Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Windsor House At Champion during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and high fall risk sustained two fractures after staff failed to provide necessary care and supervision during wheelchair transport and a Hoyer lift transfer. The resident's foot became caught under a wheelchair due to missing leg rests, and later, improper use of a Hoyer lift led to a fall and additional injury. Staff interviews confirmed that care plan interventions were not consistently followed.
The facility did not hold a QAPI meeting during the first quarter of 2024, as required. A review of QA Signature Sheets showed meetings on various dates in 2023 and 2024, but none in the first quarter of 2024. The DON confirmed this oversight, which had the potential to affect all 80 residents.
The facility failed to maintain a clean shower room and Hoyer lifts on the north hall unit, affecting multiple residents. Observations revealed a black substance and slimy gray build-up in the shower, along with dust and debris on the floors. Two Hoyer lifts had a white substance build-up. These issues were confirmed by staff, despite policies requiring daily cleaning of the shower room and bi-weekly cleaning of the lifts.
The facility failed to provide written notification of transfer or discharge to two residents and their representatives after hospital transfers. One resident was found injured and transported to the hospital, while another requested hospital care due to abdominal pain. In both cases, verbal notifications were made, but written notices were not sent due to the absence of the responsible employee.
A resident with severe cognitive impairment was not provided with meaningful activities as scheduled. The resident's care plan included participation in small group activities, but observations showed the resident was either in bed or in front of the TV during activity times. Scheduled activities like Yahtzee were not conducted, and staff were observed not engaging residents. The lack of an activity assessment in the resident's medical record was confirmed, contrary to facility policy.
The facility failed to ensure residents were up to date with influenza and pneumococcal vaccinations, affecting three residents. A resident with Alzheimer's and heart failure did not receive the influenza vaccine for the current year or the PCV20 vaccine as per CDC guidelines. Another resident with pulmonary fibrosis and heart failure had not received an influenza vaccine since 2020 and lacked documentation for Pneumovax, despite consent. A third resident with Alzheimer's and chronic kidney disease had not received an influenza vaccine since 2023, despite consent. The facility did not adhere to its policy or CDC recommendations.
A resident with Alzheimer's was subjected to emotional and verbal abuse when an Activity Aide recorded and posted a video on social media making inappropriate comments. The resident, unable to recall the incident due to cognitive impairment, appeared puzzled in the video. The facility's policies on social media and abuse prevention were violated, as the video content was demeaning. The incident was discovered by a Restorative CNA and confirmed through an investigation.
A facility failed to provide a resident's representative with a timely Notice of Medicare Non-Coverage (NOMNC) as required. The resident, who was cognitively impaired, was on skilled care but did not receive the NOMNC before services were terminated. The facility's policy required the NOMNC to be mailed with a return receipt if not signed in person, which was not done.
The facility failed to complete physician-ordered laboratory tests for a resident, including a glycosylated hemoglobin (A1c) test and a valproic acid (VPA) level test, as required by the resident's care plan. This deficiency was confirmed by a registered nurse and was investigated under Complaint Number OH00152515.
Failure to Prevent Accidents During Staff-Assisted Care
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment, who was dependent on staff for all activities of daily living and mobility, was not provided with necessary and adequate care to prevent accidents during staff-assisted care. The resident, who had diagnoses including unspecified dementia, Alzheimer's disease, and osteoarthritis, was at high risk for falls and required a Hoyer lift for all transfers. Despite this, staff failed to ensure the resident's foot was not caught under her wheelchair while being transported, resulting in a fractured distal medial femoral metadiaphysis. Multiple CNAs reported that the resident did not have leg rests on her wheelchair, her feet would drag on the ground during transport, and it was common knowledge among staff that she would not lift her feet, yet leg rests were not provided until after the injury occurred. A second incident occurred when staff failed to properly secure the resident in a Hoyer lift during a transfer. Two CNAs were present and attempted to transfer the resident from bed to chair using the Hoyer lift, but the sling was not positioned correctly under the resident. As a result, the resident slid out from the feet end of the Hoyer pad and fell to the floor, sustaining a fracture to her right upper extremity/elbow. Interviews with staff revealed uncertainty about the correct placement of the Hoyer pad, and one LPN noted that the pad was not down far enough to support the resident's hips and buttocks, possibly due to the immobilizer on her leg from the previous injury. The incidents were confirmed through medical record review, staff interviews, and facility investigations. The resident's care plan indicated the need for leg rests and use of a Hoyer lift for all transfers, but these interventions were not consistently implemented by staff. The lack of adherence to the care plan and failure to provide necessary equipment and supervision directly led to the resident sustaining two significant injuries during routine care activities.
