Champions Healthcare at Willowbrook
Houston · 1.0 mi · 98 beds
Citations0Substantiated0
Misty Willow Healthcare and Rehabilitation Center
12921 Misty Willow Dr, Houston, TX, 77070
Nursing home124 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 14 deficiencies against Misty Willow Healthcare and Rehabilitation Center in Houston, Texas at its most recent standard inspection on 2025-12-04, 7 of them arising from complaints. 8 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $79,412. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
124certified beds
14deficiencies at the last inspection
8immediate-jeopardy findings on record
0actual-harm findings on record
3federal fines, $79,412
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.8
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.22
Potential for minimal harmThe least serious band.0
Most recentJDFEEDDDDKKKKDKKJEDD
The last 20 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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2026-03-09 · from a complaint · Immediate jeopardy to resident health or safety
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-03-09 · 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 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · F0813 · 2025-12-04 · 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 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · F0694 · 2025-12-04 · 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 · 2025-12-04 · 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 · 2025-12-04 · standard survey · No actual harm, potential for more than minimal harm
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 · 2025-09-24 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-09-24 · from a complaint · Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-09-24 · from a complaint · Immediate jeopardy to resident health or safety
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 · 2025-09-24 · from a complaint · Immediate jeopardy to resident health or safety
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Resident Rights Deficiencies · F0564 · 2025-09-24 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-03-29 · from a complaint · Immediate jeopardy to resident health or safety
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 · 2025-03-29 · from a complaint · Immediate jeopardy to resident health or safety
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-03-29 · from a complaint · Immediate jeopardy to resident health or safety
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-08-30 · from a complaint · No actual harm, potential for more than minimal harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2024-08-30 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-08-30 · standard survey · 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 below1 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS3.301
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS3
Total fined$79,412
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one3
Ownership
Who owns Misty Willow Healthcare and Rehabilitation Center
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 |
|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | Organization | 100% | since 04/01/2017 |
| ALI, NIDA | Individual | NOT APPLICABLE | since 09/18/2024 |
| FITZGERALD, TAMI | Individual | NOT APPLICABLE | since 04/01/2017 |
| BURNAM, SOON | Individual | NOT APPLICABLE | since 04/01/2017 |
| KEETCH, CHAD | Individual | NOT APPLICABLE | since 03/01/2011 |
| STRATTON, CHARLES | Individual | NOT APPLICABLE | since 02/07/2005 |
| MISTY WILLOW HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
| ALI, NIDA | Individual | NOT APPLICABLE | since 09/18/2024 |
| FITZGERALD, TAMI | Individual | NOT APPLICABLE | since 04/01/2017 |
| ENSIGN SERVICES INC | Organization | NOT APPLICABLE | since 05/01/2016 |
| MISTY WILLOW HEALTHCARE, INC. | Organization | NOT APPLICABLE | since 11/03/2025 |
| NATIONAL HEALTH INVESTORS, INC. | Organization | NOT APPLICABLE | since 04/01/2017 |
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 · 2.7 mi · 202 beds
Citations0Substantiated0
Park Manor of Cyfair
Houston · 2.7 mi · 120 beds
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Legend Oaks Healthcare and Rehabilitation Center -
Houston · 4.0 mi · 125 beds
Citations0Substantiated0
Cypress Creek Rehabilitation and Healthcare Center
Cypress · 4.1 mi · 122 beds
Citations0Substantiated0
Eagle Crest Rapid Recovery
Houston · 5.1 mi · 125 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676251.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction