D

The Broadmoor at Creekside Park

5665 Creekside Forest Drive, The Woodlands, TX 77389
Score: 51 / 100

The Broadmoor At Creekside Park faces challenges in its CMS ratings, earning a D grade with a score of 51/100. The facility ranks in the 56th percentile among Texas nursing homes, suggesting significant room for improvement.

Staffing at The Broadmoor At Creekside Park is near the national average, with 3.54 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 31 deficiencies at The Broadmoor At Creekside Park, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public..

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.54 3.8 Average
Registered Nurses (RN) 0.58 0.7 Below Average
Licensed Practical Nurses (LPN) 0.94 0.7 Above Average
Certified Nursing Assistants (CNA) 2.03 2.4 Below Average
Weekend Total Nursing 3.19 3.8 Below Average
Weekend RN Hours 0.39 0.7 Below Average

🔍 Inspection & Deficiency History

31
Total Deficiencies
Dec 11, 2025
Most Recent Inspection
🟠 29 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0921 Severity E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Dec 11, 2025 · Environmental Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Nov 19, 2025 · Quality of Life and Care Deficiencies
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Dec 16, 2024 · Quality of Life and Care Deficiencies
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Dec 16, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0690 Severity D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Dec 16, 2024 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.6% 4.5% Worse
Falls with major injury 2.2% 3.0% Better
On antipsychotic medication 6.9% 14.5% Better
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 9.9% 14.0% Better
Excessive weight loss 4.8% 7.5% Better
New/worsened incontinence 11.5% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $36,472

How This Grade Was Calculated

This facility's grade of D is based on a score of 51 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
112
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 16, 2024
Deficiencies (Cycle 1)
9