Andover, OH

Andover Village Retirement Community

5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

486 S Main St, Andover, OH

(440) 293-5416

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

65

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vrc Management

Operator or chain grouping

Approved since

1979-04-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.67

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.27

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.00

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.95

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.44

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.44

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

3.20

CMS adjusted total nurse staffing hours

Case-mix index

1.71

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

20%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,447

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

56.61

Composite VBP score used to determine payment impact.

Payment multiplier

1.0117

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.75

Baseline 18.75% · Performance 17.84% · Measure score 7.75 · Achievement 7.75 · Improvement 4.81

Healthcare-associated infections

4.89

Baseline 6.46% · Performance 6.37% · Measure score 4.89 · Achievement 4.89 · Improvement 0.09

Total nurse turnover

10

Baseline 30.77% · Performance 21.21% · Measure score 10 · Achievement 10 · Improvement 9

Adjusted total nurse staffing

0

Baseline 2.87 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.64%
10.72%
0.1 pts better
No Different than the National Rate · Eligible stays 100 · Observed rate 15% · Lower 95% interval 7.99%
Discharge to community 59.71%
50.57%
9.1 pts better
No Different than the National Rate · Eligible stays 76 · Observed rate 47.37% · Lower 95% interval 45.92%
Medicare spending per beneficiary 0.9
1.02
0.1 pts better
Drug regimen review with follow-up 96.77%
95.27%
1.5 pts better
Numerator 60 · Denominator 62
Falls with major injury 1.61%
0.77%
0.8 pts worse
Numerator 1 · Denominator 62
Discharge self-care score 25%
53.69%
28.7 pts worse
Numerator 12 · Denominator 48
Discharge mobility score 33.33%
50.94%
17.6 pts worse
Numerator 16 · Denominator 48
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 62 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 6.37%
7.12%
0.8 pts better
No Different than the National Rate · Eligible stays 61 · Observed rate 6.56% · Lower 95% interval 3.45%
Staff COVID-19 vaccination coverage 0.9%
8.2%
7.3 pts worse
Numerator 1 · Denominator 111
Staff flu vaccination coverage 58.04%
42%
16 pts better
Numerator 65 · Denominator 112
Discharge function score 33.33%
56.45%
23.1 pts worse
Numerator 16 · Denominator 48
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date 3.03%
25.2%
22.2 pts worse
Numerator 1 · Denominator 33

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.8
0.7 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.8
0.6 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.4%
7.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
94.5%
3.9 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.4%
Percentage of long-stay residents experiencing one or more falls with major injury 0.4%
3.3%
2.9 pts better
3.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.6%
26.1%
21.5 pts better
11.4%
6.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 1.9% · Q3 1.9% · Q4 8.9% · 4Q avg 4.6%
Percentage of long-stay residents who lose too much weight 7.8%
6.2%
1.6 pts worse
5.4%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 15.1% · Q3 7.3% · Q4 1.8% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.2%
25.4%
5.8 pts worse
19.6%
11.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 35.2% · Q3 25.0% · Q4 29.1% · 4Q avg 31.2%
Percentage of long-stay residents who received an antipsychotic medication 9.7%
11.5%
1.8 pts better
16.7%
7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 9.8% · Q3 8.9% · Q4 9.8% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 13.4%
7.7%
5.7 pts worse
16.3%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 11.0% · Q3 21.5% · Q4 5.3% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.0%
6.2%
5.8 pts worse
14.9%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 21.7% · Q3 14.6% · Q4 2.1% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.2%
0.2 pts worse
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
0.5%
0.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.5%
21.7%
5.2 pts better
19.8%
3.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 20.7% · Q3 12.3% · Q4 12.1% · 4Q avg 16.5%
Percentage of long-stay residents with pressure ulcers 8.5%
3.7%
4.8 pts worse
5.1%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 5.0% · Q3 8.3% · Q4 8.0% · 4Q avg 8.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
78.1%
20.6 pts better
81.7%
17 pts better
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 98.8% · Q3 98.8% · Q4 98.6% · 4Q avg 98.7%
Percentage of short-stay residents who had an outpatient emergency department visit 10.0%
12.5%
2.5 pts better
12.0%
2 pts better
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 12.7% · Expected 14.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.2%
75.6%
19.6 pts better
79.7%
15.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 11.7%
25.1%
13.4 pts better
23.9%
12.2 pts better
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 16.4% · Expected 33.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-08 · Fire 2024-07-08

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-05-12 · Fire 2022-05-12

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-04-04 · Fire 2019-04-04

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-07-08

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-05

E · Potential for more than minimal harm 2024-07-08

K927 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper fire barriers, ventilation and signs for the transfilling of oxygen.

Corrected 2024-08-05

E · Potential for more than minimal harm 2022-05-12

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2022-06-01

E · Potential for more than minimal harm 2019-04-04

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2019-04-20

E · Potential for more than minimal harm 2019-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-20

E · Potential for more than minimal harm 2019-04-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-04-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-25

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-11-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-20

D · Potential for more than minimal harm 2024-07-08

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-07-08

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-05

D · Potential for more than minimal harm 2024-07-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-08-05

D · Potential for more than minimal harm 2023-06-01

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-06-13

D · Potential for more than minimal harm 2022-05-12

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2022-06-01

D · Potential for more than minimal harm 2019-04-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-04-20

D · Potential for more than minimal harm 2019-04-04

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-04-20

Penalties and ownership

What sits behind the stars

Ownership

Francus, Michael

5% Or Greater Direct Ownership Interest · Individual

81% 5 facilities 2004-10-28
Kraus, Andrea

5% Or Greater Direct Ownership Interest · Individual

19% 3 facilities 2004-10-28
Francus, Michael

Operational/Managerial Control · Individual

0% 5 facilities 2007-01-01
Gantz, Sara

Operational/Managerial Control · Individual

0% 1 facilities 2021-05-01
Vrc Management, Inc.

Operational/Managerial Control · Organization

0% 5 facilities 2007-01-01

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#3

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Overall
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Health
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Staffing
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Fines
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