Starfile

Starfile / Texas

CHAMPIONS HEALTHCARE AT WILLOWBROOK

13500 BRETON RIDGE, HOUSTON, TX 77070 · CCN 676236

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
98
Avg residents/day
83.9
Phone
2818074744

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-02-2549.19.5-5.1 better
22024-01-1269.49.8-3.4 better
32022-12-0158.19.3-3.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Resident rights2
Nutrition and dietary1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4260.0%
RN staffing (reported)0.5366.7%
Total nurse staffing (adjusted)3.55

Fines & penalties

Total fines
$31,270
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (15)1 immediate jeopardy

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-09 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  2. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-09 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  3. EF0880Provide and implement an infection prevention and control program.2025-12-09 · Health · corrected 2025-12-10

    Potential for more than minimal harm

  4. LF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-02-25 · Health · corrected 2025-03-20

    Immediate jeopardy

  5. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-14 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  6. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-12 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  7. EF0679Provide activities to meet all resident's needs.2024-01-12 · Health · corrected 2024-01-16

    Potential for more than minimal harm

  8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-12 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  9. DF0761Ensure 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.2024-01-12 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  10. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-12 · Health · corrected 2024-01-15

    Potential for more than minimal harm

  11. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-17 · Health · corrected 2023-08-11

    Potential for more than minimal harm

  12. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2022-12-01 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  13. DF0641Ensure each resident receives an accurate assessment.2022-12-01 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  14. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-12-01 · Health · corrected 2022-12-16

    Potential for more than minimal harm

  15. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-01 · Health · corrected 2022-12-16

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
OAKBEND MEDICAL CENTEROrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-11-01
MARSHALL LAKE HEALTHCARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2023-11-01
AGANA, BENJAMINIndividualOPERATIONAL/MANAGERIAL CONTROL2025-03-01
EAPEN, SHEILAIndividualOPERATIONAL/MANAGERIAL CONTROL2023-11-01
BURNAM, SOONIndividualCORPORATE OFFICER2023-11-01
FREUDENBERGER, JOSEPHIndividualCORPORATE OFFICER2023-11-01
KEETCH, CHADIndividualCORPORATE OFFICER2011-03-01

Other facilities in HOUSTON

NameOverallBeds
THE HALLMARK★★★★★32
THE METHODIST HOSPITAL SNF★★★★★25
PARK MANOR OF CYFAIR★★★★★120
BAYOU MANOR★★★★★37
HOUSTON TRANSITIONAL CARE★★★★★70

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.