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Home / Ohio / Troy

Vancrest-Upper Valley

3232 North County Road 25a, Troy, OH 45373 · Miami County · (937) 440-7663

127 certified beds, about 115 residents a day · For profit - Corporation · Medicare and Medicaid since 1989

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365735 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 21, 2026, inspectors cited 14 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 39 health citations since November 2021, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.87 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.

40.9% 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 39 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
32D
3E
2F
Potential for minimal harm
0A
1B
0C
July 21, 2026Standard inspection, Complaint inspection · 15 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · deficient, provider has August 31, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on record review, staff interview, observation, and policy review, the facility failed to properly assess and obtain consultation for existing pressure ulcers in a timely manner to prevent the worsening of a pressure ulcer. This resulted in Actual Harm on 06/26/26 when Resident #112 was admitted to the facility with a stage II pressure ulcer which was not assessed by the facility or the wound physician and deteriorated to a stage three pressure ulcer with slough to the wound bed. The facility also failed to administer pressure ulcer treatment per the physician's order. This affected one (Resident #112) of two residents reviewed for pressure ulcers. The facility census was 114 residents.
  2. 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 · deficient, provider has August 31, 2026
    Inspectors wroteBased on observation, staff interview, manufacturer instruction, and policy review, the facility failed to maintain the ice machine and distribute food in a sanitary manner. This had the potential to affect all of the residents in the facility with the exception of four facility-identified (Residents #10, #32, #37 #55) who did not receive food from the facility kitchen. The facility census was 114 residents.
  3. F
    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, widespread · deficient, provider has August 31, 2026
    Inspectors wroteBased on staff interview and policy review the facility failed to offer and administer the Coronavirus (COVID-19) vaccines to employees. This had the potential to affect all residents in the facility. The facility census was 114 residents.
  4. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, review of resident fund accounts, staff interview, and policy review, the facility failed to ensure residents' personal funds were deposited in an interest-bearing account. This affected four (Residents #11, #22, #40, and #77) of six residents reviewed for resident fund accounts. The facility census was 114 residents.
  5. 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 · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the failed to ensure medications were not left unattended with a resident. This affected one (Resident #21) of three residents observed for medication administration. The facility also failed to ensure the medication cart was locked while left unattended in the hallway. This had the potential to affect the 15 facility-identified independently mobile residents on Center Hall (Residents #7, #16, #20, #22, #40, #49, #63, #64, #69, #89, #90, #93, #105, #118, and #119.) The facility census was 114 residents.
  6. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, staff interview and policy review the facility failed to offer influenza and pneumococcal vaccinations to residents. This affected four (Residents #22, #34, #59, and #111) of five residents reviewed for vaccinations. The facility census was 114 residents.
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to notify the physician of resident refusal of treatment. This affected one (Resident #94) of five residents reviewed for positioning. The facility also failed to notify the physician of weight changes as per the physician's order. This affected one (Resident #22) of five residents reviewed for nutrition The facility census was 114 residents.
  8. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, staff interview, review of the Resident Assessment Instrument (RAI) manual, and policy review, the facility failed to submit completed Minimum Data Set (MDS) assessments timely. This affected two (Residents #2 and #3) residents of three residents reviewed for discharges. The facility census was 114 residents.
  9. 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 · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, observations, staff interview, and policy review, the facility failed to develop comprehensive person-centered care plans. This affected two (Residents #40 and #94) of five residents reviewed for activities of daily living (ADLs). The facility census was 114 residents.
  10. 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 · found on a complaint visit · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure residents received showers and assistance with grooming. This affected one (Resident #94) of five residents reviewed for activities of daily living (ADLs). The facility census was 114 residents.
  11. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure interventions for contracture management were implemented as needed. This affected one (Resident #94) of two residents reviewed for positioning. The facility census was 114 residents.
  12. 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 · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to provide ongoing dialysis assessments and communications for a dialysis resident. This affected one resident (Resident #8) of one resident who received dialysis. The facility census was 114 residents.
  13. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure blood pressure medication was administered as ordered. This affected one resident (Resident #118) of three residents reviewed for medication administration. The facility census was 114 residents.
  14. 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 · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, staff interview and policy review the facility failed to communicate and collaborate with hospice services. This affected one (Resident #9) of two residents reviewed for hospice and end of life care. The facility census was 114 residents.
  15. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 31, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to follow infection control procedures during medication administration. This affected one (Resident #118) of three residents observed for medication administration. The facility also failed to follow transmission-based precautions. This affected one (Resident #129) of five residents reviewed for transmission-based precautions. The facility census was 114 residents.
July 25, 2024Standard inspection · 13 citations
  1. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on medical record review, resident representative interview, and staff interview, the facility failed to notify resident representative of new order for antibiotic and reason for the use of the medication. This affected one (#1) resident out of two residents reviewed for antibiotic use. The facility census was 99.
  2. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on medical record review, staff and resident interviews, and policy review, the facility failed to make prompt efforts to resolve a resident's grievance related to missing property. This affected one (#83) of three residents reviewed for missing property. The facility census was 99.
  3. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on medical record review, staff interview, policy review, and review of the Resident Assessment Instrument (RAI) manual 3.0, the facility failed to ensure a significant change Minimum Data Set (MDS) assessment was completed timely after a resident experienced a significant change of condition. This affected one (#83) of seven residents reviewed for significant change in condition. The facility census was 99.
