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Vancrest of Upper Sandusky

850 Marseilles Avenue, Upper Sandusky, OH 43351 · Wyandot County · (419) 294-4973

99 certified beds, about 90 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365478 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 10 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 20 health citations since July 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 3.67 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.

53.8% 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.

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 20 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
8E
2F
Potential for minimal harm
0A
0B
0C
January 15, 2026Standard inspection · 10 citations
  1. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on observations, staff interviews, review of facility policy, and review of a medication reference guide, the facility failed to ensure medications were properly labeled with an open date to determine expiration dates and further failed to ensure expired medications were disposed of. This had the potential to affect all 89 residents residing in the facility. The facility census was 89.
  2. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure the confidentiality of residents' medical information. This affected 13 (#7, #11, #15, #17, #26, #36, #38, #55, #59, #62, #67, #83, and #87) of 13 residents who resided on the east hall. The facility census was 89.
  3. E
    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, pattern · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure comprehensive care plans were developed to address residents' needs. This affected four (#2, #64, #84 and #10) of four residents reviewed for care plans. The facility census was 89.
  4. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on observation, review of the activity calendars, staff interview, and review of facility policy, the facility failed to ensure an adequate activities program on the memory care unit. This had the potential to affect 12 (#13, #14, #47, #53, #57, #60, #63, #68, #78, #80, #82, and #89) residents identified by the facility as residing on the memory care unit and regularly participating in activities. The facility census was 89.
  5. 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) February 17, 2026
    Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure mechanically altered meals were stored in a manner to prevent contamination. This affected six (#2, #8, #16, #51, #74, #79, and #84) of six residents identified by the facility as receiving pureed foods. Additionally, the facility failed to ensure the kitchenette was maintained in a clean and sanitary manner. This affected 37 (#4, #5, #6, #9, #12, #16, #20, #22, #27, #28, #31, #33, #34, #37, #39, #40, #41, #44, #46, #50, #51, #56, #58, #61, #67, #70, #71, #75, #79, #85, #86, #88, #90, #91, #92, #94, and #100) of 37 residents who received food from the second floor kitchenette. The facility census was 89.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on medical record review, observation, family and staff interview, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to perform hand hygiene during medication administration and further failed to ensure nebulizer tubing was stored in a sanitary manner. This affected one (#5) of 13 residents observed for medication administration. Additionally, the facility failed to ensure residents with respiratory illness were placed on transmission-based precautions (TBP). This affected one (#64) of one resident reviewed for respiratory illness. The facility census was 89.
  7. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on medical record review, observation, and resident and staff interview, the facility failed to ensure timely follow-up on hearing needs. This affected one (#28) of one resident reviewed for hearing services. The facility census was 89.
  8. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 17, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure sanitary practice while caring for a urinary catheter. This affected one (#45) of two residents reviewed for urinary catheters. The facility census was 89.
  9. 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) February 17, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure respiratory assessments were completed following a change in condition. This affected one (#60) of one resident reviewed for respiratory care. The facility census was 89.
  10. 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) February 17, 2026
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure parameters were in place for the safe administration of as needed (PRN) pain medications. This affected two (#71 and #8) of five residents reviewed for unnecessary medications. The facility census was 89.
October 26, 2023Standard inspection · 8 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · 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 the review of the facility's Payroll-Based Journal (PBJ) Staffing Data Report, staffing schedule, posted daily staffing sheets, staff time sheets, and staff interview, the facility failed to submit accurate information in the PBJ in the third quarter of 2022. This had the potential to affect all residents. The facility census was 81. Findings Include: Review of the Payroll-Based Journal (PBJ) Staffing Data Report revealed the facility triggered for excessively low weekend staffing and not having licensed nursing coverage 24 hours a day in the third quarter of 2022. The specific days identified were Saturday 04/02/22, Sunday 04/03/22, Saturday 04/30/22, Saturday 05/14/22, Sunday 05/15/22, Saturday 06/11/22, and Saturday 06/25/22. [...]
  2. 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) November 17, 2023
    Inspectors wroteBased on resident funds account review and staff interview, the facility failed to ensure resident fund accounts were dispersed within 30 days of discharge from the facility. This affected one (#133) of one resident reviewed for conveyance of funds upon discharge. The facility census was 81. Findings Included: Review of Resident #133's medical record revealed an admission date of [DATE]. The resident expired in the facility on [DATE]. Review of Resident #133's personal funds account revealed a copy of a check dated [DATE] made out to the resident's funeral home for $603.70. An additional check to the Treasurer of the State of Ohio was dated [DATE] in the amount of $654.29. Interview with Business Office Manager #476 on [DATE] at 1:28 P.M. verified Resident #133's remaining funds failed to be distributed timely. Interview with the Administrator on [DATE] at 2:15 P.M. [...]
  3. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 17, 2023
    Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to ensure implementation of their abuse policy and obtain an employee background check was completed for State Tested Nurse Aide (STNA) #432 prior to working with residents. This had the potential to affect 30 (#2, #4, #13, #14, #16, #18, #19, #20, #21, #24, #25, #27, #30, #31, #32, #35, #36, #38, #40, #42, #46, #47, #49, #54, #62, #63, #71, #74, #131, and #132) residents identified as residing on the 2 North Hallway in the facility and received care from STNA #432. The facility census was 81.
  4. 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) November 17, 2023
    Inspectors wroteBased on record review, review of the facility self-reported incidents, staff interview, and review of the facility policy on abuse, the facility failed to ensure an allegation of physical abuse was reported to the state agency as required. This affected one (#55) of 19 residents screened for abuse. The facility census was 81.
  5. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 17, 2023
    Inspectors wroteBased on record review, review of the facility self-reported incidents, staff interview, and review of the facility policy on abuse, the facility failed to conduct a thorogh investigation of alleged physical abuse. This affected one (#55) of 19 residents screened for abuse. The facility census was 81.
  6. 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 · Corrected (the home has a date of correction) November 17, 2023
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to implement appropriate fall interventions for Resident #69. This affected one (#69) of two residents reviewed for falls. The facility census was 81.
  7. 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) November 17, 2023
    Inspectors wroteBased on staff interview, medical record review, and review of facility policy, the facility failed to ensure the pharmacy recommendations were completed on a monthly basis and were timely addressed by the physician. This affected one (Resident #34) of five reviewed for unnecessary medications. The facility census was 81.
  8. 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) November 17, 2023
    Inspectors wroteBased on staff interview, medical record review, and review of facility policy, the facility failed to ensure an as needed medication order for a psychotropic medication was limited to a 14 day duration and instructions for use were followed. This affected one (Resident #61) of five reviewed for unnecessary medications. The facility census was 81.
July 6, 2021Standard inspection · 2 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) August 23, 2021
    Inspectors wroteBased only record review, observation, interview, review and review of Centers for Disease Control and Prevention (CDC) guidance, the facility failed to resume communal dining as per CMS and CDC guidelines. This had the potential to affect all residents of the facility with the exception of one (Resident #5) who received no food by mouth and three (Residents #25, #108, #420) who are on transmission-based precautions and isolated to their rooms. The facility census was 113.
  2. D
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2021
    Inspectors wroteBased on observation, interview, record review and policy review, the facility failed to ensure residents were served the correct altered texture diet. This affected two (Residents #9 and #102) of two residents reviewed for altered diets. The facility census was 113.

