Nursing homes › Texas › Champions Healthcare at Willowbrook
13500 Breton Ridge, Houston, TX 77070 · 2818074744 · 98 certified beds
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).
Total nurse staffing: 3.52 (Texas median: 3.27). RN hours: 0.79. Weekend total: 3.02. Nursing staff turnover: 52%.
All-time on record: 19 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2026-04-28 |
| 2026-04-23 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | Health | corrected 2026-04-28 |
| 2026-04-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-04-28 |
| 2026-04-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2026-04-28 |
| 2026-04-23 | 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. | D | Health | corrected 2026-04-28 |
| 2026-04-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-04-28 |
| 2026-04-23 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-04-28 |
| 2026-03-17 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2026-04-15 |
| 2025-12-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2025-12-10 |
| 2025-12-09 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2025-12-10 |
| 2025-12-09 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2025-12-10 |
| 2025-02-25 | 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. | L | complaint | corrected 2025-03-20 |
| 2024-08-14 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | corrected 2024-08-16 |
| 2024-01-12 | Provide activities to meet all resident's needs. | E | Health | corrected 2024-01-16 |
| 2024-01-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-01-15 |
| 2024-01-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-01-15 |
| 2024-01-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2024-01-15 |
| 2024-01-12 | 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. | D | Health | corrected 2024-01-15 |
| 2023-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2023-08-11 |
| Date | Type | Amount |
|---|---|---|
| 2026-04-23 | Fine | $13,065 |
| 2025-02-14 | Fine | $31,270 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| OAKBEND MEDICAL CENTER | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 11/01/2023 |
| AGANA, BENJAMIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 03/01/2025 |
| EAPEN, SHEILA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/01/2023 |
| BURNAM, SOON | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2023 |
| FREUDENBERGER, JOSEPH | Corporate Officer | Individual | NOT APPLICABLE | since 11/01/2023 |
| KEETCH, CHAD | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2011 |
| MARSHALL LAKE HEALTHCARE LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2023 |
| AGANA, BENJAMIN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2025 |
| EAPEN, SHEILA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676236. Corrections: data@carerecords.org.