  4. 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) August 23, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a resident had a care plan in place for his behavior with wandering and residing on a secure unit. This affected one (Resident #20) of 27 residents reviewed for care plans. The facility census was 99.
  5. 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) August 23, 2024
    Inspectors wroteBased on observation, policy review, record review, and staff interview, the facility failed to follow proper mechanical lift protocols during a resident's transfer from the bed to a wheelchair. This affected one resident (#47) of three residents reviewed for transfers with lifts. The facility census was 99.
  6. 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) August 23, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a resident with an indwelling catheter had a valid medical justification for the use. This affected one (Resident #50) of three residents reviewed for indwelling catheter. The facility census was 99.
  7. 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 · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review, review of the facility policy, observation, and staff interview the facility failed to assess the need for bed rails on a resident's bed. This affected one (Resident #21) of three residents reviewed for bed rails. The facility census was 99.
  8. 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) August 23, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure pharmacy recommendations were responded to in a timely manner. This affected one (Resident #23) of five residents reviewed for unnecessary medication use. The facility census was 99.
  9. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on medical record review, outside provider interview, and physician interview, the facility failed to ensure residents were free from unnecessary medication use. This affected one (Resident #38) of five residents reviewed for unnecessary medication use. The facility census was 99.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, review of Medscape guidance, review of the insulin pen quick reference guide, and policy review, the facility failed to prime an insulin pen per manufacturer instructions prior to administration, resulting in a significant medication error. This affected one (#83) of three residents observed for medication administration. The facility census was 99.
  11. D
    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, isolated · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on observation, resident and staff interviews, medical record review, and policy review, the facility failed to ensure medications were consumed at the time of administration and not left at the resident's bed side unsupervised. This affected one (#302) resident out of the three residents reviewed for medication administration. The facility census was 99.
  12. 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) August 23, 2024
    Inspectors wroteBased on observation, staff interview, record review and review of the facility policy the facility failed to follow isolation protocols while providing care to residents. This affected one (Resident #47) of five residents reviewed for isolation precautions. The facility census was 99.
  13. B
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 23, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to provide the residents with the Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) and the Notice of Medicare Provider Non-Coverage (NOMNC). This affected two (#58 and #91) of three residents reviewed for beneficiary notices. The facility census was 99.
November 23, 2021Standard inspection · 11 citations
  1. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2021
    Inspectors wroteBased on medical record review, observation, staff and resident interviews, and policy review, the facility failed to ensure a resident had a call light within reach at all times. This affected one (#10) of 32 residents observed for call light use. The facility census was 109.
  2. D
    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, isolated · Corrected (the home has a date of correction) December 13, 2021
    Inspectors wroteBased on record review, review of the facility's policy, and staff interview, the facility failed to notify the resident and resident's representative when the resident's amount exceeded the resource limit. This affected one (Resident #84) of five residents reviewed for personal trust fund accounts. The facility identified 70 residents who have personal trust fund accounts. The facility census was 109.
  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) December 13, 2021
    Inspectors wroteBased on medical record review, review of the facility's policy, and staff interviews, the facility failed to ensure the resident's Ohio Comfort Care Do Not Resuscitate (DNR) form was accurately completed. This affected one (Resident #38) of three residents reviewed for advanced directives. The facility census was 109.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2021
    Inspectors wroteBased on medical record review, resident and staff interviews, and policy review, the facility failed to notify the physician of significant weight gain for one resident (#60) of five residents reviewed for alteration in weight. The facility identified nine residents with unplanned significant weight gain or loss. The facility census was 109.
  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, 2021
    Inspectors wroteBased on medical record review, staff and resident interview, and policy review, the facility failed to ensure care conferences were completed quarterly for Resident #50. The facility also failed to ensure the care plans were revised quarterly for Resident #60. This affected two (#50 and #60) out of 22 residents reviewed for care plans during the annual survey.
  6. 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) December 13, 2021
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure weights were obtained and documented as ordered for Resident #85. This affected one (#85) of two residents reviewed for edema. The facility census was 109.
  7. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · 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, 2021
    Inspectors wroteBased on medical record review, observations, resident and staff interviews, the facility failed to implement a palm protector to prevent further decline in range of motion for one resident (#49). This affected one (#49) of three residents reviewed for limited range of motion. The facility identified 27 residents with contractures. The facility census was 109.
  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) December 13, 2021
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure an anti-anxiety medication was addressed every 14 days. This affected one (#88) of five residents reviewed during the annual survey for unnecessary medications. The facility census was 109.
  9. D
    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, isolated · Corrected (the home has a date of correction) December 13, 2021
    Inspectors wroteBased on record review, observation, review of the facility policy, and staff interview, the facility failed to ensure stored medications were within expiration dates. This affected one of four medication carts reviewed for medication storage. The facility had a total of six medication carts. This affected two residents (#24 and #41) who had insulin stored in the medication cart. The facility census was 109.
  10. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2021
    Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to obtain laboratory tests as ordered by the physician for one resident (#60) of six residents reviewed for laboratory results. The facility census was 109.
  11. D
    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, isolated · Corrected (the home has a date of correction) December 13, 2021
    Inspectors wroteBased on record review, observation, review of the facility's policy, and staff interviews, the facility failed to ensure resident care equipment was maintained in a clean condition. This affected one (Resident #26) of 32 residents observed for clean environment. The facility census was 109.

Fire safety inspections

26 fire safety citations on file: 8 on July 21, 2026, 14 on July 25, 2024, 4 on November 23, 2021.

Every fire safety citation26 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · July 21, 2026 · deficient, provider has
  2. F
    Address subsistence needs for staff and patients.
    E 15 · July 21, 2026 · deficient, provider has
  3. F
    Create arrangements with other facilities to receive patients.
    E 25 · July 21, 2026 · deficient, provider has
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 21, 2026 · deficient, provider has
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 21, 2026 · deficient, provider has
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 21, 2026 · deficient, provider has
  7. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 21, 2026 · deficient, provider has
  8. E
    Have proper power supply for life support equipment.
    K 915 · July 21, 2026 · deficient, provider has
  9. F
    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 · July 25, 2024 · Waiver
  10. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 25, 2024 · Corrected (the home has a date of correction)
  11. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 25, 2024 · Corrected (the home has a date of correction)
  12. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 25, 2024 · Corrected (the home has a date of correction)
  13. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 25, 2024 · Corrected (the home has a date of correction)
  14. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 25, 2024 · Corrected (the home has a date of correction)
  15. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · July 25, 2024 · Corrected (the home has a date of correction)
  16. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 25, 2024 · Corrected (the home has a date of correction)
  17. 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 25, 2024 · Corrected (the home has a date of correction)
  18. E
    Install an approved automatic sprinkler system.
    K 351 · July 25, 2024 · Corrected (the home has a date of correction)
  19. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 25, 2024 · Waiver
  20. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 25, 2024 · Corrected (the home has a date of correction)
  21. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 25, 2024 · Waiver
  22. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 25, 2024 · Corrected (the home has a date of correction)
  23. 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 · November 23, 2021 · Corrected (the home has a date of correction)
  24. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 23, 2021 · Corrected (the home has a date of correction)
  25. E
    Meet other general requirements that are deficient.
    K 500 · November 23, 2021 · Corrected (the home has a date of correction)
  26. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 23, 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)3.873.693.86
Registered nurses0.530.640.69
All nursing staff on weekends3.383.283.42
Nurse aides2.34
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)40.9%48.7%45.8%
Registered nurse turnover30.0%43.9%42.9%
Administrators who left0

CMS expects 4.64 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 4.07 on weekdays and 3.38 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.52 in April to June 2025 to 3.87 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.870.534.073.38 3.4%0 of 90115
Oct to Dec 20253.920.494.113.43 5.9%0 of 92112
Jul to Sep 20253.870.414.033.46 11.9%0 of 92118
Apr to Jun 20253.520.373.673.15 11.6%0 of 91119
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
2.85.313.9
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
0.70.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.73.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.36.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.58.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.724.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.312.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.81.8

Owners and operators

Legal business name: VANCREST OF TROY, 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 interestIndividual12/30/2024
McCleery, Mark5% or greater direct ownership interestIndividual12/30/2024
Myers, Mark5% or greater direct ownership interestIndividual12/30/2024
White, Claire5% or greater direct ownership interestIndividual12/30/2024
White, Mark5% or greater direct ownership interestIndividual12/30/2024
White, Nicolaus5% or greater direct ownership interestIndividual12/30/2024
White, Scott5% or greater direct ownership interestIndividual12/30/2024
Silalahi, EdgarManaging control - governing bodyIndividual12/30/2024
Stewart, ShaneManaging control - governing bodyIndividual12/30/2024
Bagley, JonCorporate officerIndividual12/30/2024
White, MarkCorporate officerIndividual12/30/2024
Troy Health Facilities, LLCOperational/managerial controlOrganization12/30/2024
Vancrest Management Corp.Operational/managerial controlOrganization12/30/2024
Allen, BettyOperational/managerial controlIndividual12/30/2024
Contento, RobertOperational/managerial controlIndividual12/30/2024
Fuelling, ElizabethOperational/managerial controlIndividual12/30/2024
Madireddy, NagaOperational/managerial controlIndividual12/30/2024
Parker, KathyOperational/managerial controlIndividual12/30/2024
Pottenger, JuliaOperational/managerial controlIndividual12/30/2024
Rudasill, MarkOperational/managerial controlIndividual12/30/2024
Silalahi, EdgarOperational/managerial controlIndividual12/30/2024
Stewart, ShaneOperational/managerial controlIndividual12/30/2024
Sutherland, CierraOperational/managerial controlIndividual12/30/2024
White, MarkOperational/managerial controlIndividual12/30/2024
Aquila Initiative IncAdp of the SNFOrganization12/30/2024
Bashore Reineck Stoller & Waterman IncAdp of the SNFOrganization12/30/2024
Howard, Wershbale & CoAdp of the SNFOrganization12/30/2024
Therapy SolutionsAdp of the SNFOrganization04/01/2025
Troy Health Facilities, LLCAdp of the SNFOrganization12/30/2024
Twomagnets LLCAdp of the SNFOrganization12/30/2024
Uvmc Nursing Care, IncAdp of the SNFOrganization12/27/1989
Vancrest Management Corp.Adp of the SNFOrganization12/30/2024
Veracity Resourcing and Services LLCAdp of the SNFOrganization12/30/2024
Allen, BettyAdp of the SNFIndividual12/30/2024
Contento, RobertAdp of the SNFIndividual12/30/2024
Fuelling, ElizabethAdp of the SNFIndividual12/30/2024
Madireddy, NagaAdp of the SNFIndividual12/30/2024
Parker, KathyAdp of the SNFIndividual12/30/2024
Pottenger, JuliaAdp of the SNFIndividual12/30/2024
Rudasill, MarkAdp of the SNFIndividual12/30/2024
Silalahi, EdgarAdp of the SNFIndividual12/30/2024
Stewart, ShaneAdp of the SNFIndividual12/30/2024
Sutherland, CierraAdp of the SNFIndividual12/30/2024

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 9 problems in this area, most recently on July 21, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  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 July 21, 2026: "Honor the resident's right to manage his or her financial affairs."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on July 21, 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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on July 21, 2026: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."

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Common questions

What is Vancrest-Upper Valley's Medicare star rating?
CMS rates Vancrest-Upper Valley 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Vancrest-Upper Valley get at its last inspection?
14 health deficiencies at the standard inspection on July 21, 2026. The Ohio average is 10.5.
Has Vancrest-Upper Valley been fined?
CMS lists no fines in the last three years.
Does Vancrest-Upper Valley 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-Upper Valley?
CMS lists 43 owners and managers, and links the home to Vancrest Health Care Centers. Legal business name: VANCREST OF TROY, LLC.

Sources

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