Vancrest of Hicksville
601 Defiance Avenue, Hicksville, OH 43526 · Defiance County · (419) 542-7795
61 certified beds, about 47 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365680 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 14 health citations since May 2021 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 3.63 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
43.6% 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.
605/21
201/24
104/25
505/26
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
4E
1F
Potential for minimal harm
0A
0B
1C
May 7, 2026Standard inspection · 5 citations
- E Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure residents received appropriate interest dividends based on the balance of their resident trust accounts. This affected five (#1, #2, #10, #16, and #34) of five residents reviewed for resident trust accounts. The facility identified 37 (#1, #2, #4, #5, #6, #7, #8, #9, #10, #12, #16, #17, #19, #20, #22, #23, #24, #25, #26, #27, #28, #30, #31, #32, #34, #36, #37, #38, #40, #41, #42, #44, #45, #47, #50, #51, and #52) residents with a resident trust account. The facility census was 51.
- 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.
Inspectors wroteBased on observation, staff interview and review of the menu spreadsheet, the facility failed to ensure residents on a mechanical soft diet received appropriate protein portions. This affected seven (#4, #7, #23, #42, #44, #48, and #50) residents who received mechanical soft textured protein. Additionally, the facility failed to ensure residents on a pureed diet received all components of the meal. This affected three (#5, #10, and #52) residents who received a pureed meal. The facility census was 51.
- E Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure common bathrooms, accessible to residents in the facility, had emergency call lights. This had the potential to affect 36 (#1, #2, #4, #6, #7, #8, #9, #12, #13, #16, #17, #19, #21, #22, #23, #24, #25, #26, #27, #28, #30, #31, #32, #34, #37, #38, #40, #41, #44, #45, #46, #47, #51, #52, #54, and #60) residents identified by the facility as independently ambulatory. The facility census was 51.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, record review, staff interview and review of facility policy, the facility failed to accurately provide, monitor, and document fluid intake for residents on a fluid restriction. This affected one (#4) of one resident reviewed for a fluid restriction. The facility identified three (#4, #17, and #60) residents on a fluid restriction. The facility census was 51.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, staff interview and review of the user manual, the facility failed to ensure insulin pens were primed correctly prior to administration. This affected one (#33) of two residents reviewed for insulin administration. The facility identified six (#09, #33, #43, #46, #47, and #56) residents who received insulin. The facility census was 51.
April 2, 2025Complaint inspection · 1 citation
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to ensure residents received meal textures as physician ordered. This affected two (#37 and #38) of three residents reviewed for altered food textures. The facility census was 56.
January 18, 2024Standard inspection · 2 citations
- F 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.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure medications stored in the medication room were not expired. This had the potential to affect all residents who resided in facility. The facility census was 43.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure resident assessments were accurately completed. This affected two (#15 and #31) of two residents reviewed for accurate resident assessments. The facility census was 43.
May 6, 2021Standard inspection · 6 citations
- E Assure the security of all personal funds of residents deposited with the facility.
Inspectors wroteBased on review of the facility trust account statement, review of the facility surety bond and staff interview and record review, the facility failed to have a surety bond sufficient in coverage to protect resident trust account balances. This had the potential to affect all residents, except Residents #1, #12, #25, #27, #134 and #236. The facility census was 37.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, staff interview, medical record review, and review of a facility policy, the facility failed to obtain a resident's blood glucose levels as ordered by a physician. This affected one (#18) of five residents reviewed for unnecessary medications. The facility identified four residents with orders for blood glucose monitoring. The census was 37.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, medical record review, and review of a facility policy, the facility failed to ensure fall interventions were in place as care planned and as ordered by a physician. This affected one (#234) of three residents reviewed for accidents. The facility identified four residents with orders for personal alarms. The census was 37.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interview, medical record review, and review of a facility policy, the facility failed to administer insulin as ordered by a physician. This affected one (#18) of five residents reviewed for unnecessary medications. The facility identified four residents with orders for insulin. The census was 37.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on medical record review, staff interview and facility policy review, the facility failed to monitor a residents laboratory levels per the physician orders. This affected one (#20) of five residents reviewed for unnecessary medications. The facility census was 37.
- C Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on document review, staff interview and facility policy review, the facility failed to have a Quality Assessment and Assurance Committee (QAA) meeting at least quarterly in the last 12 months. This had the potential to affect 37 of 37 facility residents. The facility census was 37.
Fire safety inspections
21 fire safety citations on file: 3 on May 7, 2026, 5 on January 18, 2024, 13 on May 6, 2021.
