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Champions Healthcare at Willowbrook

13500 Breton Ridge, Houston, TX 77070 · (281) 807-4744 · 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.

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Same-type reference in TX

CMS overall star rating: this provider 2/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Champions Healthcare at Willowbrook

  • The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
  • The published staff-turnover figure is 51.9%. Ask which reporting period it covers and how the current staffing team compares.
  • Ask who is responsible for care decisions locally and at THE ENSIGN GROUP. A shared affiliation does not establish identical care at every location.
  • Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with The Ensign Group, a group operating 342 facilities in 17 states. Group record: average rating 3.2/5, 33 abuse citation icons, 6 facilities on the Special Focus list, $7,057,363 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

In the downloaded CMS dataset: 18 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent 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

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

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How to cite this page: CareRecords, “Champions Healthcare at Willowbrook — compliance, penalty and ownership record” (CCN 676236), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/champions-healthcare-at-willowbrook-houston-tx/

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