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Nursing homesTexas › Champions Healthcare at Willowbrook

Champions Healthcare at Willowbrook

13500 Breton Ridge, Houston, TX 77070 · 2818074744 · 98 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★☆☆ 3/5
Quality measures★★★☆☆ 3/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 346 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 9 facilities on the Special Focus list, $7,179,329 in federal fines. This facility rates below its group average (3.2/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.52 (Texas median: 3.27). RN hours: 0.79. Weekend total: 3.02. Nursing staff turnover: 52%.

Inspection deficiencies

All-time on record: 19 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-23Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2026-04-28
2026-04-23Provide care and assistance to perform activities of daily living for any resident who is unable. GHealthcorrected 2026-04-28
2026-04-23Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2026-04-28
2026-04-23Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2026-04-28
2026-04-23Ensure 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. DHealthcorrected 2026-04-28
2026-04-23Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. DHealthcorrected 2026-04-28
2026-04-23Provide and implement an infection prevention and control program. DHealthcorrected 2026-04-28
2026-03-17Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Ecomplaintcorrected 2026-04-15
2025-12-09Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2025-12-10
2025-12-09Provide and implement an infection prevention and control program. Ecomplaintcorrected 2025-12-10
2025-12-09Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Dcomplaintcorrected 2025-12-10
2025-02-25Honor 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. Lcomplaintcorrected 2025-03-20
2024-08-14Provide appropriate pressure ulcer care and prevent new ulcers from developing. Dcomplaintcorrected 2024-08-16
2024-01-12Provide activities to meet all resident's needs. EHealthcorrected 2024-01-16
2024-01-12Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2024-01-15
2024-01-12Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-01-15
2024-01-12Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2024-01-15
2024-01-12Ensure 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. DHealthcorrected 2024-01-15
2023-07-17Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Ecomplaintcorrected 2023-08-11

Federal penalties

DateTypeAmount
2026-04-23Fine$13,065
2025-02-14Fine$31,270

Ownership & control records (CMS filings)

NameRoleType%Since
OAKBEND MEDICAL CENTER5% Or Greater Direct Ownership InterestOrganization100%since 11/01/2023
AGANA, BENJAMINManaging Control - Governing BodyIndividualNOT APPLICABLEsince 03/01/2025
EAPEN, SHEILAManaging Control - Governing BodyIndividualNOT APPLICABLEsince 11/01/2023
BURNAM, SOONCorporate OfficerIndividualNOT APPLICABLEsince 11/01/2023
FREUDENBERGER, JOSEPHCorporate OfficerIndividualNOT APPLICABLEsince 11/01/2023
KEETCH, CHADCorporate OfficerIndividualNOT APPLICABLEsince 03/01/2011
MARSHALL LAKE HEALTHCARE LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 11/01/2023
AGANA, BENJAMINOperational/Managerial ControlIndividualNOT APPLICABLEsince 03/01/2025
EAPEN, SHEILAOperational/Managerial ControlIndividualNOT APPLICABLEsince 11/01/2023

Compare nearby (Harris County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676236. Corrections: data@carerecords.org.