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

92

Certified beds

Average residents

88

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

Staffing

Hours and turnover

RN hours / resident day

0.45

Registered nurse staffing

LPN hours / resident day

1.18

Licensed practical nurse staffing

Aide hours / resident day

2.03

Nurse aide staffing

Weekend hours

3.01

Weekend nurse staffing

RN turnover

47%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

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

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-03-21

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

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-03-21

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

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-03-21

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

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-03-21

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

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.

Corrected 2023-03-21

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

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2023-03-21

D · Potential for more than minimal harm 2020-02-06

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2020-03-06

D · Potential for more than minimal harm 2020-02-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-06

D · Potential for more than minimal harm 2020-02-06

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2020-03-06

Penalties and ownership

What sits behind the stars

Ownership

Masternick, John

5% Or Greater Direct Ownership Interest · Individual

100% 11 facilities 2003-09-03
Windsor House Inc.

5% Or Greater Indirect Ownership Interest · Organization

100% 7 facilities 2014-04-01
Daliman, John

Corporate Director · Individual

0% 4 facilities 2003-09-30
James, Kenneth

Operational/Managerial Control · Individual

0% 4 facilities 2003-09-03
James, Kenneth

Corporate Director · Individual

0% 4 facilities 2003-09-30
Knapik, David

Operational/Managerial Control · Individual

0% 1 facilities 2014-04-01
Masternick, John

Operational/Managerial Control · Individual

0% 11 facilities 2003-09-03
Masternick, John

Corporate Director · Individual

0% 11 facilities 2003-09-03
Masternick, John

Corporate Officer · Individual

0% 11 facilities 2003-09-03
Sardich, Linda

Operational/Managerial Control · Individual

0% 1 facilities 2023-10-23
Windsor House Inc.

Operational/Managerial Control · Organization

0% 7 facilities 2014-04-01

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#3

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