Failure to Hold Quarterly QAPI Meetings
Penalty
Summary
The facility failed to ensure that Quality Assurance Performance Improvement (QAPI) meetings were held at least quarterly, as required. A review of the facility's QA Signature Sheet documents revealed that QAPI meetings were conducted on several dates in 2023 and 2024, but there was no evidence of a meeting during the first quarter of 2024. This oversight was confirmed during an interview with the Director of Nursing, who verified that no QAPI meeting took place in the first quarter of 2024 and that the QA Signature Sheets accurately reflected the dates of the meetings. This deficiency had the potential to affect all 80 residents in the facility.
Facility Fails to Maintain Clean Shower Room and Hoyer Lifts
Penalty
Summary
The facility failed to maintain a clean and hygienic environment in the shower room on the north hall unit, which had the potential to affect 40 residents. During an initial tour, a black substance was observed around the base of the shower where the walls connected to the base, and a slimy gray substance with a paper clip was found in the front right corner of the stall. The floors of the shower room had dust and debris, including a build-up in the corner behind the door, and dust and a peanut were noted around the garbage can on the floor. The mirror had a visible dust build-up on top of it. These observations were verified by a Certified Nurse Assistant (CNA) and later confirmed by the Licensed Nursing Home Administrator (LNHA) and Housekeeping Supervisor (HKS). The HKS stated that the shower room was supposed to be cleaned daily, as per the facility's housekeeping routine and cleaning procedures. Additionally, the facility failed to maintain clean Hoyer lifts on the north hall unit, affecting 12 residents who utilized these lifts. Two Hoyer lifts were observed with a built-up white substance at the base, appearing to be powder or skin flakes. This observation was verified by the Director of Nursing (DON), who stated that Hoyer lifts were to be cleaned two times weekly on the night shift. A review of the facility's policy on cleaning resident care equipment indicated that noncritical devices touching residents' intact skin should be cleaned after each use. The failure to adhere to these cleaning protocols resulted in the noted deficiencies.
Failure to Provide Written Notification of Transfer or Discharge
Penalty
Summary
The facility failed to provide written notification of transfer or discharge to two residents and their representatives after the residents were transferred to the hospital. Resident #18 was found on the floor with multiple injuries, including a large open wound on the head, and was transported to the hospital by Emergency Medical Services. Although the resident's physician and representative were notified verbally, there was no evidence of a written notice of discharge or transfer being sent. The Business Office Manager confirmed that no written notifications had been sent since the beginning of November 2024 due to the departure of the employee responsible for this task. Similarly, Resident #81 was transferred to the hospital after complaining of abdominal pain and requesting hospital care. The local fire department assisted with the transfer, and the resident was admitted to the hospital. Like Resident #18, there was no written notice of discharge or transfer sent to Resident #81 or their representative. The Business Office Manager verified the lack of written notifications, attributing it to the absence of the responsible employee. The facility's policy requires written notification of transfer or discharge, but this was not adhered to in these cases.
Failure to Provide Scheduled Activities for Resident
Penalty
Summary
The facility failed to provide meaningful activities as scheduled, affecting a resident with severe cognitive impairment due to Alzheimer's disease, schizophrenia, anxiety, Parkinson's disease, and congestive heart failure. The resident's care plan included interventions to encourage participation in small group activities and engage in simple, structured activities. However, there was no activity assessment noted in the medical record for this resident. Observations revealed the resident was either laying in bed or sitting in front of the television during scheduled activity times. On one occasion, the scheduled activity of playing Yahtzee did not occur as planned. Activity Assistants were observed not conducting the activity, and instead, one was coloring and the other drinking coffee. The Activity Director confirmed that when residents do not want to participate in a scheduled activity, it should be adjusted to their preferences, and one-on-one activities could be offered. The Director of Nursing verified the lack of activity and the absence of an activity assessment in the resident's medical record, which was against the facility's policy to provide an ongoing program of activities tailored to each resident's needs and interests.
