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Nursing HomeMedicaid Investigative

The Broadmoor at Creekside Park

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5665 Creekside Forest Drive, Creekside Park · The Woodlands, TX 77389112 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 314 Google reviews

5
4
3
2
1
The Broadmoor at Creekside Park Nursing Home in The Woodlands, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High staff turnover (67%)
  • High RN turnover (61%)

Above average in Texas · Below recommended RN staffing · Above average staffing · $36,472 in fines

Source: Medicare data

What this means for your family

This facility offers an excellent physical therapy program and highly skilled individual nurses like Rhonda Johnson. However, families must be extremely vigilant regarding hygiene and medication, as multiple recent reviews highlight dangerous patterns of neglect and understaffing during shifts.

Google Reviews

Google Reviews

314 reviews on Google
Families considering The Broadmoor at Creekside Park will find a facility with an exceptional physical therapy department and highly praised individual nurses like Rhonda Johnson. However, there are serious, recurring reports of neglect regarding hygiene, medication errors, and significant understaffing that can lead to residents being left in soiled linens for long periods.

Quality Themes

Tap a score for details
Food6.0Staff4.0Clean7.0ActivitiesN/AMeds2.0MemoryN/AComms5.0Value3.0

Strengths

  • Exceptional physical therapy and rehab team
  • Highly praised nursing leadership (specifically Rhonda Johnson)
  • Beautiful, clean, and modern facility
  • Friendly and welcoming administrative staff

Concerns

  • Understaffing leading to delayed response times for basic needs (mentioned by 5 reviewers)
  • Neglect regarding hygiene and soiled linens (mentioned by 4 reviewers)
  • Medication errors and delays in administration (mentioned by 3 reviewers)
  • Inadequate assistance with feeding/nutrition (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.52023(46)4.22024(86)4.62025(55)1.92026(20)

Distribution · 207 analyzed

5
154
4
5
3
6
2
6
1
36
38 reviews posted between Jul 18, 2024Jul 19, 2024 · 37 were 5-star
33 reviews posted between Feb 14, 2025Feb 14, 2025 · 33 were 5-star
24 reviews posted between Jul 27, 2023Jul 28, 2023 · 23 were 5-star

How They Respond to Reviews

97%response rate
Generic

The owner relies almost exclusively on a small set of canned templates. Positive reviews receive standardized pleasantries, while negative reviews are met with a repetitive request to email a corporate address.

Questions for Your Tour

  • 1We've heard wonderful things about the nursing leadership here, specifically Rhonda Johnson; how does her leadership style impact the day-to-day care of the residents?
  • 2With the modern and clean facility you have here, what specific protocols are in place to ensure linens and personal hygiene are managed consistently for every resident?
  • 3Since we know the physical therapy and rehab team is a major strength of yours, how would you describe the personalized approach they take with residents during recovery?
  • 4How does the nursing team manage medication administration schedules to ensure there are no delays or errors during busy shifts?
  • 5What is the process for ensuring residents receive timely assistance with meals and nutrition, especially during peak dining hours?
  • 6In the event of a medical emergency after hours, what is the immediate protocol for contacting physicians and notifying the family?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy department was absolutely wonderful. I made great progress with their help towards being able to care for myself when I get home.

Rehab patient · 2026★★★★★

Rhonda Johnson has brought me & my family peace knowing my grandmother is in great hands. She has been amazing and we trust her.

Memory care family member · 2023★★★★★

My father was left in soiled diapers for long periods, and over his entire stay, he only received one shower—despite the policy of two showers per week.

Long-term resident's family · 2025☆☆☆☆
Source: 314 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
61%
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
15.4%
TX
9.4%
Harris
8.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
TX
18.4%
Harris
14.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
19.4%
TX
14.2%
Harris
12.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.6%
Mixed vs Avgs
Here
5.6%
US
12.1%
TX
2.5%
Harris
0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
14.4%
TX
16.1%
Harris
12.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
TX
96.9%
Harris
95.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.9%
Better than Avg
Here
94.9%
US
79.7%
TX
88.0%
Harris
86.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
81.8%
TX
89.2%
Harris
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
TX
1.5%
Harris
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (9.1)
28 complaint-triggered
$36,472 in fines

This facility has a concerning pattern with nearly half of its 38 deficiencies triggered by family complaints. The most recurring problems involve medication management, care planning, and basic resident care services. While most issues show correction dates, the facility continues experiencing similar deficiencies across multiple years, and one recent care deficiency remains uncorrected, suggesting ongoing quality concerns that families should investigate carefully during visits.

Mar 13, 2026Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Mar 13, 2026Routine
8
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0814Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Dec 12, 2025Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Nov 20, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 17, 2024Routine
20
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0691Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0691Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Dec 12, 2024Complaint
4
0677Potential for harm · PatternResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternResolved (past non-compliance)

Nursing and Physician Services Deficiencies

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

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 13, 2026

$15,940

Fine

Oct 2, 2023

$36,472

Ownership & Operations

Who Operates This Facility

Owner / Operator

Sweeny Hospital District

Organization Type

for profit

Management Company

BROADMOOR CONTINUING CARE CENTER LTD CO

Administrator

ANGELA M MCARTHUR

Chain Affiliation

Chain Name

Cantex Continuing Care

Chain Size

38 facilities nationwide

Chain avg rating: 3.2/5 · Rank 23 of 37

Ownership & Management

Owners

Sweeny Hospital District

Owner · Organization

100%

Key personnel

Park, KellyOfficer / DirectorMcarthur, AngelaManagerMcarthur, AngelaAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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