Skilled nursing facility · CMS certification number 366281
WINDSOR HOUSE AT CHAMPION
CHAMPION, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,506,132 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,641,379 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,864,753 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,014,057 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $850,696 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,554 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $867,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $867,250 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 33,672 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,297 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,116 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,294 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 30,707 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 84 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 96 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 281 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 461 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1437762, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,098,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,546,633 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,552,065 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,528,628 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,023,437 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,038,323 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,038,052 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 526 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.19 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392031, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 13 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,569,650 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,724,984 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,844,666 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,415,739 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $428,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $233,260 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $662,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $662,187 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,742 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 485 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 165.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394826, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 7 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,639,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,050,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,588,264 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,626,442 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$38,178 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $236,814 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $198,636 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $198,636 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,280 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 456 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367563, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 December 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,255,154 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,535,179 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,719,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,170,749 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$450,774 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $825,857 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $375,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $375,083 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,107 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 425 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 144.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 59.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337119, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,961,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,983,700 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,978,034 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,414,904 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $563,130 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,870 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $573,000 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $573,000 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,749 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 422 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 225.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 72.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1261251, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,907,949 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,175,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,732,736 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,204,090 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $528,646 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,799 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $538,445 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $538,445 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,884 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 379 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 332.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 81.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236543, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,491,964 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,463,474 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,028,490 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,997,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,031,107 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,969 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,041,076 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,041,076 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,404 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 418 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1200034, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 17 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,363,510 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,002,333 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,361,177 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,636,638 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $724,539 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,865 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $732,404 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $732,404 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,506 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 413 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 228.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 76.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169365, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,103,267 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,076,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,026,463 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,538,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $487,776 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,346 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $491,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $491,122 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 377 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 284.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1146214, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,514,173 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,783,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,731,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,235,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $495,870 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,378 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $503,248 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $501,927 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,103 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 307 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 367.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122846, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 4 June 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,864,906 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,052,208 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,812,698 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,139,437 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $673,261 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,019 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $686,280 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $686,280 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,592 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 419.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1093219, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 13 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,412,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,896,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,515,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,907,908 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $607,445 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,047 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $634,492 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $633,950 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,485 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 475.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 114.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1064373, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 May 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,506,085 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,404,544 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,101,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,448,112 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $653,429 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,361 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $662,790 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $620,367 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,418 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 300 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 345.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1031181, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 May 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,802,586 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,397,322 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $405,264 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,241 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $224 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $413,281 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,129 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 298 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 296.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429539, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 February 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,141,264 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,355,534 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $785,730 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,587 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $796,317 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,043 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 315 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.72 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 256.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393762, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 April 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,591,507 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,085,952 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $505,555 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,871 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $516,426 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 92 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,484 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 246 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 403.58 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 367799, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 November 2008.
None of these figures is carried on this report.
CMS report record 328723, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 February 2008.
None of these figures is carried on this report.
CMS report record 303151, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 18 January 2007.
None of these figures is carried on this report.
CMS report record 270612, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 14 February 2006.
None of these figures is carried on this report.
CMS report record 242817, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 October 2003 to 31 December 2003 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 March 2005.
None of these figures is carried on this report.