Failure to Administer Vaccinations as per CDC Guidelines
Penalty
Summary
The facility failed to ensure that residents were up to date with their influenza and pneumococcal vaccinations, affecting three residents out of five reviewed. Resident #67, who had diagnoses including Alzheimer's disease and heart failure, had not received the influenza vaccine for the current year despite verbal consent being obtained from her responsible party. Additionally, she had not received the PCV20 vaccine, which should have been administered at least one year after receiving the PPSV23 vaccine in 2017, as per CDC guidelines. The facility's policy required adherence to CDC recommendations for vaccinations, but this was not followed. Resident #64, with a history of conditions such as pulmonary fibrosis and acute systolic heart failure, had not received an influenza vaccination since 2020 and had no documentation of receiving a Pneumovax. Although consent was obtained, the vaccinations were not administered because the resident had COVID-19 when the vaccines were offered, and no subsequent vaccination clinic was held. Similarly, Resident #2, with diagnoses including Alzheimer's disease and chronic kidney disease, had not received an influenza vaccine since 2023, despite consent being provided by the power of attorney. The facility's failure to administer these vaccines as per policy and CDC guidelines led to the identified deficiencies.
Resident Subjected to Emotional and Verbal Abuse via Social Media
Penalty
Summary
The facility failed to protect a resident from emotional and verbal abuse, as evidenced by an incident involving a staff member and a resident. The incident was discovered when a Restorative CNA observed a social media video post featuring the resident and an Activity Aide. In the video, the Activity Aide made inappropriate comments to the resident, who did not respond and appeared puzzled. The resident, who had impaired cognition due to Alzheimer's disease, was unable to recall the incident when interviewed. The Activity Aide admitted to recording and posting the video on social media, stating it was done impulsively and for humor. The facility's investigation confirmed the incident as emotional and verbal abuse, as the video content was deemed to demean and humiliate the resident. The facility's policies on social media and resident abuse prevention were violated, as staff are prohibited from posting resident images or recordings without permission, and the incident involved language that was disparaging and derogatory. The resident's medical records indicated a history of Alzheimer's disease, hypertension, major depression disorder, heart failure, and anxiety disorder. Despite the incident, the resident reported feeling safe at the facility and denied any abuse. The facility's failure to prevent this incident highlights a lapse in adherence to its policies designed to protect residents from abuse.
Failure to Provide Timely NOMNC
Penalty
Summary
The facility failed to ensure that a resident and/or their representative received the Notice of Medicare Non-Coverage (NOMNC) in a timely manner, as required by policy. This deficiency affected one resident who was cognitively impaired and discharged to hospice care. The resident was on skilled care from early May to late June, but there was no evidence in the progress notes that the resident had been cut from skilled services or issued a NOMNC. The facility's policy required that the NOMNC be delivered to the resident or an authorized representative no later than two days before the termination of services. However, the resident's daughter was not provided with a copy of the NOMNC, and the facility did not follow the required procedure of mailing the notice to obtain a signature. The Admissions Coordinator/LPN notified the resident's daughter via telephone but did not send the NOMNC by certified mail, as required. Interviews with facility staff, including the Admissions Coordinator/LPN and the Director of Nursing, confirmed that the NOMNC was not sent to the resident's representative as per the facility's policy. The policy outlined that if a resident representative was not available to sign the NOMNC in person, the notice should be mailed with a return receipt request. This step was not completed, leading to the deficiency.
Failure to Complete Physician-Ordered Laboratory Tests
Penalty
Summary
The facility failed to ensure that physician-ordered laboratory testing was completed to monitor medication use for Resident #90. The resident, who had diagnoses including Alzheimer's Disease, depressive disorder, type 2 diabetes, congestive heart failure, and atrial fibrillation, was admitted on an unspecified date and discharged on 02/13/24. Physician orders included Depakote for mood disorder and glargine insulin for diabetes, with specific orders for a valproic acid (VPA) level test on 10/16/23 and every three months thereafter, and a glycosylated hemoglobin (A1c) test in December 2023. However, the medical record review revealed that the A1c test was not completed in December 2023, and the subsequent VPA level test was not conducted in January 2024. An interview with Registered Nurse #500 confirmed the absence of these tests. The facility's Standards of Resident Care Policy, dated 02/2024, indicated that staff would follow physician/practitioner orders of care, which was not adhered to in this case. This deficiency was investigated under Complaint Number OH00152515 and affected one resident out of three reviewed for unnecessary medications, with the facility census being 93.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Champion
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Community Skilled Healthcare | 3.6 mi | ★★★★★ | 36 | 1 |
| Washington Square Healthcare Center | 4.1 mi | ★★★★★ | 26 | 0 |
| Gillette Nursing Home | 4.2 mi | ★★★★★ | 6 | 0 |
| Warren Nursing & Rehab | 4.6 mi | ★★★★★ | 51 | 1 |
| Shepherd Of The Valley Howland | 5.6 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.