Vancrest-Upper Valley

Name: Vancrest-Upper Valley
Address: 3232 NORTH COUNTY ROAD 25A, Troy, OH, 45373, US
Telephone: 9374407663

3232 North County Road 25a, Troy, OH 45373 · Miami County · 127 certified beds · avg 115 residents/day · certified since May 8, 1989

Part of chain: VANCREST HEALTH CARE CENTERS (13 facilities, chain avg rating 4.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.20

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 · Aug 22, 2019 · F-0686

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: Sep 16, 2019 (Deficient, Provider has date of correction)

All citations in the current public record (32)

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
Jul 25, 2024	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 25, 2024	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.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 25, 2024	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jul 25, 2024	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.
Jul 25, 2024	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.
Jul 25, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 25, 2024	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.
Jul 25, 2024	B · Minimal risk, repeated	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.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 23, 2021	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.
Nov 23, 2021	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.
Nov 23, 2021	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.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Nov 23, 2021	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 22, 2019	▲ 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.
Aug 22, 2019	E · Potential for harm, repeated	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Aug 22, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Aug 22, 2019	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Aug 22, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Aug 22, 2019	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.
Aug 22, 2019	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Aug 22, 2019	C · Minimal risk, facility-wide	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2019	8	1	G ▲
2021	11	0	D
2024	13	0	D

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)	3.20	3.45	3.95	bottom 40% in Ohio; bottom 22% in the U.S.
Registered Nurse hours	0.44	0.60	0.69	bottom 27% in Ohio; bottom 29% in the U.S.
Weekend total nurse staffing	2.79	3.07	3.50	bottom 37% in Ohio; bottom 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.30	0.42	0.48	bottom 29% in Ohio; bottom 31% in the U.S.
Total nursing staff turnover (%)	40.9	48.7	45.8	top 30% in Ohio; top 39% in the U.S.
RN turnover (%)	30.0	43.9	42.9	top 28% in Ohio; top 29% 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 3.87, RN 0.53, weekend 3.38. Staffing rating: 2/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bagley, Jon	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
McCleery, Mark	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
Myers, Mark	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
White, Claire	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
White, Mark	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
White, Nicolaus	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
White, Scott	Individual	5% or Greater Direct Ownership Interest	—	12/30/2024
Allen, Betty	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2024
Allen, Betty	Individual	ADP of the SNF	NOT APPLICABLE	12/30/2024
Aquila Initiative INC	Organization	ADP of the SNF	NOT APPLICABLE	12/30/2024
Bagley, Jon	Individual	Corporate Officer	NOT APPLICABLE	12/30/2024
Bashore Reineck Stoller & Waterman INC	Organization	ADP of the SNF	NOT APPLICABLE	12/30/2024
Contento, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2024
Contento, Robert	Individual	ADP of the SNF	NOT APPLICABLE	12/30/2024
Fuelling, Elizabeth	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2024
Fuelling, Elizabeth	Individual	ADP of the SNF	NOT APPLICABLE	12/30/2024
Howard, Wershbale & Co	Organization	ADP of the SNF	NOT APPLICABLE	12/30/2024
Madireddy, Naga	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2024
Madireddy, Naga	Individual	ADP of the SNF	NOT APPLICABLE	12/30/2024
Parker, Kathy	Individual	Operational/Managerial Control	NOT APPLICABLE	12/30/2024

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?"
"How do you explain health changes and treatment options to residents and their families?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"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
Troy Rehabilitation and Healthcare Center	3.8 mi	Troy, OH	★★☆☆☆	3/5
Ayden Healthcare of Piqua	4.0 mi	Piqua, OH	★☆☆☆☆	2/5
Piqua Manor	4.8 mi	Piqua, OH	★★★☆☆	3/5
Stillwater Skilled Nursing and Rehabilitation	6.9 mi	Covington, OH	★★☆☆☆	3/5
Springmeade Healthcenter	8.1 mi	Tipp City, OH	★★☆☆☆	2/5
Fair Haven Shelby County	12.2 mi	Sidney, OH	★☆☆☆☆	1/5	SFF
Shelby Skilled Nursing and Rehabilitation	13.7 mi	Sidney, OH	★★★☆☆	4/5
Momentous Health at Vandalia	13.8 mi	Vandalia, OH	★★☆☆☆	2/5
Momentous Health at Sidney	14.1 mi	Sidney, OH	★★☆☆☆	2/5
Vancrest of New Carlisle	14.5 mi	New Carlisle, OH	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Troy →

Facility data as of CMS processing date 2026-08-01. CCN 365735.

The Care File

Visit checklist — Vancrest-Upper Valley

3232 North County Road 25a, Troy, OH 45373 · 9374407663

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Most serious findings on record:

▲ Aug 22, 2019 (F-0686, 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.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365735 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)