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Momentous Health at Vandalia

208 North Cassel Road, Vandalia, OH 45377 · Montgomery County · (937) 898-4202

118 certified beds, about 110 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366035 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 16, 2026, inspectors cited 8 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 50 health citations since November 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.03 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

49.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
17E
7F
Potential for minimal harm
0A
0B
0C
June 8, 2026Complaint inspection · 6 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observations, record review, staff interviews and policy review, the facility failed to the resident had safe, clean, comfortable and homelike environment. This affected seven Residents (#36 ,#60, #45, #46, #90, #91, and #95) out of seven residents reviewed for environment. The facility census was 107.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 21, 2026
    Inspectors wroteBased on observation, staff interview, resident interview, medical record review, and review of the facility policies the facility failed to implement interventions and provide sufficient supervision to prevent residents from ingesting foreign objects. This affected one (Resident #33) of three (#31, #33, #42) residents reviewed for accident hazards. The facility also failed to ensure a clean and safe smoking area for the residents on the men's and women's secured unit. This had the potential to affect 19 Residents (#29, #30, #31, #32, #33, #35, # 39, #42, #50, #51, #52, #55, #61, #62, #63, #64, #65, #66, and #68) who the facility identified as smokers and utilized the outdoor smoking area. The facility also failed to ensure the secured unit was properly secured. The facility identified 41 Residents (#28, #29, #30,# 31, #32, #33, #34, #35, #36, #37, #38, #39, #40. [...]
  3. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) August 21, 2026
    Inspectors wroteBased on observation, staff interview, and facility policy review the facility failed to ensure a safe, functional, sanitary and comfortable environment for the residents, staff and public. The affected all 45 residents housed on the East Unit. The facility census was 107.
  4. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility failed to ensure residents who had bed rails affixed to their beds were properly assessed and monitored for safety. This affected one (#42) out of three Residents (#31,#40, and #42) reviewed for bedrails. The facility identified a total of eleven Residents (#29, #30, #31, #34, #35, #38, #40, #41, #42, #46, and #48) who required assist bars on the secure unit. The facility census was 107.
  5. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on review of the medical record and staff interviews, the facility failed to ensure medical providers completed and signed their notes at the time of visit. This affected one (#45) of the three residents reviewed for provider visits. The facility census was 107.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observations, interviews, and policy review, the facility failed to ensure appropriate infection control measures were followed during incontinence care. This affected one (#45) of three residents reviewed for urinary incontinence. The facility census was 107.
March 16, 2026Standard inspection, Complaint inspection · 8 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on record review, staff interview, and review of the facility policy review, the facility failed to ensure there was a Registered Nurse (RN) scheduled at least eight consecutive hours per day, seven days per week. This had the potential to affect all of the residents residing in the facility. The facility census was 108 residents.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, staff interview, and review of the facility policies the facility failed to implement interventions and provide sufficient supervision to prevent residents from ingesting foreign objects. This affected one (Resident #8) of three residents reviewed for supervision. The facility also failed to ensure fall prevention interventions were in place. This affected one (Resident #7) of three residents reviewed for supervision. The facility also failed to ensure hazardous chemicals were secured. This had the potential to affect the following facility-identified cognitively impaired and independently mobile (Residents (#27, #44, #55, #59, and #80) on the 100 hall. The facility census was 108 residents.
  3. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on record review, staff interview, and review of the facility policy, the facility failed to ensure current and accurate documentation of resident advanced directives were included in the medical record. This affected four (Residents #6, #24, # 27, # 65) of 32 residents reviewed for advanced directives. The facility census was 108 residents.
  4. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on review of the medical record, observation, resident interview, staff interview, and review of the facility policy, the facility failed to maintain resident rooms in good repair. This affected two (Residents #69 and #80) of 32 residents reviewed The facility census was 108 residents.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to develop comprehensive care plans to address residents' identified needs. This affected three (Residents (#42, #9, and #8) of four residents reviewed for care plans. The facility census was 108 residents.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure resident care plans were revised to reflect changes in toileting needs. This affected one (Resident #4) of four residents reviewed for care plans. The facility census was 108 residents.
  7. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on review of the medical record, observation, and staff interview, the facility failed to ensure oxygen therapy was administered as ordered by the physician. This affected one (Resident #2) of three residents reviewed for oxygen therapy. The facility census was 108 residents.
  8. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, resident interview, and staff interview, the facility staff failed to provide pain management interventions as ordered by the physician and per resident request. This affected one (Resident #42) of six residents reviewed for pain management. The facility census was 108 residents.
December 4, 2024Complaint inspection · 1 citation
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2024
    Inspectors wroteBased on observation, staff interview, and review of a facility emergency management plan, the facility failed to ensure there was an adequate amount of food available in the facility to account for scheduled meals and emergency situations. This had the potential to affect all 99 residents in the facility who the facility identified as receiving food from the kitchen. The census was 99.
October 8, 2024Complaint inspection · 3 citations
  1. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on medical record review, staff and resident interviews, observations and policy review the facility failed to ensure prescription medications were appropriately stored in a secured manner. This had the potential to affect 17 residents (#69, #70, #73, #75, #78, #79, #80, #83, #85, #86, #88, #89, #91, #94, #95, #97 and #101) residing on the [NAME] Hall and eight resident (#6, #7, #11, #17, #21, #22, #23 and #29) residing on the East Hall who were cognitively impaired and independently mobile who could potentially access unsupervised and unsecured medications. Additionally, the facility failed to ensure refrigerated medications were appropriately stored. This had the potential to affect 21 residents (#48, #49, #50, #51, #52, #53, #54, #55, #56, #57, #58, #59, #60, #61, #62, #63, #64, #65, #66, #67 and #68) residing in the Northeast unit. The facility census was 103.
  2. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on observations and staff interviews, the facility failed to maintain the building in a safe homelike manner. This had the potential to affect the 21 residents (#48, #49, #50, #51, #52, #53, #54, #55, #56, #56, #58, #59, #60, #61, #62, #63, #64, #65, #66, #67 and #68) residing in the Northeast Unit of the facility. The facility census was 103.
  3. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 14, 2024
    Inspectors wroteBased on medical record review, observations and resident and staff interviews and policy review, the facility failed to ensure an adequate supply of paper towels and toilet paper for a resident's bathroom. This affected one (#84) out of three residents reviewed for the physical environment. The facility census was 103.
September 4, 2024Complaint inspection · 1 citation
  1. F
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
    F837 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the online license verification system of the Bureau of Executives of Long-Term Services and Supports (BELTSS), review of the Administrator job description, and staff interview, the facility failed to ensure there was a licensed nursing home administrator (LNHA) with a valid license providing supervision and leadership to the facility. This had the potential to affect all of the residents residing in the facility. The facility census was 106 residents.
May 22, 2024Complaint inspection · 2 citations
  1. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on observations and resident and staff interviews, the facility failed to ensure shower rooms were clean and ceilings were maintained. This had the potential to affect 60 (#44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54, #55, #56, #57, #58, #59, #60, #61, #62, #63, #64, #65, #66, #67, #68, #69, #70, #71, #72, #73, #74, #75, #76, #77, #78, #79, #80, #81, #82, #83, #84, #85, #86, #87, #88, #89, #90, #91, #92, #93, #94, #95, #96, #97, #98, #99, #100, #101, #102 and #103) residents who receive showers in the [NAME] and Northeast shower rooms. The facility census was 101.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, and policy reviews, the facility failed to provide adequate interventions and/or supervision to ensure a resident who was cognitively impaired with a history of wandering did not elope from the facility. This affected one (#53) out of three residents reviewed for elopements. The facility census was 101.
March 14, 2024Complaint inspection · 1 citation
  1. F
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    F839 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 2, 2024
    Inspectors wroteBased on review of personnel files and staff interview, the facility failed to ensure all licensed nursing staff had an active nursing license. This had the potential to affect all 96 residents residing in the facility. The census was 96.
April 24, 2023Standard inspection · 21 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, staff interviewand policy review, the facility failed to conduct Quality Assurance and Performance Improvement meetings at least quarterly. This had the potential to affect all 103 residents in the facility. The census was 103.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record reviews, employee file review, staff interviews and policy reviews, the facility failed to implement and monitor the water system to prevent Legionella disease, and to ensure employees were screened or tested for tuberculosis. This had the potential to affect all 103 residents in the facility. The facility census was 103.
  3. E
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to notify Medicaid recipient residents when they had exceeded the Medicaid eligible personal fund limit. This affected 15 (#36, #18, #86, #25, #23, #46, #37, #14, #72, #45, #88, #2, #29, #19, and #15) of 15 Medicaid residents with personal funds accounts reviewed. The facility census was 103.
  4. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wrote5. Observation on 04/18/23 at 8:23 A.M., revealed on the wall behind Resident #30 bed board, a four foot by four-foot wall area with multiple half inch deep cuts in the wall. This exposed a non-cleanable wall surface. Interview on 04/18/23 at 8:23 A.M., with Resident #30 stated the wall had the exposed area and cuts since admission on [DATE]. He stated he did not like how the wall looked. Interview on 04/20/23 at12:00 P.M., with Maintenance Director #81 verified the wall behind Resident #30 bed board had large scrapes and deep cuts which was not a cleanable surface. The Maintenance Director #81stated he was unsure how long the wall had been in disrepair. Review of the policy titled Homelike Environment dated 05/01/22 revealed the facility will provide a safe, clean, comfortable and homelike environment. 4. Observation on 04/18/23 at 8:59 A.M., revealed Resident #39 to be in his bed. [...]
  5. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on observation, record review, resident interviews, staff interview and policy review, the facility failed to ensure residents received showers per their preference. This affected four (#05, #40, #47 and #91) of five residents reviewed for activities of daily living. The census was 103.
  6. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and policy review, the facility failed to ensure medications were not stored at the bedside. This affected one (#21) of five reviewed for medications. The facility also failed to ensure insulin and inhaler was discarded when expired. This potentially could affect 15 residents identified as receiving insulin and/or inhaler. The census was 103.
  7. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, meal spreadsheet review, observation, staff interviews and policy review, the facility failed to provide food portions as planned by a Registered Dietitian. This affected 16 (#3, #54, #53, #20, #47, #12, #73, #38, #83, #22, #41, #11, #95, #26, #69, and #52) of 16 residents who received a consistent carbohydrate diet and all 101 residents who received food from the kitchen did not receive a bread portion at the lunch meal on 04/19/23. Residents #29 and #59 do not receive food from the kitchen. The census was 103.
  8. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, observation, staff interviews and policy review, the facility failed to label stored foods, discard expired foods, and maintain food equipment in a sanitary manner. This had the potential to affect 101 residents who received food from the kitchen. Residents #29 and #59 do not receive food from the kitchen. The facility census was 103.
  9. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on observation and staff interviews, the facility failed to maintain essential equipment in operating condition. This had the potential to affect 101 residents who received food from the kitchen. Residents #29 and #59 do not receive food from the kitchen. The facility census was 103.
  10. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, observations, resident interview, staff interviews and policy review, the facility failed to ensure a resident was assessed to self-administer medications. This affected one (#78) of one random resident observed. The census was 103.
  11. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, observations, staff and resident interview, the facility failed to ensure a resident was treated with dignity and respect. This affected one (#47) of 25 residents reviewed for care and treatment. The census was 103.
  12. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, observations, staff and resident interview and policy review, the facility failed to ensure a resident was free from verbal abuse. This affected one (#47) of four residents reviewed for potential abuse. The census was 103.
  13. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, resident interview, staff interview, facility investigation review, and policy review, the facility failed to report resident to resident altercation. This affected four residents (#80, #5, #4 and #77) of five reviewed for potential abuse. The census was 103.
  14. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, resident interview, staff interview and policy review, the facility failed to ensure residents had a care plan for hearing loss and antipsychotic medications. This affected two (#82 and #92) of 25 residents reviewed for care plans. The facility census was 103.
  15. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on observation, medical record review, staff interview, the facility failed to ensure a resident experiencing pain was provided timely pain management. This affected one (#47) of one reviewed for pain management. The census was 103.
  16. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, staff interviews and policy review, the facility failed to ensure pharmacy recommendations were reviewed by the physician timely and monthly medication reviews were completed by the pharmacy. This affected two (#83 and #89) of five residents reviewed for unnecessary medications. The facility census was 103.
  17. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to ensure a resident received a gradual dose reduction or contraindication for a gradual dose reduction of an antidepressant. The facility also failed to ensure a resident that received an antipsychotic medication had an appropriate diagnosis and indications for use. This affected two (#82 and #83) residents of five residents reviewed for unnecessary medications. The facility census was 103.
  18. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, observation, staff interviews and policy review, the facility failed to provide dental services. This affected one (#33) of one resident reviewed for dental services. The facility census was 103.
  19. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on medical record review, staff interview, hospice staff interview and policy review, the facility failed to ensure the hospice provider and the facility collaborated to develop a plan of care. This affected one (#79) of one resident reviewed for hospice services. The census was 103.
  20. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record reviews, staff interviews and policy reviews, the facility failed to ensure residents were offered and received pneumococcal and influenza vaccines. This affected two (#89 and #55) of five residents reviewed for vaccinations. The facility census was 103.
  21. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2023
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to ensure a resident was offered a COVID-19 vaccine. This affected one (#89) of five residents reviewed for vaccinations. The facility census was 103.
November 7, 2019Standard inspection · 7 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on record review, observation and staff interview, the facility failed to store in a sanitary manner. This had the potential to affected 107 of 108 residents who receive food from the kitchen. The facility identified Resident #2 did not receive food from the kitchen.
  2. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on resident record review and staff interview; the facility failed to develop baseline care plans. This affected four (#9, #43, #52 and #110) of 11 residents reviewed for the development of the baseline care plan. The facility census was 108.
  3. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on observation, review of facility policy and staff interview, the facility failed to ensure the medication storage carts were secured. This affected two of six medication carts. This had the potential to affect 30 of the 40 residents residing on the units who were independently mobile. The facility census was 108.
  4. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on observation and staff interview, the facility failed to maintain the resident's room in safe and sanitary operating condition. This affected seven rooms and had the potential to affect all 108 residents residing in the facility.
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on medical record review, observation and staff interview, the facility failed to update care plans to meet the needs of a resident. This affected two (Resident #31 and #47) of 25 residents reviewed during the final investigation stage of the annual survey. The facility census was 108.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on medical record review, staff interview and observation, the facility failed to ensure nail care was completed for a resident who required assistance with personal hygiene. This affected one (#18) of one resident reviewed for nail care. The facility census was 108.
  7. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2019
    Inspectors wroteBased on medical record review and staff interview, the facility failed to accurately document care given to a resident. This affected one (Resident #47) of 25 residents reviewed during the final investigation stage of the annual survey. The facility census was 108.

Fire safety inspections

45 fire safety citations on file: 11 on March 16, 2026, 19 on October 8, 2024, 8 on April 24, 2023, 7 on November 7, 2019.

Every fire safety citation45 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · March 16, 2026 · Corrected (the home has a date of correction)
  2. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 16, 2026 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 16, 2026 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 16, 2026 · Corrected (the home has a date of correction)
  5. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 16, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 16, 2026 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 16, 2026 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 16, 2026 · Corrected (the home has a date of correction)
  9. F
    Ensure proper usage of power strips and extension cords.
    K 920 · March 16, 2026 · Corrected (the home has a date of correction)
  10. E
    Use approved construction type or materials.
    K 161 · March 16, 2026 · Corrected (the home has a date of correction)
  11. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · March 16, 2026 · Corrected (the home has a date of correction)
  12. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · October 8, 2024 · Corrected (the home has a date of correction)
  13. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · October 8, 2024 · Corrected (the home has a date of correction)
  14. F
    Provide properly protected cooking facilities.
    K 324 · October 8, 2024 · Corrected (the home has a date of correction)
  15. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 8, 2024 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 8, 2024 · Corrected (the home has a date of correction)
  17. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 8, 2024 · Corrected (the home has a date of correction)
  18. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 8, 2024 · Corrected (the home has a date of correction)
  19. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 8, 2024 · Corrected (the home has a date of correction)
  20. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 8, 2024 · Corrected (the home has a date of correction)
  21. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 8, 2024 · Corrected (the home has a date of correction)
  22. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · October 8, 2024 · Corrected (the home has a date of correction)
  23. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · October 8, 2024 · Corrected (the home has a date of correction)
  24. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 8, 2024 · Corrected (the home has a date of correction)
  25. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · October 8, 2024 · Corrected (the home has a date of correction)
  26. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 8, 2024 · Corrected (the home has a date of correction)
  27. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 8, 2024 · Corrected (the home has a date of correction)
  28. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 8, 2024 · Corrected (the home has a date of correction)
  29. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 8, 2024 · Corrected (the home has a date of correction)
  30. E
    Have proper medical gas storage and administration areas.
    K 923 · October 8, 2024 · Corrected (the home has a date of correction)
  31. F
    Have properly located and lighted "Exit" signs.
    K 293 · April 24, 2023 · Corrected (the home has a date of correction)
  32. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · April 24, 2023 · Corrected (the home has a date of correction)
  33. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 24, 2023 · Corrected (the home has a date of correction)
  34. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 24, 2023 · Corrected (the home has a date of correction)
  35. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 24, 2023 · Corrected (the home has a date of correction)
  36. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 24, 2023 · Corrected (the home has a date of correction)
  37. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 24, 2023 · Corrected (the home has a date of correction)
  38. E
    Provide properly protected cooking facilities.
    K 324 · April 24, 2023 · Corrected (the home has a date of correction)
  39. F
    Establish emergency prep training and testing.
    E 36 · November 7, 2019 · Corrected (the home has a date of correction)
  40. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 7, 2019 · Corrected (the home has a date of correction)
  41. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 7, 2019 · Corrected (the home has a date of correction)
  42. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 7, 2019 · Corrected (the home has a date of correction)
  43. E
    Provide properly protected cooking facilities.
    K 324 · November 7, 2019 · Corrected (the home has a date of correction)
  44. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 7, 2019 · Corrected (the home has a date of correction)
  45. E
    Ensure proper usage of power strips and extension cords.
    K 920 · November 7, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.033.693.86
Registered nurses0.340.640.69
All nursing staff on weekends2.653.283.42
Nurse aides1.71
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)49.0%48.7%45.8%
Registered nurse turnover62.5%43.9%42.9%
Administrators who left0

CMS expects 4.67 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 2.65 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.11 in April to June 2025 to 3.03 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.030.343.182.65 0.0%1 of 90110
Oct to Dec 20252.970.303.092.66 0.0%1 of 92103
Jul to Sep 20252.990.253.122.67 0.0%2 of 9299
Apr to Jun 20253.110.293.242.78 0.0%2 of 9198
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Momentous Health at Vandalia. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.45.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.96.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.83.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.88.815.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Momentous Health at Vandalia's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Ohio: 147 better, 20 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 17 eligible stays.

Potentially preventable readmissions

11.3% this home

No different from the national rate

US median of homes 10.7% · Ohio: 3 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 26 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Ohio: 1 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 10 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 8 residents counted.

Falls with major injury

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 12 residents counted.

New or worsened pressure ulcers

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 12 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Ohio100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: VANDALIA REHAB LLC.

NameRoleTypeShareSince
Stein, Mark5% or greater direct ownership interestIndividual50%05/01/2022
Tenenbaum, Michael5% or greater direct ownership interestIndividual50%05/01/2022
Stein, MarkCorporate officerIndividual05/01/2022
Tenenbaum, MichaelCorporate officerIndividual05/01/2022
Ferguson, HaroldOperational/managerial controlIndividual10/01/2024
Walter, MandyOperational/managerial controlIndividual10/15/2024
Ferguson, HaroldAdp of the SNFIndividual10/01/2024
Stein, MarkAdp of the SNFIndividual02/01/2022
Tenenbaum, MichaelAdp of the SNFIndividual02/01/2022
Walter, MandyAdp of the SNFIndividual10/15/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on June 8, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on June 8, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on March 16, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on October 8, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.65 hours per resident per day, below the Ohio average of 3.28.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Momentous Health at Vandalia's Medicare star rating?
CMS rates Momentous Health at Vandalia 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Momentous Health at Vandalia get at its last inspection?
8 health deficiencies at the standard inspection on March 16, 2026. The Ohio average is 10.5.
Has Momentous Health at Vandalia been fined?
CMS lists no fines in the last three years.
Does Momentous Health at Vandalia accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Momentous Health at Vandalia?
CMS lists 10 owners and managers. Legal business name: VANDALIA REHAB LLC.

Sources

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