Fire safety inspections

16 fire safety citations on file: 5 on January 15, 2026, 7 on October 26, 2023, 4 on July 6, 2021.

Every fire safety citation16 citations
  1. F
    Provide properly protected cooking facilities.
    K 324 · January 15, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 15, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 15, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 15, 2026 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 15, 2026 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 26, 2023 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 26, 2023 · Corrected (the home has a date of correction)
  8. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 26, 2023 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 26, 2023 · Corrected (the home has a date of correction)
  10. 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.
    K 222 · October 26, 2023 · Corrected (the home has a date of correction)
  11. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 26, 2023 · Corrected (the home has a date of correction)
  12. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 26, 2023 · Corrected (the home has a date of correction)
  13. 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 · July 6, 2021 · Corrected (the home has a date of correction)
  14. E
    Install an approved automatic sprinkler system.
    K 351 · July 6, 2021 · Corrected (the home has a date of correction)
  15. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 6, 2021 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 6, 2021 · 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)3.673.693.86
Registered nurses0.730.640.69
All nursing staff on weekends3.253.283.42
Nurse aides2.14
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)53.8%48.7%45.8%
Registered nurse turnover26.7%43.9%42.9%
Administrators who left0

CMS expects 3.89 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 3.84 on weekdays and 3.25 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.84 in April to June 2025 to 3.67 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.670.733.843.25 12.3%0 of 9090
Oct to Dec 20253.680.693.863.24 10.7%0 of 9293
Jul to Sep 20253.860.754.003.49 12.3%0 of 9292
Apr to Jun 20253.840.613.983.50 17.2%0 of 9191
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.

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
4.35.313.9
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
0.30.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.53.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.76.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.33.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.98.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.724.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.512.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.51.81.8

Owners and operators

Legal business name: VANCREST OF UPPER SANDUSKY LLC. CMS links this home to Vancrest Health Care Centers, a group of 13 nursing homes averaging 3.9 stars overall.

NameRoleTypeShareSince
Bagley, Jon5% or greater direct ownership interestIndividual15%06/01/2023
McCleery, Mark5% or greater direct ownership interestIndividual5%06/01/2023
Myers, Mark5% or greater direct ownership interestIndividual8%06/01/2023
White, Claire5% or greater direct ownership interestIndividual10%06/01/2023
White, Mark5% or greater direct ownership interestIndividual42%06/01/2023
White, Nicolaus5% or greater direct ownership interestIndividual10%06/01/2023
Smith, JeanW-2 managing employeeIndividual06/01/2023
Bagley, JonCorporate directorIndividual06/01/2023
White, MarkCorporate directorIndividual06/01/2023
Bagley, JonCorporate officerIndividual06/01/2023
McCleery, MarkCorporate officerIndividual06/01/2023
White, MarkCorporate officerIndividual06/01/2023

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 6 problems in this area, most recently on January 15, 2026: "Provide activities to meet all resident's needs."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on January 15, 2026: "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."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 15, 2026: "Keep residents' personal and medical records private and confidential."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on October 26, 2023: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 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

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Common questions

What is Vancrest of Upper Sandusky's Medicare star rating?
CMS rates Vancrest of Upper Sandusky 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Vancrest of Upper Sandusky get at its last inspection?
10 health deficiencies at the standard inspection on January 15, 2026. The Ohio average is 10.5.
Has Vancrest of Upper Sandusky been fined?
CMS lists no fines in the last three years.
Does Vancrest of Upper Sandusky 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 Upper Sandusky?
CMS lists 12 owners and managers, and links the home to Vancrest Health Care Centers. Legal business name: VANCREST OF UPPER SANDUSKY LLC.

Sources

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