Champions Healthcare At Willowbrook
13500 BRETON RIDGE STREET, Houston, TX, 77070
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: The Ensign Group
- Certified beds
- 98 · avg 84 residents/day
- Total nursing staff turnover
- 60% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $31,270 total
State licensing & capacity
- License number
- 311693
- Service type
- Medicare/medicaid
- Licensed capacity
- 98 beds
- Bed type breakdown
- 98 Medicaid/Medicare
- Current license effective
- November 1, 2023
- Current license expires
- November 1, 2026
- Initial license date
- September 15, 2009
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Oakbend Medical Center (COUNTY)
- Operator / manager
- Marshall Lake Healthcare Llc
- Administrator
- Terence Thompson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the The Ensign Group chain — 329 facilities across 17 states. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- Marshall Lake Healthcare Llc
Adp of The Snf · since 2025
- Benjamin Thaddeus Agana
Operational/managerial Control · since 2025
- Holman Health Holdings Llc
Adp of The Snf · since 2023
- Joseph Freudenberger
Corporate Officer · since 2023
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2023
- Sheila Eapen
Operational/managerial Control · since 2023
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 15)
- E0880·Dec 9, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Dec 9, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0550·Dec 9, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- L0584·Feb 25, 2025Complaint
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.
- D0686·Aug 14, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E0812·Jan 12, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jan 12, 2024
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.
- E0679·Jan 12, 2024
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Federal penalties
By year
- 20251 fine · $31K
Most recent events
- Feb 14, 2025Fine · $31K
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Feb 25, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Champions Healthcare at Willowbrook is a 98-bed nursing home in Houston (Harris County) operated by Marshall Lake Healthcare LLC under license to Oakbend Medical Center, a county entity. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. One fine of $31,270 has been issued. All 98 beds are Medicare- and Medicaid-certified; the facility is currently operating at roughly 86% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — a level shared by about 32% of Texas nursing homes. Each resident receives roughly 205 minutes of nursing care per day, about 36 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — they are sicker or less mobile on average — which means those 205 minutes stretch thinner than the raw number suggests.
One CMS fine totaling $31,270 has been issued. The state median fine among Texas nursing homes that received any fine is about $20,700, so this amount runs above the midpoint. Roughly 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
CMS data shows weekend nursing hours drop to 2.91 minutes per resident per day — ask how the facility maintains care continuity when weekday staff are off.
RN coverage on a typical shift
Reported RN hours work out to about 32 minutes per resident per day; ask how many registered nurses are on the floor during day, evening, and overnight shifts.
Details behind the $31,270 fine
One CMS fine was issued — ask what deficiency triggered it, what corrective steps were taken, and whether those changes are still in place.
Management company's role day-to-day
The facility is licensed to a county entity but managed by Marshall Lake Healthcare — ask which organization sets staffing budgets and handles complaints.
Resident Council meeting frequency
CMS records a Resident Council but no Family Council — ask how often the council meets and how families receive updates on issues raised.
Waitlist and admission timeline
With 83.9 residents in 98 licensed beds, occupancy runs at roughly 86% — ask whether there is a current waitlist and what the typical wait is for a Medicaid bed.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.