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Nursing HomeMedicaid Investigative

Champions Healthcare at Willowbrook

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

13500 Breton Ridge Street, Willowbrook · Houston, TX 7707098 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 70 Google reviews

5
4
3
2
1
Champions Healthcare at Willowbrook Nursing Home in Houston, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • High staff turnover (60%)
  • High RN turnover (67%)

Below average in Texas · Below recommended RN staffing · Above average staffing · Below chain average · $31,270 in fines

Source: Medicare data

What this means for your family

This facility offers a clean, beautiful environment and a therapy team that many families find exceptional. However, you should closely monitor your loved one's responsiveness to call lights and verify that medical changes are being accurately documented, as recent reviews indicate lapses in care and communication.

Google Reviews

Google Reviews

70 reviews on Google
Families can expect a facility that is frequently praised for its clean, beautiful environment and a highly compassionate nursing and therapy team. However, there are significant concerns regarding inconsistent responsiveness to call lights and instances of inadequate medical oversight during rehabilitation.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean9.0Activities5.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Clean and well-maintained facility
  • Excellent physical and occupational therapy team
  • Strong communication with family members

Concerns

  • Slow response to call lights and patient needs (mentioned by 2 reviewers)
  • Inadequate medical monitoring or oversight during rehab (mentioned by 2 reviewers)
  • Staff unprofessionalism or rudeness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.32025(24)3.02026(9)

Distribution · 33 analyzed

5
24
4
0
3
1
2
0
1
8

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed you are very active in communicating with families online; how does the staff typically keep us updated on our loved one's day-to-day well-being?
  • 2With the recent health inspections, what specific steps has the facility taken to address and resolve the identified deficiencies?
  • 3How does the nursing team manage medical emergencies or sudden changes in health during the overnight hours?
  • 4What kind of daily activities or social outings are planned to help residents stay engaged and connected with one another?
  • 5What is the current plan for increasing the number of caregivers on the floor to ensure everyone gets plenty of one-on-one attention?
  • 6How do you ensure that the nutritional needs and meal preferences of each resident are carefully managed by the kitchen staff?

Personalized based on this facility's data


Key Review Excerpts

The staff here truly go above and beyond, caring not just for the patients but also for the families who trust them. From the administrators to the nurses and support staff, everyone is professional, compassionate, and attentive.

Long-term resident's family · 2025★★★★★

The nursing staff is caring, loving and attentive. The nurse director Renata goes above and beyond for every resident. Rooms are private and the facility is well maintained.

Rehab patient's family · 2025★★★★★

Didn’t get the care he needed! Meals were very late! I even had to call up there to get him help because no one answered his call light!

Rehab patient's family · 2026☆☆☆☆
Source: 70 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
52%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

4

measures

Mixed Results

6

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Mixed vs Avgs
Here
2.5%
US
12.1%
TX
2.5%
Harris
0.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Harris
95.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.2%
Better than Avg
Here
13.2%
US
19.5%
TX
18.4%
Harris
14.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
14.4%
TX
16.1%
Harris
12.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.3%
Mixed vs Avgs
Here
14.3%
US
19.4%
TX
14.2%
Harris
12.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility9.0%
Worse than Avg
Here
9.0%
US
4.9%
TX
4.0%
Harris
6.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
79.7%
TX
88.0%
Harris
86.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.0%
Mixed vs Avgs
Here
89.0%
US
81.8%
TX
89.2%
Harris
86.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
TX
1.5%
Harris
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
1penalties
Near state avg (9.1)
8 complaint-triggered
$31,270 in fines

Families have filed multiple complaints triggering inspections, including recent issues in December 2025 involving food safety and infection control. The facility shows recurring problems with food safety and dietary services, fire safety systems, and resident assessments across multiple surveys from 2022 to 2025. While all deficiencies have correction dates, the pattern of repeated violations in critical areas like nutrition and safety systems suggests ongoing operational challenges that families should carefully consider.

Mar 17, 2026Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Dec 9, 2025Complaint
3
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Feb 25, 2025Complaint
1
0584Immediate jeopardy · WidespreadCorrected

Resident Rights Deficiencies

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.

Feb 25, 2025Routine
1
0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Aug 14, 2024Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jan 12, 2024Routine
11
0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Federal Penalties

Fine

Feb 14, 2025

$31,270

Ownership & Operations

Who Operates This Facility

Owner / Operator

Oakbend Medical Center

Organization Type

government

Management Company

MARSHALL LAKE HEALTHCARE LLC

Administrator

TERENCE THOMPSON

Chain Affiliation

Chain Name

The Ensign Group

Chain Size

338 facilities nationwide

Chain avg rating: 2.9/5 · Rank 71 of 84

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Agana, BenjaminManaging Control - Governing BodyEapen, SheilaManaging Control - Governing BodyBurnam, SoonOfficer / DirectorFreudenberger, JosephOfficer / DirectorKeetch, ChadOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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