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Vancrest-Upper Valley
3232 North County Road 25a, Troy, OH 45373 (opens Google Maps) · Miami County · (937) 440-7663· 127 certified beds · avg 115 residents/day · certified since May 8, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: VANCREST HEALTH CARE CENTERS (13 facilities, chain avg rating 4.0★)
3/5
Health inspection rating (on-site)
inspected Jul 25, 2024
1
Serious findings on record
most recent Aug 22, 2019
$0
Fines, last 3 years
3.20
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Sep 16, 2019 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 32 inspection findings. Open the full record below to read every finding.
The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. F-0552
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. F-0585
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. F-0637
View all 32 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0637 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Jul 25, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Jul 25, 2024 | B · Potential for minimal harm, pattern | 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. · F-0582 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0569 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Nov 23, 2021 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Aug 22, 2019 | ▲ G · Actual harm, isolated | 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. · F-0686 |
| Aug 22, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide timely, quality laboratory tests to meet residents' needs. · F-0770 |
| Aug 22, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Aug 22, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0569 |
| Aug 22, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Aug 22, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Aug 22, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Aug 22, 2019 | C · Potential for minimal harm, widespread | 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. · F-0607 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 13).
All citationsSerious citations (G–L)
2019
All citations: 8
Serious citations (G–L): 1
2021
All citations: 11
Serious citations (G–L): 0
2024
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.20
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.44
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.79
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.87 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Vancrest-Upper Valley. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 43 parties CMS has on file for this facility; 23 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Vancrest Health Care Centers — 13 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Rest Haven Nursing Home INC — Greenville, OH · overall 4/5
- Vancrest Health Care Center — Van Wert, OH · overall 5/5
- Vancrest Health Care Center of Eaton — Eaton, OH · overall 3/5
- Vancrest Health Care Ctr of Ho — Holgate, OH · overall 4/5
- Vancrest of Ada — Ada, OH · overall 2/5
- Vancrest of Delphos — Delphos, OH · overall 5/5
- Vancrest of Hicksville — Hicksville, OH · overall 5/5
- Vancrest of New Carlisle — New Carlisle, OH · overall 3/5
Listed by state, then facility name — not a ranking. Showing 8 of the 12 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 43 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 24 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 | |
| Laurels of Huber Heights the | 15.3 mi | Huber Heights, OH | ★★★☆☆ | 3/5 | |
| Ohio Living Dorothy Love | 15.6 mi | Sidney, OH | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 365735.