Elder Care Record

Texas › Harris County › Houston

Champions Healthcare At Willowbrook

13500 Breton Ridge, Houston, TX 77070

CCN 676236 · For-profit, individual · 98 certified beds · chain The Ensign Group

CMS abuse iconLocated in a hospital
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 98 beds, Champions Healthcare At Willowbrook serves Houston in Harris County, Texas and has taken Medicare and Medicaid residents since 2009.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.

Inspectors recorded 18 health deficiencies across the three most recent survey cycles (11, 2, 5 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 18.4 per 100 beds, about the same as the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $44K.

Reported nurse staffing is 3.5 hours per resident per day (0.8 RN), close to the Texas median of 3.3; nursing staff turnover is 51.9%.

CMS flags that the facility carries the CMS abuse icon.

18health deficiencies, 3 survey cycles3 at actual harm or worse
$44Kfines listed by CMS2 penalties in period
3.5nurse hours per resident per daystate median 3.3
85%occupancy (residents ÷ beds)83 residents a day

Compared with county, state and nation

MeasureThis facilityHarris Co. medianTexas medianUS average
Overall star rating2233.0
Health citations, 3 cycles18222528.7
Citations per 100 beds18.419.022.526.8
Total nurse hours per resident day3.53.33.33.9
RN hours per resident day0.80.40.40.7
Nursing staff turnover51.9%52.1%52.1%45.8%
Fines listed$44,335$30,361$16,801—

County and state figures are medians across facilities (97 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)11
Cycle 22
Cycle 35

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 23 Apr 2026, 25 Feb 2025.

Severity mix: L ×1 G ×2 D ×9 E ×6

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
23 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation28 Apr 2026
23 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.GStandard survey28 Apr 2026
23 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey28 Apr 2026
23 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey28 Apr 2026
23 Apr 2026F0761Ensure 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.DStandard survey28 Apr 2026
23 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 Apr 2026
23 Apr 2026F0880Provide and implement an infection prevention and control program.DStandard survey28 Apr 2026
17 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation15 Apr 2026
9 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation10 Dec 2025
9 Dec 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation10 Dec 2025
9 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation10 Dec 2025
25 Feb 2025F0584Honor 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.LComplaint investigation20 Mar 2025
14 Aug 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation16 Aug 2024
12 Jan 2024F0679Provide activities to meet all resident's needs.EStandard survey16 Jan 2024
12 Jan 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation15 Jan 2024
12 Jan 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Jan 2024
12 Jan 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Jan 2024
12 Jan 2024F0761Ensure 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.DStandard survey15 Jan 2024

Penalties

DateTypeAmountDetail
23 Apr 2026Fine$13,065
14 Feb 2025Fine$31,270

Staffing

Total nursing3.52 h
Nurse aides1.82 h
LPN0.91 h
RN0.79 h
Weekend total3.02 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 51.9%, RNs 58.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.1%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.6%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.8%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual. Chain: The Ensign Group (342 facilities).

OrganisationRole in the CMS recordInterestSince
Oakbend Medical Center5% or greater direct ownership interest100%11/01/2023
Marshall Lake Healthcare LLCOperational/managerial controlNOT APPLICABLE11/01/2023
Ensign Services IncAdp of the snfNOT APPLICABLE08/21/2023
Holman Health Holdings LLCAdp of the snfNOT APPLICABLE11/01/2023
Marshall Lake Healthcare LLCAdp of the snfNOT APPLICABLE10/17/2025
Standard Bearer Healthcare Op, LPAdp of the snfNOT APPLICABLE11/01/2023
The Ensign Group IncAdp of the snfNOT APPLICABLE11/01/2023

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Harris County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bayou ManorHouston37555718.9—19 May 2026
Clarewood House Extended Care CenterHouston6055158.3—3 Dec 2025
East View HealthcareHouston125551118.8—24 Feb 2026
Hca Houston Healthcare SoutheastPasadena30554516.7—15 May 2025
Ignite Medical Resort Webster, LLCWebster705521217.1—24 Apr 2026
Park Manor of CyfairHouston12055286.7—1 May 2026
Parkway PlaceHouston425351842.9$46K22 Apr 2026
Richard A. Anderson (State of Texas Veterans LandHouston1205451411.7$15K11 Sep 2025

All 97 facilities in Harris County

Questions and answers

How many deficiencies has Champions Healthcare At Willowbrook been cited for?

18 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Champions Healthcare At Willowbrook been fined?

Yes. CMS lists fines totalling $44K in the period covered.

How does staffing at Champions Healthcare At Willowbrook compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Champions Healthcare At Willowbrook?

It is part of the The Ensign Group chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Oakbend Medical Center and Marshall Lake Healthcare LLC. Individual owners and managers are not listed on this site.

When was Champions Healthcare At Willowbrook last inspected?

The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 23 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.