Champion, OH

Windsor House At Champion

3-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

200 East Glendola Avenue, Champion, OH

(330) 847-6266

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Windsor House, Inc.

Operator or chain grouping

Approved since

2003-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 4 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.18

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.03

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.66

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.69

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,025

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.98% · Performance 23.23% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.68% · Performance 10.46% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.67

Baseline 56.04% · Performance 40.51% · Measure score 5.67 · Achievement 5.67 · Improvement 4.48

Adjusted total nurse staffing

1.65

Baseline 3.24 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 0.70

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.87%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 135 · Observed rate 13.33% · Lower 95% interval 8.63%
Discharge to community	44.58%	50.57% 6 pts worse	No Different than the National Rate · Eligible stays 146 · Observed rate 39.04% · Lower 95% interval 37.55%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	96.94%	95.27% 1.7 pts better	Numerator 95 · Denominator 98
Falls with major injury	1.02%	0.77% 0.2 pts worse	Numerator 1 · Denominator 98
Discharge self-care score	51.56%	53.69% 2.1 pts worse	Numerator 33 · Denominator 64
Discharge mobility score	35.94%	50.94% 15 pts worse	Numerator 23 · Denominator 64
Pressure ulcers or injuries, new or worsened	2.04%	2.29% 0.2 pts better	Numerator 2 · Denominator 98 · Adjusted rate 2.12%
Healthcare-associated infections requiring hospitalization	10.46%	7.12% 3.3 pts worse	No Different than the National Rate · Eligible stays 99 · Observed rate 14.14% · Lower 95% interval 6.82%
Staff COVID-19 vaccination coverage	12.07%	8.2% 3.9 pts better	Numerator 14 · Denominator 116
Staff flu vaccination coverage	2.87%	42% 39.1 pts worse	Numerator 8 · Denominator 279
Discharge function score	31.25%	56.45% 25.2 pts worse	Numerator 20 · Denominator 64
Transfer of health information to provider	96.61%	95.95% 0.7 pts better	Numerator 57 · Denominator 59
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 24 · Denominator 24
Resident COVID-19 vaccinations up to date	3.39%	25.2% 21.8 pts worse	Numerator 2 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.8%	92.4% 1.6 pts worse	93.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 90.6% · Q3 94.0% · Q4 91.2% · 4Q avg 90.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.4%	94.5% 4.1 pts worse	95.5% 5.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.4%
Percentage of long-stay residents experiencing one or more falls with major injury	8.9%	3.3% 5.6 pts worse	3.3% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.5% · Q3 6.0% · Q4 5.9% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.5%	26.1% 20.6 pts better	11.4% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 18.3% · 4Q avg 5.5%
Percentage of long-stay residents who lose too much weight	5.7%	6.2% 0.5 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.9% · Q3 6.6% · Q4 6.5% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.7%	25.4% 12.7 pts better	19.6% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.9% · Q3 15.9% · Q4 11.1% · 4Q avg 12.7%
Percentage of long-stay residents who received an antipsychotic medication	9.0%	11.5% 2.5 pts better	16.7% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 14.3% · Q3 6.2% · Q4 7.8% · 4Q avg 9.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.1%	7.7% 5.4 pts worse	16.3% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 14.3% · Q3 11.3% · Q4 8.4% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	6.2% 0.1 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 11.8% · Q3 7.8% · Q4 3.8% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	21.7% 3.4 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 25.6% · Q3 22.1% · Q4 25.3% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	4.4%	3.7% 0.7 pts worse	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 3.8% · Q3 5.3% · Q4 1.7% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.9%	78.1% 5.2 pts worse	81.7% 8.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 60.6% · Q2 70.0% · Q3 78.6% · Q4 78.3% · 4Q avg 72.9%
Percentage of short-stay residents who had an outpatient emergency department visit	24.9%	12.5% 12.4 pts worse	12.0% 12.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 24.2% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.1%	1.2% 2.9 pts worse	1.6% 2.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.3% · Q3 5.1% · Q4 7.1% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	75.8%	75.6% 0.2 pts better	79.7% 3.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 75.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	33.7%	25.1% 8.6 pts worse	23.9% 9.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.7% · Observed 32.3% · Expected 22.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-02-23 · Fire 2023-02-23

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2020-02-06 · Fire 2020-02-06

6 health deficiencies

Top issue: Infection Control (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-21

F · Potential for more than minimal harm 2025-01-09

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-02-21

F · Potential for more than minimal harm 2025-01-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-21

E · Potential for more than minimal harm 2025-01-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-21

E · Potential for more than minimal harm 2023-02-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-21

Inspection history

Recent health citations

G · Actual harm 2025-10-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Not marked corrected

F · Potential for more than minimal harm 2025-01-09

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-02-21

E · Potential for more than minimal harm 2025-01-09

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-07

D · Potential for more than minimal harm 2025-01-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-09

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-02-21

D · Potential for more than minimal harm 2025-01-09

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-21

D · Potential for more than minimal harm 2024-08-08

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-05-31

D · Potential for more than minimal harm 2024-04-25

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-07

D · Potential for more than minimal harm 2023-07-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-05-31

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-02

D · Potential for more than minimal harm 2023-05-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-02

G · Actual harm 2023-02-23

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-03-21

F · Potential for more than minimal harm 2023-02-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-03-21

E · Potential for more than minimal harm 2023-02-23

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-03-21