nursing home in Houston, TX
Champions Healthcare at Willowbrook
13500 Breton Ridge, Houston, TX 77070 · (281) 807-4744
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Champions Healthcare at Willowbrook at a glance
Champions Healthcare at Willowbrook is a 98-bed for-profit nursing home in Houston, Texas (Harris County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.5 hours of nursing care per day (0.8 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (April 23, 2026) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $44,335.
Nursing staff turnover is 51.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 98
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- The Ensign Group
- Medicare-certified since
- September 15, 2009
- Resident/family council
- Resident
- County
- Harris County
- CMS Certification Number
- 676236
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.52 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.79 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.82 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.02 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.9% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 118.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $44,335 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 98 | 113 | 107 | |
| Average residents per day | 83 | 76 | 86 | |
| Occupancy | 84.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.7% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 14.8% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.1% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 18.1% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5% | 3% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 1% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.3% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.6% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.8% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 75.2% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 19 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 28, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| April 23, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 18, 2026 |
| April 23, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected April 28, 2026 |
| April 23, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 14, 2026 |
| April 23, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | G Actual harm, isolated | Corrected April 28, 2026 |
| April 23, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected April 28, 2026 |
| April 23, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 28, 2026 |
| April 23, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 28, 2026 |
| April 23, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 28, 2026 |
| April 23, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 28, 2026 |
| April 23, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 28, 2026 |
| March 17, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 15, 2026 |
| December 9, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 10, 2025 |
| December 9, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 10, 2025 |
| December 9, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 10, 2025 |
| February 25, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | F Potential harm, widespread | Corrected February 21, 2025 |
| February 25, 2025 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | L Immediate jeopardy, widespread | Corrected March 20, 2025 |
| August 14, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 16, 2024 |
| January 12, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected January 12, 2024 |
| January 12, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected January 16, 2024 |
| January 12, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 12, 2024 |
| January 12, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 12, 2024 |
| January 12, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected January 16, 2024 |
| January 12, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected January 12, 2024 |
| January 12, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected January 16, 2024 |
| January 12, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 15, 2024 |
| January 12, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected January 16, 2024 |
| January 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 15, 2024 |
| January 12, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected January 15, 2024 |
| January 12, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 15, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $44,335 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 23, 2026 | Fine | $13,065 |
| February 14, 2025 | Fine | $31,270 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| OAKBEND MEDICAL CENTER Organization | 5% or greater direct ownership interest | 100% | 11/01/2023 |
| AGANA, BENJAMIN Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| EAPEN, SHEILA Individual | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| ENSIGN SERVICES INC Organization | adp of the snf | NOT APPLICABLE | 08/21/2023 |
| HOLMAN HEALTH HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| MARSHALL LAKE HEALTHCARE LLC Organization | adp of the snf | NOT APPLICABLE | 10/17/2025 |
| STANDARD BEARER HEALTHCARE OP, LP Organization | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| THE ENSIGN GROUP INC Organization | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| BURNAM, SOON Individual | corporate officer | NOT APPLICABLE | 11/01/2023 |
| FREUDENBERGER, JOSEPH Individual | corporate officer | NOT APPLICABLE | 11/01/2023 |
| KEETCH, CHAD Individual | corporate officer | NOT APPLICABLE | 03/01/2011 |
| AGANA, BENJAMIN Individual | managing control - governing body | NOT APPLICABLE | 03/01/2025 |
| EAPEN, SHEILA Individual | managing control - governing body | NOT APPLICABLE | 11/01/2023 |
| AGANA, BENJAMIN Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| EAPEN, SHEILA Individual | operational/managerial control | NOT APPLICABLE | 11/01/2023 |
| MARSHALL LAKE HEALTHCARE LLC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2023 |
Other nursing homes near Champions Healthcare at Willowbrook
Misty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr, Houston, TX 77070 · under 1 mi
For-profit · 124 beds · Part of The Ensign Group
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageNorth Houston Transitional Care
9814 Grant Rd, Houston, TX 77070 · 1.3 mi
For-profit · 70 beds · Part of Pacs Group
★★★★★3AveragePark Manor of Cyfair
11001 Crescent Moon Dr, Houston, TX 77064 · 3.8 mi
For-profit · 120 beds · Part of Hmg Healthcare
★★★★★5Much above averageFallbrook Rehabilitation and Care Center
10851 Crescent Moon Dr., Houston, TX 77064 · 3.8 mi
For-profit · 202 beds
- Special Focus candidate
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation Center -
8902 West Rd, Houston, TX 77064 · 4.6 mi
For-profit · 125 beds · Part of The Ensign Group
★★★★★2Below averageVilla Toscana at Cypress Woods
15015 Cypress Woods Medical Dr, Houston, TX 77014 · 5 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is Champions Healthcare at Willowbrook's rating?
Champions Healthcare at Willowbrook has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Champions Healthcare at Willowbrook receive?
Its most recent standard health inspection found 12 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Champions Healthcare at Willowbrook accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Champions Healthcare at Willowbrook?
It is for profit - individual and part of The Ensign Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Champions Healthcare at Willowbrook and how do I contact it?
Champions Healthcare at Willowbrook is at 13500 Breton Ridge, Houston, TX 77070. Phone: (281) 807-4744.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.