Vancrest of Ada
600 West North Avenue, Ada, OH 45810 · Hardin County · 60 certified beds · avg 53 residents/day · certified since Jul 28, 2016
Part of chain: VANCREST HEALTH CARE CENTERS (13 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 6, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 19, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 6, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Nov 6, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Feb 6, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Sep 4, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| May 18, 2023 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| May 18, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 13, 2020 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Feb 13, 2020 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 2 | 0 | D |
| 2023 | 2 | 0 | E |
| 2024 | 1 | 0 | F |
| 2025 | 15 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.78 | 3.45 | 3.95 | top 22% in Ohio; top 49% in the U.S. |
| Registered Nurse hours | 0.61 | 0.60 | 0.69 | top 38% in Ohio; top 47% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.07 | 3.50 | top 26% in Ohio; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.42 | 0.48 | bottom 23% in Ohio; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 43.1 | 48.7 | 45.8 | top 35% in Ohio; top 45% in the U.S. |
| RN turnover (%) | 25.0 | 43.9 | 42.9 | top 20% in Ohio; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.92, RN 0.63, weekend 3.41. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bagley, Jon | Individual | 5% or Greater Direct Ownership Interest | 30% | 07/09/2012 |
| McCleery, Mark | Individual | 5% or Greater Direct Ownership Interest | 11% | 07/09/2012 |
| Myers, Mark | Individual | 5% or Greater Direct Ownership Interest | 15% | 07/09/2012 |
| White, Mark | Individual | 5% or Greater Direct Ownership Interest | 37% | 07/09/2012 |
| Bagley, Jon | Individual | Corporate Director | NOT APPLICABLE | 07/09/2012 |
| Bagley, Jon | Individual | Corporate Officer | NOT APPLICABLE | 07/09/2012 |
| McCleery, Mark | Individual | Corporate Officer | NOT APPLICABLE | 07/09/2012 |
| Myers, Mark | Individual | Corporate Director | NOT APPLICABLE | 07/09/2012 |
| Myers, Mark | Individual | Corporate Officer | NOT APPLICABLE | 07/09/2012 |
| Stewart, Shane | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/23/2019 |
| White, Mark | Individual | Corporate Director | NOT APPLICABLE | 07/09/2012 |
| White, Mark | Individual | Corporate Officer | NOT APPLICABLE | 07/09/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Willow Ridge of Mennonite Home Communities of Ohio | 8.4 mi | Bluffton, OH | ★★★★★ | 4/5 | |
| Mennonite Memorial Home | 9.1 mi | Bluffton, OH | ★★★☆☆ | 3/5 | |
| Lost Creek Rehabilitation and Nursing Center | 10.9 mi | Lima, OH | ★☆☆☆☆ | 2/5 | |
| Serenity Spring Senior Living at Arlington | 12.0 mi | Arlington, OH | ★★★★☆ | 3/5 | |
| Carecore at Lima | 13.7 mi | Lima, OH | ★★★☆☆ | 2/5 | |
| Kenton Nursing and Rehabilitation Center | 14.9 mi | Kenton, OH | ★★☆☆☆ | 2/5 | |
| Springview Manor | 15.4 mi | Lima, OH | ★★★★☆ | 3/5 | |
| Lima Convalescent Home | 16.1 mi | Lima, OH | ★★★★☆ | 3/5 | |
| Liberty Retirement Community of Lima INC | 16.4 mi | Lima, OH | ★★☆☆☆ | 1/5 | |
| Shawnee Manor | 17.2 mi | Lima, OH | ★★★★☆ | 4/5 | |
| Springs of Lima the | 17.6 mi | Lima, OH | ★★★★★ | 5/5 | |
| Cridersville Nursing and Rehab | 18.1 mi | Cridersville, OH | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366444.