Every fire safety citation21 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have exits that are accessible at all times.
- E Have properly installed electrical wiring and gas equipment.
- F Establish staff and initial training requirements.
- F Construct fire resistant interior walls.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Provide a written emergency evacuation plan.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure proper usage of power strips and extension cords.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Have properly installed electrical wiring and gas equipment.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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) | 3.63 | 3.69 | 3.86 |
| Registered nurses | 0.59 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.28 | 3.42 |
| Nurse aides | 2.20 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 43.6% | 48.7% | 45.8% |
| Registered nurse turnover | 22.2% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.18 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 3.81 on weekdays and 3.17 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 3.41 in April to June 2025 to 3.63 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 | 3.63 | 0.59 | 3.81 | 3.17 | 0.0% | 0 of 90 | 47 |
| Oct to Dec 2025 | 3.65 | 0.67 | 3.89 | 3.06 | 0.0% | 0 of 92 | 52 |
| Jul to Sep 2025 | 3.47 | 0.59 | 3.64 | 3.05 | 0.0% | 0 of 92 | 55 |
| Apr to Jun 2025 | 3.41 | 0.54 | 3.58 | 2.97 | 0.0% | 0 of 91 | 56 |
| 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 | 1.7 | 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 | 0.5 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.4 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: VANCREST OF HICKSVILLE 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 | 10% | 04/01/2021 |
| Gehl, Jacob | 5% or greater direct ownership interest | Individual | 5% | 04/01/2021 |
| McCleery, Mark | 5% or greater direct ownership interest | Individual | 5% | 04/01/2021 |
| Myers, Mark | 5% or greater direct ownership interest | Individual | 10% | 04/01/2021 |
| White, Carol | 5% or greater direct ownership interest | Individual | 5% | 04/01/2021 |
| White, Claire | 5% or greater direct ownership interest | Individual | 04/01/2021 | |
| White, Mark | 5% or greater direct ownership interest | Individual | 45% | 04/01/2021 |
| White, Nicolaus | 5% or greater direct ownership interest | Individual | 10% | 04/01/2021 |
| Bradford, Martha | W-2 managing employee | Individual | 04/01/2021 | |
| Bagley, Jon | Corporate officer | Individual | 04/01/2021 | |
| Gehl, Jacob | Corporate officer | Individual | 04/01/2021 | |
| McCleery, Mark | Corporate officer | Individual | 04/01/2021 | |
| Myers, Mark | Corporate officer | Individual | 04/01/2021 | |
| White, Carol | Corporate officer | Individual | 04/01/2021 | |
| White, Claire | Corporate officer | Individual | 04/01/2021 | |
| White, Mark | Corporate officer | Individual | 04/01/2021 | |
| White, Nicolaus | Corporate officer | Individual | 04/01/2021 | |
| Vancrest Management Corp. | Operational/managerial control | Organization | 04/01/2021 |
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 3 problems in this area, most recently on May 7, 2026: "Provide enough food/fluids to maintain a resident's health."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 7, 2026: "Ensure that residents are free from significant medication errors."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "Honor the resident's right to manage his or her financial affairs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 7, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Park View Care Center Edgerton, 10.5 mi · 5 of 5 stars · 17 citations
- Pines of Dekalb, the Butler, 11.7 mi · 5 of 5 stars · 7 citations
- Gardens of Paulding the Paulding, 13 mi · 2 of 5 stars · 31 citations
- Cedars the Leo, 13.9 mi · 4 of 5 stars · 20 citations
- Vancrest of Payne Payne, 14.5 mi · 5 of 5 stars · 8 citations
- Majestic Care of Bryan Bryan, 14.8 mi · 1 of 5 stars · 61 citations
- Williams Co Hillside Country L Bryan, 15.5 mi · 4 of 5 stars · 17 citations
- Auburn Village Auburn, 15.6 mi · 3 of 5 stars · 12 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 of Hicksville's Medicare star rating?
- CMS rates Vancrest of Hicksville 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Vancrest of Hicksville get at its last inspection?
- 5 health deficiencies at the standard inspection on May 7, 2026. The Ohio average is 10.5.
- Has Vancrest of Hicksville been fined?
- CMS lists no fines in the last three years.
- Does Vancrest of Hicksville 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 of Hicksville?
- CMS lists 18 owners and managers, and links the home to Vancrest Health Care Centers. Legal business name: VANCREST OF HICKSVILLE 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.