Deficiency Index

Creekside Village

Richwood, Texas · CCN 676304

25 surveys since 2011. The first finding at harm level was recorded in 2020.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
84
Surveys
25
Harm or worse
1
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file19/25

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
119
Ownership
For profit - Partnership
Chain
GULF COAST LTC PARTNERS
County
Brazoria
Medicare-certified since
2011

CMS ratings

Overall
4
Health inspection
5
Staffing
3
Quality measures
1

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Apr 10, 2026

213 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.513.25
Registered-nurse hours per resident day0.39—
Annual nurse turnover57.4%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1090.9%E19.1%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 84 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6402×

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

  • F6552×

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

  • F5521×

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • F5801×

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

  • F5831×

    Keep residents' personal and medical records private and confidential.

In the surveyor’s words

From the most serious findings on record at Creekside Village, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF552Apr 24, 2024

    Based on interview, and record review, the facility failed to inform residents in advance of the risks and benefits of proposed care and treatment for 1 of 5 resident (Resident #257) reviewed for resident rights, in that: The facility failed to obtain a signed consent for antipsychotic medication, Buspirone HCI 10MG, Klonopin 0.5 MG, Olanzapine 5 MG and Veriafaxine HCI ER 75 MG that was administered to Resident #257. The failure could affect residents who received psychoactive medications without informed consents and placed them at risk of receiving treatments without informed consent. […]

  • No harm, potential for more than minimal, patternF620Jan 14, 2023

    Based on interview and record review the facility failed to implement the admission policy to ensure resident personal property was accounted for upon admission for 3 of 4 residents reviewed for personal inventory list. (Residents #1, #2, and #3) -The facility did not have an inventory of personal property list for Residents #1, #2, and #3. This failure could place residents at risk of not having personal property replaced in the event of damage or loss. Findings included: 1. Review of the face sheet dated 01/14/23 indicated Resident #1 was a [AGE] year-old female admitted on [DATE]. […]

  • No harm, potential for more than minimal, patternF655Jan 14, 2023

    Based on interview and record review the facility failed to complete a baseline care plan for 2 of 4 residents reviewed for baseline care plans. (Residents #1 and #2) -The facility had an incomplete Baseline Care Plan for Residents #1 and #2. This failure could place residents at risk of not having their care needs met. Findings included: 1. Review of the face sheet dated 01/14/23 indicated Resident #1 was a [AGE] year-old female admitted on [DATE]. Her diagnoses included heart attack, mental disorder characterized by a disconnection from reality, and a group of thinking and social symptoms that interferes with daily functioning. […]

  • No harm, potential for more than minimal, patternF842Jan 14, 2023

    Based on interview and record review the facility failed to, in accordance with accepted professional standards and practices, maintain medical records on each resident that were complete and accurately documented for 4 of 4 residents reviewed for clinical records. (Residents #1, #2, #3, and #4) -The facility failed to document Residents #1, #2, #3, and #4's meal intakes. This failure could place residents at risk for incomplete information in their clinical records. Findings include: 1. Review of the face sheet dated 01/14/23 indicated Resident #1 was a [AGE] year-old female admitted on [DATE]. […]

  • No harm, potential for more than minimal, patternF755Jul 22, 2022

    Based on observation, interview, and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate administering of all drugs and biologicals) to meet the needs of each resident for 1 of 7 residents (Resident #1) reviewed for pharmacy services. Medication Aide A, who was not a certified medication aide, was allowed to pass medication to facility residents independently. Medication Aide A failed to adequately review Resident #1's MAR (Medication Administration Record) and administered double the prescribed dose of antibiotic medication for four days (07/08/2022, 07/09/2022, 07/10/2022, 07/13/2022). […]

Read 20 findings in full →The most serious and the most recent: 20 of 84 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 10, 2026Complaint1 finding
  • Dec 1, 2025Complaint3 findings
  • Jun 19, 2025Standard1 finding
  • Apr 24, 2024Standard3 findings
  • Oct 25, 2023Complaint1 finding
  • Feb 24, 2023Standard2 findings
  • Jan 14, 2023Complaint3 findings
  • Jul 22, 2022Complaint1 finding
Show the 17 earlier surveys
  • Aug 14, 2020Infection control1 finding · 1 harm
  • Feb 5, 2020Complaint1 finding
  • Nov 21, 2019Standard6 findings
  • Feb 8, 2019Complaint2 findings
  • Nov 16, 2018Standard1 finding
  • Jun 12, 2018Complaint1 finding
  • Nov 16, 2017Standard8 findings
  • Jun 5, 2017Complaint2 findings
  • Dec 15, 2016Standard5 findings
  • Oct 8, 2016Complaint1 finding
  • Dec 10, 2015Standard10 findings
  • Aug 18, 2015Complaint1 finding
  • Dec 11, 2014Standard and complaint4 findings
  • Dec 19, 2013—9 findings
  • Apr 1, 2013—2 findings
  • Dec 13, 2012—4 findings
  • Dec 9, 2011—11 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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