CMS report record 211356, read from the public cost report file SNFFY2004.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| MASTERNICK, JOHN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 100% | since 09/03/2003 |
| WINDSOR HOUSE INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 04/01/2014 |
| DALIMAN, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2003 |
| JAMES, KENNETH | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/01/2003 |
| KNAPIK, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2014 |
| MASTERNICK, JOHN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2014 |
| SARDICH, LINDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/23/2023 |
| VERES, FRANK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/20/2003 |
| VERES, ZACHARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/06/2025 |
| WINDSOR HOUSE INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/23/2025 |
| DALIMAN, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/30/2003 |
| JAMES, KENNETH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/30/2003 |
| MASTERNICK, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/03/2003 |
| MASTERNICK, JOHN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/03/2003 |
| JAMES, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/03/2003 |
| KNAPIK, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2014 |
| MASTERNICK, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/03/2003 |
| SARDICH, LINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/23/2023 |
| WINDSOR HOUSE INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2014 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of OMNI MANOR, INC. (enrollment ID O20031022000024).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JOHN J MASTERNICK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/3/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WINDSOR HOUSE INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID KNAPIK | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| FRANK VERES | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/20/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J MASTERNICK | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P DALIMAN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KENNETH R JAMES | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LINDA SARDICH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/23/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WINDSOR HOUSE INC. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 7/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZACHARY F VERES | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/6/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J MASTERNICK | Individual | CORPORATE DIRECTOR | 100 | 9/3/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN P DALIMAN | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/30/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KENNETH R JAMES | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/30/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J MASTERNICK | Individual | CORPORATE OFFICER | 100 | 9/3/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID KNAPIK | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2014 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| JOHN J MASTERNICK | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/3/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KENNETH R JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/3/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LINDA SARDICH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/23/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| WINDSOR HOUSE INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 July 2026: ZACHARY F VERES no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZACHARY F VERES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 October 2025: DAVID KNAPIK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KENNETH R JAMES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN P DALIMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAVID KNAPIK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAVID KNAPIK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KENNETH R JAMES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KENNETH R JAMES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WINDSOR HOUSE INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WINDSOR HOUSE INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WINDSOR HOUSE INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: FRANK VERES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN P DALIMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LINDA SARDICH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LINDA SARDICH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ZACHARY F VERES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- 1 July 2026: ZACHARY F VERES no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ZACHARY F VERES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 October 2025: DAVID KNAPIK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KENNETH R JAMES no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN P DALIMAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAVID KNAPIK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAVID KNAPIK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KENNETH R JAMES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KENNETH R JAMES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN J MASTERNICK appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WINDSOR HOUSE INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WINDSOR HOUSE INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: WINDSOR HOUSE INC. appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: FRANK VERES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JOHN P DALIMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LINDA SARDICH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LINDA SARDICH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ZACHARY F VERES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 13 September 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 13 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 7 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 1 December 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 23 July 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 11 July 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 19 July 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 July 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 10 November 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 28 April 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 4 June 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 13 June 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 31 May 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 29 May 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 9 February 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 21 April 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 24 November 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 27 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 9 January 2025 | 9 January 2025 | 7 | 4 |
| 2 | 23 February 2023 | 23 February 2023 | 10 | 1 |
| 3 | 6 February 2020 | 6 February 2020 | 4 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
21 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 21 October 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | 13 October 2025 |
| 9 January 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | 7 December 2024 |
| 9 January 2025 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | 21 February 2025 |
| 9 January 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 21 February 2025 |
| 9 January 2025 | Health | F 0868 | Administration Deficiencies | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | No | Deficient, Provider has date of correction | 21 February 2025 |
| 9 January 2025 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 21 February 2025 |
| 9 January 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | 21 February 2025 |
| 8 August 2024 | Health | F 0582 | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Yes | Past Non-Compliance | 31 May 2024 |
| 25 April 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Yes | Deficient, Provider has date of correction | 7 June 2024 |
| 23 February 2023 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0758 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 21 March 2023 |
| 23 February 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | 21 March 2023 |
| 6 February 2020 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | No | Deficient, Provider has date of correction | 6 March 2020 |
| 6 February 2020 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 6 March 2020 |
| 6 February 2020 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 6 March 2020 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | OMNI MANOR, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2003-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Trumbull |
| Telephone Number | 3308476266 |
| Chain Name | WINDSOR HOUSE, INC. |
| Chain ID | 567 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 100 |
| Average Number of Residents per Day | 96.4 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on WINDSOR HOUSE AT CHAMPION: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: ZACHARY F VERES no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
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The citable document for WINDSOR HOUSE AT CHAMPION
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 366281.