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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-25 | 4 | 9.1 | 9.5 | -5.1 better |
| 2 | 2024-01-12 | 6 | 9.4 | 9.8 | -3.4 better |
| 3 | 2022-12-01 | 5 | 8.1 | 9.3 | -3.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.42 | 60.0% |
| RN staffing (reported) | 0.53 | 66.7% |
| 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2025-12-09 · Health · corrected 2025-12-10
Potential for more than minimal harm
- 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
- 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
- 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
- EF0679Provide activities to meet all resident's needs.2024-01-12 · Health · corrected 2024-01-16
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2022-12-01 · Health · corrected 2022-12-16
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-12-01 · Health · corrected 2022-12-16
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-11-01 |
| MARSHALL LAKE HEALTHCARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-01 |
| AGANA, BENJAMIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-03-01 |
| EAPEN, SHEILA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-11-01 |
| BURNAM, SOON | Individual | CORPORATE OFFICER | — | 2023-11-01 |
| FREUDENBERGER, JOSEPH | Individual | CORPORATE OFFICER | — | 2023-11-01 |
| KEETCH, CHAD | Individual | CORPORATE OFFICER | — | 2011-03-01 |
Other facilities in HOUSTON
| Name | Overall | Beds |
|---|---|---|
| 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.