Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Champions Healthcare at Willowbrook
Houston, TX · 98 certified beds · Last Life Safety survey April 23, 2026
CMS Certification Number 676236 · first certified September 2009
Also on this campus
The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Champions Healthcare at Willowbrook (7450 Willowchase Blvd). Matched by the telephone number the two records share. The records are separate and are never added together.
Ownership
Operated by THE ENSIGN GROUP · For profit - Individual
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within TX
11 citations — more than 69% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 3 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 11 |
| Median facility in TX | 7 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 12, 2024 | 7 |
| February 25, 2025 | 1 |
| April 23, 2026 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | 2 | 2026-04-23 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 2 | 2026-04-23 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-01-12 |
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | 1 | 2024-01-12 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2024-01-12 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2026-04-23 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2024-01-12 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2024-01-12 |
What the citations cover
- Smoke Deficiencies 6
- Miscellaneous Deficiencies 2
- Services Deficiencies 1
- Egress Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 6 |
| Miscellaneous Deficiencies | 2 |
| Services Deficiencies | 1 |
| Egress Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 23, 2026 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (May 14, 2026) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (April 28, 2026) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (May 18, 2026) |
February 25, 2025 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0781 | Have restrictions on the use of portable space heaters. | Deficient, Provider has date of correction (February 21, 2025) |
January 12, 2024 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | Deficient, Provider has date of correction (January 12, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (January 12, 2024) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (January 16, 2024) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (January 16, 2024) |
| K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | Deficient, Provider has date of correction (January 16, 2024) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (January 12, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (January 12, 2024) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.