Dayton, OH

Stonespring Of Vandalia

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4000 Singing Hills Bvld, Dayton, OH

(937) 415-8000

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

144

Certified beds

Average residents

131

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carespring

Operator or chain grouping

Approved since

2010-09-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 4 overall / 4 health / 3 staffing / 5 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

0.79

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.44

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.11

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.67

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.63

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.50

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.33

CMS adjusted total nurse staffing hours

Case-mix index

1.69

Higher values indicate more complex resident acuity

RN turnover

24%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,848

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

Performance score

15

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.75% · Performance 22.13% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.99

Baseline 8.12% · Performance 7.03% · Measure score 2.99 · Achievement 2.70 · Improvement 2.99

Total nurse turnover

1.51

Baseline 50.37% · Performance 57.50% · Measure score 1.51 · Achievement 1.51 · Improvement 0

Adjusted total nurse staffing

1.50

Baseline 2.75 hours · Performance 3.36 hours · Measure score 1.50 · Achievement 0.99 · Improvement 1.50

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.48%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 346 · Observed rate 9.54% · Lower 95% interval 7.42%
Discharge to community	52.26%	50.57% 1.7 pts better	No Different than the National Rate · Eligible stays 398 · Observed rate 44.22% · Lower 95% interval 47.43%
Medicare spending per beneficiary	1.17	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 220 · Denominator 220
Falls with major injury	0.91%	0.77% 0.1 pts worse	Numerator 2 · Denominator 220
Discharge self-care score	61.02%	53.69% 7.3 pts better	Numerator 36 · Denominator 59
Discharge mobility score	67.8%	50.94% 16.9 pts better	Numerator 40 · Denominator 59
Pressure ulcers or injuries, new or worsened	1.82%	2.29% 0.5 pts better	Numerator 4 · Denominator 220 · Adjusted rate 1.62%
Healthcare-associated infections requiring hospitalization	7.03%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 240 · Observed rate 7.5% · Lower 95% interval 4.52%
Staff COVID-19 vaccination coverage	0.54%	8.2% 7.7 pts worse	Numerator 1 · Denominator 185
Staff flu vaccination coverage	37.54%	42% 4.5 pts worse	Numerator 107 · Denominator 285
Discharge function score	74.58%	56.45% 18.1 pts better	Numerator 44 · Denominator 59
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 92 · Denominator 92
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 105 · Denominator 105
Resident COVID-19 vaccinations up to date	21.3%	25.2% 3.9 pts worse	Numerator 23 · Denominator 108

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.8 1.2 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 1.0 · Expected 3.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.8 1.3 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.7 · Expected 2.0 · 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	89.8%	94.5% 4.7 pts worse	95.5% 5.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 89.8%
Percentage of long-stay residents experiencing one or more falls with major injury	4.3%	3.3% 1 pts worse	3.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.4% · Q3 4.6% · Q4 3.2% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	23.5%	26.1% 2.6 pts better	11.4% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 25.9% · Q3 21.2% · Q4 20.3% · 4Q avg 23.5%
Percentage of long-stay residents who lose too much weight	4.9%	6.2% 1.3 pts better	5.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.1% · Q3 1.5% · Q4 7.6% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.9%	25.4% 1.5 pts better	19.6% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 25.3% · Q3 25.7% · Q4 23.5% · 4Q avg 23.9%
Percentage of long-stay residents who received an antipsychotic medication	5.6%	11.5% 5.9 pts better	16.7% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 7.0% · Q3 5.2% · Q4 3.1% · 4Q avg 5.6% · 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	10.5%	7.7% 2.8 pts worse	16.3% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q3 8.4% · Q4 12.5% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.2%	6.2% About the same	14.9% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.8% · Q3 5.9% · Q4 5.1% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.2% 0.7 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 2.7% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.5% 0.2 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.3%	21.7% 6.6 pts worse	19.8% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 33.5% · Q3 33.7% · Q4 34.7% · 4Q avg 28.3%
Percentage of long-stay residents with pressure ulcers	2.2%	3.7% 1.5 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.3% · Q3 1.9% · Q4 1.8% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.9%	78.1% 21.8 pts better	81.7% 18.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.9%
Percentage of short-stay residents who had an outpatient emergency department visit	7.6%	12.5% 4.9 pts better	12.0% 4.4 pts better	Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 7.9% · Expected 11.6% · 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	92.6%	75.6% 17 pts better	79.7% 12.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.1%	25.1% 1 pts worse	23.9% 2.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.1% · Observed 29.1% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-18 · Fire 2024-04-18

5 health deficiencies

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

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2020-03-12 · Fire 2020-03-12

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-01-31 · Fire 2019-01-31

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-02

F · Potential for more than minimal harm 2024-04-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-02

E · Potential for more than minimal harm 2020-03-12

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2020-04-01

E · Potential for more than minimal harm 2020-03-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-04-01

E · Potential for more than minimal harm 2020-03-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-04-01

F · Potential for more than minimal harm 2019-01-31

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2019-02-22

F · Potential for more than minimal harm 2019-01-31

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2019-02-22

F · Potential for more than minimal harm 2019-01-31

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-02-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-08-09

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-08-12