CHAMPIONS HEALTHCARE AT WILLOWBROOK
Open-data reference.
CHAMPIONS HEALTHCARE AT WILLOWBROOK is a for profit - corporation facility in HOUSTON, TX with 98 certified beds and a 2-star overall CMS rating. The facility has 15 deficiency records on file. Total penalties: $31K.
13500 BRETON RIDGE, HOUSTON, TX 77070
Phone: 2818074744
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 676236
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 98
- Residents
- 84
- In Hospital
- No
- County
- Harris
- Last Inspection
- Feb 25, 2025
Staffing Data
- RN Hours
- 0.53 (nat'l avg: 0.68)
- LPN Hours
- 1.04
- CNA Hours
- 1.85
- Total Nursing Hours
- 3.42 (nat'l avg: 3.89)
- PT Hours
- 0.16
- Nursing Turnover
- 60.0%
- RN Turnover
- 66.7%
What the CMS Record Reveals About CHAMPIONS HEALTHCARE AT WILLOWBROOK
CHAMPIONS HEALTHCARE AT WILLOWBROOK operates 98 certified beds in HOUSTON, TX with approximately 84 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 15 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $31K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.42 total nursing hours per resident day (national average 3.89), with RN coverage at 0.53 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CHAMPIONS HEALTHCARE AT WILLOWBROOK falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 60.0%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (15 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Dec 10, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Mar 20, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 15, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Jan 15, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Jan 15, 2024
Provide activities to meet all resident's needs.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Aug 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 16, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 16, 2022
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 16, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 16, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 3.2% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 95.1% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.6% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 14.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.3% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 95.9% | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.3% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 15.5% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.5% | Yes |
Penalty History 1 penalties totaling $31K
| Date | Type | Amount |
|---|---|---|
| Feb 14, 2025 | Fine | $31K |
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Frequently Asked Questions
What is the overall CMS rating for CHAMPIONS HEALTHCARE AT WILLOWBROOK?
What are the staffing levels at CHAMPIONS HEALTHCARE AT WILLOWBROOK?
How many beds does CHAMPIONS HEALTHCARE AT WILLOWBROOK have?
Does CHAMPIONS HEALTHCARE AT WILLOWBROOK have any deficiencies on record?
Has CHAMPIONS HEALTHCARE AT WILLOWBROOK received any fines or penalties?
Who owns CHAMPIONS HEALTHCARE AT WILLOWBROOK?
When was CHAMPIONS HEALTHCARE AT WILLOWBROOK last inspected?
What quality measures are tracked for CHAMPIONS HEALTHCARE AT WILLOWBROOK?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.