D64

CHAMPIONS HEALTHCARE AT WILLOWBROOK

Grade D 64/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

98

Ownership

For profit - Corporation

Total Fines

$30,745

Last Survey

N/A

13500 BRETON RIDGE, HOUSTON, TX 77070
2818074744

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.55h
LPN
1.08h
CNA
1.92h
Total
3.55h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

OAKBEND MEDICAL CENTER

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2023

100%

MARSHALL LAKE HEALTHCARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

AGANA, BENJAMIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2025

EAPEN, SHEILA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2023

BURNAM, SOON

IndividualCORPORATE OFFICERSince Nov 2023

FREUDENBERGER, JOSEPH

IndividualCORPORATE OFFICERSince Nov 2023

KEETCH, CHAD

IndividualCORPORATE OFFICERSince Mar 2011

Penalties & Fines (1)

$30,745total fines
DateTypeDescriptionAmount
Feb 14, 2025Fine$30,745

Health Inspection Deficiencies (12)

February 25, 2025Health1 deficiency1 severe
0584LImmediate jeopardy, Widespread

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

Corrected Mar 20, 2025
August 14, 2024Health1 deficiency
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Aug 16, 2024
January 12, 2024Health5 deficiencies
0656DMinimal harm, Isolated

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

Corrected Jan 15, 2024
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jan 16, 2024
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jan 15, 2024
0761DMinimal harm, Isolated

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

Corrected Jan 15, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 15, 2024
July 17, 2023Health1 deficiency
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 11, 2023
December 1, 2022Health4 deficiencies
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2022
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2022
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 16, 2022

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Frequently Asked Questions

What is the CareGrader rating for CHAMPIONS HEALTHCARE AT WILLOWBROOK?

CHAMPIONS HEALTHCARE AT WILLOWBROOK in HOUSTON, Texas has a CareGrader grade of D (Below Average), with a composite score of 63.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for CHAMPIONS HEALTHCARE AT WILLOWBROOK?

CHAMPIONS HEALTHCARE AT WILLOWBROOK has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does CHAMPIONS HEALTHCARE AT WILLOWBROOK have?

CHAMPIONS HEALTHCARE AT WILLOWBROOK has 12 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has CHAMPIONS HEALTHCARE AT WILLOWBROOK been fined?

Yes. CHAMPIONS HEALTHCARE AT WILLOWBROOK has $30,745 in total fines from CMS enforcement actions across 1 penalty.

How many beds does CHAMPIONS HEALTHCARE AT WILLOWBROOK have?

CHAMPIONS HEALTHCARE AT WILLOWBROOK has 98 certified beds with approximately 83 current residents (85% occupancy). The facility is located at 13500 BRETON RIDGE, HOUSTON, Texas 77070. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.