec 10, 2018
Tag 0880 E Nov 9, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 10, 2018
Tag 0550 D Aug 17, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Aug 31, 2018
Tag 0656 D Aug 17, 2018

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

✓ Corrected: Aug 31, 2018
Tag 0675 D Aug 17, 2018

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Aug 31, 2018
Tag 0761 E Aug 17, 2018

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.

✓ Corrected: Aug 31, 2018
Tag 0600 G Jul 19, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 3, 2018
Tag 0609 D Jul 19, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Aug 3, 2018
Tag 0760 G Jul 19, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 3, 2018
Tag 0580 D Jul 6, 2018

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

✓ Corrected: Jul 13, 2018

2017 3 violations

Tag 0880 E Dec 12, 2017

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 15, 2017
Tag 0329 E Jun 29, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Jul 21, 2017
Tag 0425 F Jun 29, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Jul 21, 2017
🏥 Facility Summary

The Broadmoor at Creekside Park is a 3-star nursing home in The Woodlands, TX with 112 beds.

Most recent inspection: Data not available. No current violations on record.

📞 2812558180
📍 5665 Creekside Forest Drive, The Woodlands, TX
💵 Accepts Medicare and Medicaid
Data source: Centers for Medicare & Medicaid Services (CMS). Facility information updated daily. Star ratings range from 1 (much below average) to 5 (much above average).

Frequently Asked Questions About The Broadmoor at Creekside Park

What violations has The Broadmoor at Creekside Park received?
The Broadmoor at Creekside Park has 0 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of The Broadmoor at Creekside Park?
The Broadmoor at Creekside Park has a 3-star rating out of 5 from CMS. This is an average rating, meeting basic quality standards. The rating is based on health inspections, staffing levels, and quality measures.
When was The Broadmoor at Creekside Park last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is The Broadmoor at Creekside Park safe?
Safety at The Broadmoor at Creekside Park should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact The Broadmoor at Creekside Park?
Phone: 2812558180. Address: 5665 Creekside Forest Drive, The Woodlands, TX. For visiting hours and admission information, call the facility directly.
What services does The Broadmoor at Creekside Park offer?
The Broadmoor at Creekside Park is a skilled nursing facility with 112 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near The Woodlands, TX?
Compare The Broadmoor at Creekside Park with other nursing homes in The Woodlands, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.