Ada, OH

Vancrest Of Ada

2-star overall rating with 2-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

600 West North Avenue, Ada, OH

(419) 238-0715

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

53

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vancrest Health Care Centers

Operator or chain grouping

Approved since

2016-07-28

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

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.17

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.25

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.89

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.46

CMS adjusted total nurse staffing hours

Case-mix index

1.54

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

41%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,464

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

Performance score

23.59

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.01

Baseline 22.74% · Performance 21.30% · Measure score 2.01 · Achievement 0 · Improvement 2.01

Healthcare-associated infections

3.79

Baseline 7.20% · Performance 6.70% · Measure score 3.79 · Achievement 3.79 · Improvement 1.76

Total nurse turnover

1.65

Baseline 46.97% · Performance 56.92% · Measure score 1.65 · Achievement 1.65 · Improvement 0

Adjusted total nurse staffing

1.98

Baseline 3.13 hours · Performance 3.64 hours · Measure score 1.98 · Achievement 1.98 · Improvement 1.44

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.55%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 142 · Observed rate 11.27% · Lower 95% interval 8.02%
Discharge to community	50.84%	50.57% 0.3 pts better	No Different than the National Rate · Eligible stays 144 · Observed rate 45.83% · Lower 95% interval 40.19%
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 91 · Denominator 91
Falls with major injury	1.1%	0.77% 0.3 pts worse	Numerator 1 · Denominator 91
Discharge self-care score	50.75%	53.69% 2.9 pts worse	Numerator 34 · Denominator 67
Discharge mobility score	52.24%	50.94% 1.3 pts better	Numerator 35 · Denominator 67
Pressure ulcers or injuries, new or worsened	4.4%	2.29% 2.1 pts worse	Numerator 4 · Denominator 91 · Adjusted rate 4.73%
Healthcare-associated infections requiring hospitalization	6.7%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 92 · Observed rate 5.43% · Lower 95% interval 4.11%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 125
Staff flu vaccination coverage	23.31%	42% 18.7 pts worse	Numerator 38 · Denominator 163
Discharge function score	53.73%	56.45% 2.7 pts worse	Numerator 36 · Denominator 67
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 36 · Denominator 36
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 33 · Denominator 33
Resident COVID-19 vaccinations up to date	27.08%	25.2% 1.9 pts better	Numerator 13 · Denominator 48

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 1.3 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.8 0.4 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · 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	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	2.4%	3.3% 0.9 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 0.0% · Q4 4.7% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.5%	26.1% 8.6 pts better	11.4% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.0% · Q3 17.6% · Q4 13.2% · 4Q avg 17.5%
Percentage of long-stay residents who lose too much weight	2.7%	6.2% 3.5 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.4% · Q3 2.8% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.5%	25.4% 4.1 pts worse	19.6% 9.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 29.7% · Q3 32.4% · Q4 29.7% · 4Q avg 29.5%
Percentage of long-stay residents who received an antipsychotic medication	7.0%	11.5% 4.5 pts better	16.7% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 7.7% · Q3 6.7% · Q4 10.0% · 4Q avg 7.0% · 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	4.9%	7.7% 2.8 pts better	16.3% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.9%	6.2% 3.3 pts better	14.9% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 2.8% · Q4 2.9% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.2% 0.5 pts worse	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	0.5% 1.3 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 5.1% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.3%	21.7% 4.6 pts worse	19.8% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 26.5% · Q3 27.4% · Q4 28.1% · 4Q avg 26.3%
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 0.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.6%	78.1% 19.5 pts better	81.7% 15.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 97.6%
Percentage of short-stay residents who had an outpatient emergency department visit	13.0%	12.5% 0.5 pts worse	12.0% 1 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 13.3% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.2% 1.7 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 6.1% · Q4 6.4% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.3%	75.6% 19.7 pts better	79.7% 15.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	34.5%	25.1% 9.4 pts worse	23.9% 10.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 34.5% · Observed 38.6% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-06 · Fire 2025-02-06

15 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-05-18 · Fire 2023-05-18

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-02-13 · Fire 2020-02-13

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-06

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 2025-03-28

F · Potential for more than minimal harm 2025-02-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-28

F · Potential for more than minimal harm 2023-05-18

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 2023-07-28

F · Potential for more than minimal harm 2023-05-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-07-28

F · Potential for more than minimal harm 2023-05-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-07-28

F · Potential for more than minimal harm 2023-05-18

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-07-28

E · Potential for more than minimal harm 2023-05-18

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-28

Inspection history

Recent health citations

G · Actual harm 2025-11-06

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-19

D · Potential for more than minimal harm 2025-11-06

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 2025-11-19

F · Potential for more than minimal harm 2025-02-06

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-28