| Champions Healthcare at Willowbrook | |
| 13500 Breton Ridge, Houston, Texas 77070 | |
| (281) 807-4744 | |
| Name | Champions Healthcare at Willowbrook |
|---|---|
| Location | 13500 Breton Ridge, Houston, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 98 |
| Occupancy Rate | 84.8% |
| Medicare ID (CCN) | 676236 |
| Legal Business Name | Oakbend Medical Center |
| Ownership Type | For Profit - Individual |
| Chain | The Ensign Group (342 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1437933876 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Oakbend Medical Center |
| Doing Business As | Champions Healthcare at Willowbrook |
| Address | 13500 Breton Ridge St, Houston, TX 77070 |
| Phone Number | 281-807-4744 |
| NPI Number | 1356943500 |
| Match | Possible same name, address or phone number |
| Organization Name | Cypress Creek Healthcare, Inc. |
| Doing Business As | The Hampton Health Care Center at Willowbrook |
| Address | 13500 Breton Ridge St, Houston, TX 77070 |
| Phone Number | 208-807-4744 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.52 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.79 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.91 | 0.86 |
| Nurse aide hours per resident per day | 1.82 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.02 | 3.42 |
| RN hours per resident per day on the weekend | 0.44 | 0.48 |
| Physical therapist hours per resident per day | 0.12 | 0.07 |
| Total nursing staff turnover | 51.9% | 45.8% |
| Registered nurse turnover | 58.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $44,335 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 23, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Actual harm, isolated | Corrected by Apr 28, 2026 |
| Apr 23, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Apr 28, 2026 |
| Apr 23, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2026 |
| Apr 23, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2026 |
| Apr 23, 2026 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2026 |
| Apr 23, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2026 |
| Apr 23, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2026 |
| Mar 17, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Apr 15, 2026 |
| Dec 9, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, pattern | Corrected by Dec 10, 2025 |
| Dec 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Dec 10, 2025 |
| Dec 9, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 10, 2025 |
| Feb 25, 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. F0584, Resident Rights, Standard inspection, Complaint inspection | Immediate jeopardy, widespread | Corrected by Mar 20, 2025 |
| Aug 14, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jan 12, 2024 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 16, 2024 |
| Jan 12, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 15, 2024 |
| Jan 12, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 15, 2024 |
| Jan 12, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 15, 2024 |
| Jan 12, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 15, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.12 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.03 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.57 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.03 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.45 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.62 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.24 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.84 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.06 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.44 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.28 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.88 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.68 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.23 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 14.77 | 15.38 |
Afton Oaks Nursing and Rehabilitation Center Location: 7514 Kingsley St, Houston, Texas 77087 Phone: (713) 644-8393 |