5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Van Wert, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
10357 Van Wert Decatur Road, Van Wert, OH
(419) 238-4646
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
Beds
93
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vancrest Health Care Centers
Operator or chain grouping
Approved since
1970-12-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
13 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
RN hours / resident day
0.75
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.38
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.46
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.32
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
3.48
CMS adjusted total nurse staffing hours
Case-mix index
1.51
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
7,641
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9853
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.84
Baseline 17.64% · Performance 18.73% · Measure score 5.84 · Achievement 5.84 · Improvement 0
Healthcare-associated infections
0
Baseline 6.19% · Performance 8.33% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.65
Baseline 61.67% · Performance 48.75% · Measure score 3.65 · Achievement 3.65 · Improvement 3.01
Adjusted total nurse staffing
2.18
Baseline 2.78 hours · Performance 3.58 hours · Measure score 2.18 · Achievement 1.77 · Improvement 2.18
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.25% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 136 · Observed rate 11.03% · Lower 95% interval 8.73% |
| Discharge to community | 59.36% |
50.57%
8.8 pts better
|
Better than the National Rate · Eligible stays 112 · Observed rate 63.39% · Lower 95% interval 52.53% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.72% |
95.27%
3.5 pts better
|
Numerator 77 · Denominator 78 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 78 |
| Discharge self-care score | 70.59% |
53.69%
16.9 pts better
|
Numerator 48 · Denominator 68 |
| Discharge mobility score | 57.35% |
50.94%
6.4 pts better
|
Numerator 39 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 6.41% |
2.29%
4.1 pts worse
|
Numerator 5 · Denominator 78 · Adjusted rate 8.27% |
| Healthcare-associated infections requiring hospitalization | 8.33% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 9.84% · Lower 95% interval 4.99% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 156 |
| Staff flu vaccination coverage | 9.95% |
42%
32 pts worse
|
Numerator 19 · Denominator 191 |
| Discharge function score | 63.24% |
56.45%
6.8 pts better
|
Numerator 43 · Denominator 68 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 32 · Denominator 32 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 26.83% |
25.2%
1.6 pts better
|
Numerator 11 · Denominator 41 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
92.4%
7.2 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.3%
2.1 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 3.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 28.7% |
26.1%
2.6 pts worse
|
11.4%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 28.6% · Q3 30.2% · Q4 28.8% · 4Q avg 28.7% |
| Percentage of long-stay residents who lose too much weight | 5.1% |
6.2%
1.1 pts better
|
5.4%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 5.3% · Q3 12.2% · Q4 1.9% · 4Q avg 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.8% |
25.4%
10.6 pts better
|
19.6%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 17.5% · Q3 16.3% · Q4 13.0% · 4Q avg 14.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.8% |
11.5%
5.7 pts better
|
16.7%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 8.9% · Q3 5.0% · Q4 6.5% · 4Q avg 5.8% · 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 | 3.2% |
7.7%
4.5 pts better
|
16.3%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.1% · Q3 4.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.5% |
6.2%
3.7 pts better
|
14.9%
12.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.9% · Q3 4.4% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
0.5%
0.3 pts worse
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.8% |
21.7%
7.1 pts worse
|
19.8%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.2% · Q2 21.8% · Q3 26.3% · Q4 23.8% · 4Q avg 28.8% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
3.7%
2.8 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
78.1%
21.7 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.1% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
12.5%
5.7 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.7% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.2%
0.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.6% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
75.6%
19.8 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 6.3% |
25.1%
18.8 pts better
|
23.9%
17.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.3% · Observed 5.0% · Expected 19.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-06-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-06
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 2022-11-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-11-04
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-04
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-04
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-11-04
Fire Safety
Use approved construction type or materials.
Corrected 2019-08-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-08-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-08-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-08-30
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-08-30
Inspection history
Health
Provide activities to meet all resident's needs.
Corrected 2025-06-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-06-06
Health
Provide appropriate foot care.
Corrected 2025-06-06
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 2025-06-06
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-11-04
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-11-04
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-11-04
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-11-04
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-11-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-04
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-11-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-11-04
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-11-04
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-11-04
Health
Provide and implement an infection prevention and control program.
Corrected 2022-11-04
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-30
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-08-30
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-08-30
Penalties and ownership
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
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