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CHAMPION CARE

Ownership rollup across 22 nursing homes in 3 states: New Jersey, Tennessee, Wisconsin. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.

Insights

The chain’s homes average 2.2 of 5 stars on the CMS overall rating — about 0.8 stars below the ~3.0 average of the 3 states it operates in. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 21 homes rated throughout, the average rose 0.29 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.

22
Homes in this chain
2,347
Certified beds107 per home on average
75%
Occupied1,762 residents a day across 2,347 beds
+0.29
Star changeacross the 21 homes rated throughout · 2025-02 to 2026-06
3
States covered
2.2
Average CMS ratingacross 21 of 22 homes CMS rates · ~3.0 in its states · ~3.0 nationally

Where the rating comes from

The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.

ComponentChain averageBasis
Health inspection2.1 of 521 rated homesstate surveyors’ findings, ranked within each state
Staffing2.3 of 521 rated homesfrom payroll (PBJ) hours
Quality measures3.0 of 521 rated homeslargely self-reported clinical data

Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.

Portfolio red flags

How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.

10 with immediate-jeopardy citations1 on the CMS Special Focus list3 Special-Focus candidates1 with an abuse flag12 with federal fines

Follow the money — chain finances

Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.

$33.0M
Related-party expensesummed across 22 homes · FY2023–2024 cost reports
16%
of operating expensegoes to related companies, across the 22 homes reporting both figures
-2.8%
Operating marginrevenue-weighted across 22 homes with a cost report
$1.2M
Total federal fines12 homes fined

Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.

Who pays — share of resident-days across this chain
Medicaid 53%Medicare 9%Other / private 38%

Weighted by each home’s average daily census, across the all 22 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.

Every home in this chain

Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.

HomeCMS ratingFlags
Manahawkin Health And Rehabilitation CenterManahawkin, NJ 1 of 53 immediate-jeopardy SFF candidate $208,234 fined
Lyonsview Health And Rehabilitation CenterKnoxville, TN 1 of 54 immediate-jeopardy SFF candidate $12,038 fined
Burlington Health and Rehabilitation CenterBurlington, WI 1 of 56 immediate-jeopardy $371,858 fined
Madison Health and Rehabilitation CenterMadison, WI 1 of 54 immediate-jeopardy $289,198 fined
Suring Health and Rehab CenterSuring, WI 1 of 51 immediate-jeopardy $84,425 fined
Waters Edge Health and Rehabilitation CenterKenosha, WI 1 of 54 immediate-jeopardy SFF candidate Abuse flag $54,055 fined
Riverside Health And Rehabilitation Center LLCTrenton, NJ 2 of 5
Avondale Health and Rehabilitation Center, LLCHumboldt, TN 2 of 5
Highlands Health And Rehabilitation CenterMemphis, TN 2 of 5$22,925 fined
Beloit Health And Rehabilitation CenterBeloit, WI 2 of 5$46,542 fined
Eastview Health and Rehabilitation CenterAntigo, WI 2 of 5
Muskego Health and Rehabilitation CenterMuskego, WI 2 of 5
North Ridge Health and Rehabilitation CenterManitowoc, WI 2 of 51 immediate-jeopardy $12,740 fined
Oconto Health and Rehab CenterOconto, WI 2 of 51 immediate-jeopardy $18,819 fined
Sheridan Health and Rehabilitation CenterKenosha, WI 2 of 5
Monroe Health And Rehabilitation CenterMadisonville, TN 3 of 5
Patriot Health and Rehabilitation CenterParis, TN 3 of 5$30,150 fined
Dyersburg Health And Rehabilitation CenterDyersburg, TN 4 of 56 immediate-jeopardy
Okeena Health And Rehabilitation Center LLCDyersburg, TN 4 of 5
Nu Roc Health and Rehabilitation CTRLaona, WI 4 of 5
St Ann Health and Rehabilitation CenterMilwaukee, WI 4 of 5
Medical Suites at Oak Creek (The)Oak Creek, WINot rated10 immediate-jeopardy Special Focus $92,627 fined
Read this as a floor, not a verdict. CMS chain and ownership data is known to under-report private-equity and REIT ties, and a low chain average can hide strong individual homes (or vice-versa). Use it to know which questions to ask — then read each home’s actual inspection record and confirm current ownership with your state licensing agency.

Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 30 August 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.