New Carlisle, OH

Vancrest Of New Carlisle

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

1885 N Dayton Lakeview Rd, New Carlisle, OH

(937) 845-8219

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vancrest Health Care Centers

Operator or chain grouping

Approved since

1997-01-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.39

Registered nurse staffing

LPN hours / resident day

1.17

Licensed practical nurse staffing

Aide hours / resident day

2.43

Nurse aide staffing

Weekend hours

3.66

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.9%	94.5% 2.4 pts better	95.5% 1.4 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	3.3% 1.1 pts better	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	69.0%	26.1% 42.9 pts worse	11.4% 57.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	8.7%	6.2% 2.5 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	27.6%	25.4% 2.2 pts worse	19.6% 8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	9.1%	11.5% 2.4 pts better	16.7% 7.6 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	14.9%	7.7% 7.2 pts worse	16.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	7.0%	6.2% 0.8 pts worse	14.9% 7.9 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with a urinary tract infection	0.4%	0.5% 0.1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.1%	21.7% 4.4 pts worse	19.8% 6.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	3.5%	3.7% 0.2 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	78.1% 18.1 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	5.4%	12.5% 7.1 pts better	12.0% 6.6 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.2% 2.2 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.9%	75.6% 15.3 pts better	79.7% 11.2 pts better	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.5%	25.1% 4.4 pts worse	23.9% 5.6 pts worse	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-16 · Fire 2023-02-16

6 health deficiencies

Top issue: Resident Rights (3 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2021-05-10 · Fire 2021-05-10

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2019-06-13 · Fire 2019-06-13

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-02-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-02-16

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 2023-03-31

E · Potential for more than minimal harm 2023-02-16

K226 · Egress Deficiencies

Fire Safety

Have horizontal exits used in accordance with safety requirements.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-02-16

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-02-16

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-02-16

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-03-31

F · Potential for more than minimal harm 2021-05-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-10

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-10

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-08-06

F · Potential for more than minimal harm 2021-05-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-08-06

E · Potential for more than minimal harm 2021-05-10

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-08-06

E · Potential for more than minimal harm 2021-05-10

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-08-06

E · Potential for more than minimal harm 2021-05-10

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 2021-08-06

E · Potential for more than minimal harm 2021-05-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-08-06

E · Potential for more than minimal harm 2021-05-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-08-06

E · Potential for more than minimal harm 2021-05-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-08-06

D · Potential for more than minimal harm 2021-05-10

K928 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

Corrected 2021-08-06

B · Minimal harm 2021-05-10

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2021-08-06

F · Potential for more than minimal harm 2019-06-13

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-07-26

F · Potential for more than minimal harm 2019-06-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-07-26

F · Potential for more than minimal harm 2019-06-13

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-07-26

E · Potential for more than minimal harm 2019-06-13

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 2019-07-26

E · Potential for more than minimal harm 2019-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-07-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-06-03

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2024-07-10

D · Potential for more than minimal harm 2024-06-03

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2024-07-10

D · Potential for more than minimal harm 2024-06-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-10

E · Potential for more than minimal harm 2023-02-16

F758 · Pharmacy Service Deficiencies

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 2023-03-31

D · Potential for more than minimal harm 2023-02-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-02-16

F564 · Resident Rights Deficiencies

Health

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-02-16

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-02-16

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-02-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-31

E · Potential for more than minimal harm 2019-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-26

D · Potential for more than minimal harm 2019-06-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-07-26

D · Potential for more than minimal harm 2019-06-13

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2019-07-26

D · Potential for more than minimal harm 2019-06-13

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-07-26

D · Potential for more than minimal harm 2019-06-13

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-07-26

D · Potential for more than minimal harm 2019-06-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-07-26

D · Potential for more than minimal harm 2019-06-13

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2019-07-26

Penalties and ownership