Misty Willow Healthcare and Rehabilitation Center
Houston · 1.0 mi · 124 beds
Citations0Substantiated0
Champions Healthcare at Willowbrook
13500 Breton Ridge, Houston, TX, 77070
Nursing home98 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 11 deficiencies against Champions Healthcare at Willowbrook in Houston, Texas at its most recent standard inspection on 2026-04-23, 5 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $44,335. CMS currently flags this home for abuse. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
98certified beds
11deficiencies at the last inspection
1immediate-jeopardy findings on record
2actual-harm findings on record
2federal fines, $44,335
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.2
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.16
Potential for minimal harmThe least serious band.0
Most recentGGEDDDDEEEDLDEEDDDE
The last 19 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-04-23 · from a complaint · Actual harm to a resident
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-04-23 · standard survey · Actual harm to a resident
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
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 · F0761 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-04-23 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-03-17 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-12-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-12-09 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-12-09 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0584 · 2025-02-25 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-08-14 · from a complaint · No actual harm, potential for more than minimal harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · F0679 · 2024-01-12 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-01-12 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0656 · 2024-01-12 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2024-01-12 · standard survey · No actual harm, potential for more than minimal harm
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 · F0761 · 2024-01-12 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2023-07-17 · from a complaint · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are3 of 5
Quality measuresResident outcomes reported by the home3 of 5
Nurse hours per resident per dayReported by the home to CMS3.51662
Nursing staff turnoverShare of nursing staff who left in a year51.9%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$44,335
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Champions Healthcare at Willowbrook
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| OAKBEND MEDICAL CENTER | Organization | 100% | since 11/01/2023 |
| AGANA, BENJAMIN | Individual | NOT APPLICABLE | since 03/01/2025 |
| EAPEN, SHEILA | Individual | NOT APPLICABLE | since 11/01/2023 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 11/01/2023 |
| FREUDENBERGER, JOSEPH | Individual | NOT APPLICABLE | since 11/01/2023 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| MARSHALL LAKE HEALTHCARE LLC | Organization | NOT APPLICABLE | since 11/01/2023 |
| AGANA, BENJAMIN | Individual | NOT APPLICABLE | since 03/01/2025 |
| EAPEN, SHEILA | Individual | NOT APPLICABLE | since 11/01/2023 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 08/21/2023 |
| HOLMAN HEALTH HOLDINGS LLC | Organization | NOT APPLICABLE | since 11/01/2023 |
| MARSHALL LAKE HEALTHCARE LLC | Organization | NOT APPLICABLE | since 10/17/2025 |
Part of the THE ENSIGN GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Fallbrook Rehabilitation and Care Center
Houston · 3.7 mi · 202 beds
Citations0Substantiated0
Park Manor of Cyfair
Houston · 3.7 mi · 120 beds
Citations0Substantiated0
Legend Oaks Healthcare and Rehabilitation Center -
Houston · 4.6 mi · 125 beds
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Villa Toscana at Cypress Woods
Houston · 4.8 mi · 120 beds
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Cypress Creek Rehabilitation and Healthcare Center
Cypress · 5.0 mi · 122 beds
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Contact
Ask Champions Healthcare at Willowbrook a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676236.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction