What is Vancrest Health Care Ctr of Ho's Medicare star rating?

CMS rates Vancrest Health Care Ctr of Ho 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Vancrest Health Care Ctr of Ho get at its last inspection?

5 health deficiencies at the standard inspection on February 19, 2026. The Ohio average is 10.5.

Has Vancrest Health Care Ctr of Ho been fined?

CMS lists no fines in the last three years.

Does Vancrest Health Care Ctr of Ho 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 Vancrest Health Care Ctr of Ho?

CMS lists 14 owners and managers, and links the home to Vancrest Health Care Centers. Legal business name: HOLGATE CARE CENTER, LLC.

Vancrest Health Care Ctr of Ho: Inspections & Ratings

The record in brief

At its most recent standard inspection, on February 19, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 12 health citations since September 2023 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 3.80 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.

39.7% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Vancrest Health Care Centers, an affiliated group of 13 nursing homes.

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.

509/23

210/24

502/26

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 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 19, 2026Standard inspection · 5 citations

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) April 3, 2026

Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure the snack/nourishment refrigerator for the 300 Hall and 400 Hall nurses' stations was maintained with properly dated and labeled food and beverage items to prevent the potential for foodborne illness. The facility identified thirty-one residents (#1, #4, #9, #14, #16, #17, #18, #19, #20, #23, #24, #26, #27, #28, #29, #30, #31, #32, #33, #36, #39, #40, #42, #44, #46, #48, #50, #55, #57, #59, and #67) who receive nourishments from the refrigerator. The facility census was 56.
D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2026

Inspectors wroteBased on resident interview, observation, medical record review, the review of dietary meal ticket, staff interview, and review of facility policy, the facility failed to honor residents' food preferences. This affected one (#49) of two residents reviewed for preferences. The facility census was 56.
D

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2026

Inspectors wroteBased on observations, resident interview, staff interviews, and review of facility policy, the facility failed to ensure enteral tube feedings were correctly labeled and dated. This affected one (#20) of one resident reviewed for enteral tube feedings. The facility census was 56.
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 3, 2026

Inspectors wroteBased on observation, staff interview, medical record review, and review of the facility policy, the facility failed to obtain an order for oxygen therapy. This affected one (#64) of one resident reviewed for oxygen therapy. The facility identified nine residents (#25, #27, #41, #43, #47, #51, #53, #55, and #64) who received oxygen therapy. The facility census was 56.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 3, 2026

Inspectors wroteBased on observation, medical record review, staff interview and policy review the facility failed to wear proper personal protective equipment (PPE) upon entry into a contact precautions room. This affected two (#10 and #47) of two residents reviewed for transmission-based precautions (TBP). The facility census was 56.

October 17, 2024Standard inspection · 2 citations

D

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

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024

Inspectors wroteBased on medical record review, staff interview, and facility policy, the facility failed to ensure treatments were implemented timely for pressure ulcers. This affected one (#46) of three residents reviewed for pressure ulcers. The facility census was 49.
D

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

F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024

Inspectors wroteBased on medical record review, resident interview, staff interview, and facility policy, the facility failed to ensure communication with dialysis treatment center and and failed to provide ongoing monitoring/assessment of the dialysis access site. This affected one (#150) of one resident reviewed for dialysis. The census was 49.

September 21, 2023Standard inspection · 5 citations

E

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 31, 2023

Inspectors wroteBased on observation, staff interview, and review of the menu spreadsheet, review of recipe, review of resident diet list, the facility failed to ensure pureed protein was prepared following the recipe to ensure adequate protein was provided. This affected one (#19) of one resident identified on a pureed diet. Additionally, the facility failed to ensure appropriate scoop sizes were used to serve protein portions to Resident #19 on a pureed diet, and to 11 (#2, #4, #9, #17, #23, #24, #26, #35, #36, #38, and #40) residents identified on a mechanical soft diet. The facility census was 44.
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) October 31, 2023

Inspectors wroteBased on observation, staff interview, review of resident diet list, and review of policy, the facility failed to ensure hand hygiene was practiced during the preparation of mechanical soft food. This had the potential to affect 11 residents (#2, #4, #9, #17, #23, #24, #26, #35, #36, #38, and #40) identified on a mechanical soft diet. The facility census was 44.
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) October 31, 2023

Inspectors wroteBased on observation, medical record review, staff interview, resident interview, and policy review, the facility failed to ensure residents who were dependent on staff for activities of daily living were provided with nail care. This affected three (#4, 19 and #26) of three residents reviewed for assistance with activities of daily living. The facility census was 44.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 31, 2023

Inspectors wroteBased on staff interview, record review, and review of the facility's Hospice Agreement, the facility failed to ensure coordination of care between the facility and Hospice provider. This affected one (#43) of one resident reviewed for Hospice care. The facility identified one resident in the facility was under Hospice care. The facility census was 44.
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) October 31, 2023

Inspectors wroteBased on record review, resident interview, staff interview, Certified Nurse Practitioner interview, and review of the policy, the facility failed to ensure behavior interventions of non pharmacological interventions were implemented prior to increasing antipsychotic medication doses. This affected one (#18) of five residents reviewed for psychotropic medications. The facility census was 44.

Fire safety inspections

8 fire safety citations on file: 1 on February 19, 2026, 3 on October 17, 2024, 4 on September 21, 2023.

Every fire safety citation8 citations

F
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · February 19, 2026 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · October 17, 2024 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · October 17, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 17, 2024 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · September 21, 2023 · Corrected (the home has a date of correction)
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 · September 21, 2023 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · September 21, 2023 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · September 21, 2023 · 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.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.80	3.69	3.86
Registered nurses	0.60	0.64	0.69
All nursing staff on weekends	3.43	3.28	3.42
Nurse aides	2.37
Licensed practical nurses	0.83
Nursing staff turnover (share who left in a year)	39.7%	48.7%	45.8%
Registered nurse turnover	14.3%	43.9%	42.9%
Administrators who left	0

CMS expects 3.86 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 3.95 on weekdays and 3.43 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.80 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.80	0.60	3.95	3.43	3.5%	0 of 90	54
Oct to Dec 2025	3.79	0.65	3.98	3.30	5.3%	0 of 92	51
Jul to Sep 2025	3.80	0.73	3.97	3.38	3.2%	0 of 92	48
Apr to Jun 2025	3.87	0.55	4.03	3.49	2.4%	0 of 91	47
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Ohio, Jan to Mar 2026	3.64	0.60	3.80	3.24	4.6%	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.

Quality measures

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

Measure	This home	Ohio	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	2.9	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	3.8	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.0	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.5	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.3	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	3.3	8.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	50.1	24.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	19.6	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.7	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.4	1.8	1.8

Owners and operators

Legal business name: HOLGATE CARE CENTER, LLC. CMS links this home to Vancrest Health Care Centers, a group of 13 nursing homes averaging 3.9 stars overall.

Name	Role	Type	Share	Since
Bagley, Jon	5% or greater direct ownership interest	Individual	25%	05/29/2002
McCleery, Mark	5% or greater direct ownership interest	Individual	10%	05/29/2002
White, Carol	5% or greater direct ownership interest	Individual	15%	05/29/2002
White, Mark	5% or greater direct ownership interest	Individual	35%	05/29/2002
White, Steven	5% or greater direct ownership interest	Individual	15%	05/29/2002
Gwin, Heather	W-2 managing employee	Individual		05/25/2017
Niese, Leah	W-2 managing employee	Individual		05/30/2003
Bagley, Jon	Corporate director	Individual		05/29/2002
McCleery, Mark	Corporate director	Individual		05/29/2002
White, Mark	Corporate director	Individual		05/29/2002
Bagley, Jon	Corporate officer	Individual		05/29/2002
McCleery, Mark	Corporate officer	Individual		05/29/2002
White, Mark	Corporate officer	Individual		05/29/2002
Vancrest Management Corp.	Operational/managerial control	Organization		02/24/2003

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on February 19, 2026: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on February 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Lutheran Home
Napoleon, 8.6 mi · 5 of 5 stars · 30 citations
Northcrest Rehab and Nursing Center
Napoleon, 10.2 mi · 3 of 5 stars · 31 citations
Laurels of Defiance the
Defiance, 12.7 mi · 4 of 5 stars · 21 citations
Brookview Healthcare Center
Defiance, 13.1 mi · 2 of 5 stars · 25 citations
Meadows of Leipsic
Leipsic, 13.6 mi · 5 of 5 stars · 14 citations
Meadows of Ottawa the
Ottawa, 15.6 mi · 4 of 5 stars · 26 citations
Autumn Court
Ottawa, 16.9 mi · 4 of 5 stars · 14 citations
Grand Rapids Care Center
Grand Rapids, 17.2 mi · 5 of 5 stars · 17 citations

Ohio contacts for a concern about a nursing home

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

Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.

Common questions

What is Vancrest Health Care Ctr of Ho's Medicare star rating?: CMS rates Vancrest Health Care Ctr of Ho 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Vancrest Health Care Ctr of Ho get at its last inspection?: 5 health deficiencies at the standard inspection on February 19, 2026. The Ohio average is 10.5.
Has Vancrest Health Care Ctr of Ho been fined?: CMS lists no fines in the last three years.
Does Vancrest Health Care Ctr of Ho 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 Vancrest Health Care Ctr of Ho?: CMS lists 14 owners and managers, and links the home to Vancrest Health Care Centers. Legal business name: HOLGATE CARE CENTER, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.