Urbana, OH

Vancrest Of Urbana, Inc

2-star overall rating with 2-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2380 St Rt 68 S, Urbana, OH

(937) 653-5291

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 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

1980-02-22

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

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

0.35

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.15

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.24

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.74

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

3.30

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,535

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

Performance score

11.80

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.23% · Performance 23.17% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.65% · Performance 8.07% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

3.54

Baseline 1.96 hours · Performance 3.51 hours · Measure score 3.54 · Achievement 1.51 · Improvement 3.54

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.56%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 91 · Observed rate 9.89% · Lower 95% interval 7.07%
Discharge to community	57.82%	50.57% 7.2 pts better	No Different than the National Rate · Eligible stays 73 · Observed rate 54.79% · Lower 95% interval 49.28%
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 64 · Denominator 64
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 64
Discharge self-care score	68.18%	53.69% 14.5 pts better	Numerator 30 · Denominator 44
Discharge mobility score	70.45%	50.94% 19.5 pts better	Numerator 31 · Denominator 44
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 64 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	8.07%	7.12% 1 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 10.2% · Lower 95% interval 4.67%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 130
Staff flu vaccination coverage	10.29%	42% 31.7 pts worse	Numerator 14 · Denominator 136
Discharge function score	75%	56.45% 18.5 pts better	Numerator 33 · Denominator 44
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 39 · Denominator 39
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	7.69%	25.2% 17.5 pts worse	Numerator 3 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.8 0.6 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.2	1.8 1.4 pts worse	1.8 1.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.3%	92.4% 0.9 pts better	93.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 92.6% · Q3 94.1% · Q4 93.9% · 4Q avg 93.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.0%	94.5% 0.5 pts better	95.5% 0.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.7%	3.3% 3.4 pts worse	3.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.4% · Q3 5.9% · Q4 0.0% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.1%	26.1% 19 pts better	11.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.0% · Q3 6.1% · Q4 14.9% · 4Q avg 7.1%
Percentage of long-stay residents who lose too much weight	5.6%	6.2% 0.6 pts better	5.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 7.7% · Q4 12.8% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.3%	25.4% 4.9 pts worse	19.6% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 33.3% · Q3 33.3% · Q4 25.6% · 4Q avg 30.3%
Percentage of long-stay residents who received an antipsychotic medication	10.9%	11.5% 0.6 pts better	16.7% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 11.4% · Q3 12.5% · Q4 15.2% · 4Q avg 10.9% · 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	6.3%	7.7% 1.4 pts better	16.3% 10 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.6%	6.2% 1.6 pts better	14.9% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.6% · Q3 8.6% · Q4 2.8% · 4Q avg 4.6% · 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	1.0%	0.5% 0.5 pts worse	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 2.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.8%	21.7% 6.9 pts better	19.8% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 20.4% · Q3 14.1% · Q4 13.4% · 4Q avg 14.8%
Percentage of long-stay residents with pressure ulcers	1.2%	3.7% 2.5 pts better	5.1% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	78.5%	78.1% 0.4 pts better	81.7% 3.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 76.4% · Q3 88.6% · Q4 74.0% · 4Q avg 78.5%
Percentage of short-stay residents who had an outpatient emergency department visit	16.1%	12.5% 3.6 pts worse	12.0% 4.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 15.7% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.2% 0.1 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.9% · Q4 1.9% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	82.2%	75.6% 6.6 pts better	79.7% 2.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.9%	25.1% 1.8 pts worse	23.9% 3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 27.5% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-04-12 · Fire 2024-04-12

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-03-02 · Fire 2023-03-02

19 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-01-23 · Fire 2020-01-23

10 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

4 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-26

F · Potential for more than minimal harm 2024-04-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-26

F · Potential for more than minimal harm 2023-03-02

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

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 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-21

F · Potential for more than minimal harm 2023-03-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-03-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-04-21

E · Potential for more than minimal harm 2020-01-23

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2020-03-13

E · Potential for more than minimal harm 2020-01-23

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 2020-03-13

E · Potential for more than minimal harm 2020-01-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-03-13

E · Potential for more than minimal harm 2020-01-23

K925 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that sources of ignition are removed from patients receiving respiratory therapy.

Corrected 2020-03-13

Inspection history

Recent health citations

G · Actual harm 2025-07-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-18

F · Potential for more than minimal harm 2024-04-12

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 2024-04-26

E · Potential for more than minimal harm 2024-04-12

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-04-26

D · Potential for more than minimal harm 2024-04-12

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-26

D · Potential for more than minimal harm 2024-04-12

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 2024-04-26

D · Potential for more than minimal harm 2024-04-12

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 2024-04-26

D · Potential for more than minimal harm 2024-04-12

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-04-26

D · Potential for more than minimal harm 2023-09-21

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 2023-10-20

D · Potential for more than minimal harm 2023-08-16

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-08-16

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 2023-10-20

D · Potential for more than minimal harm 2023-08-16

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-10-20

D · Potential for more than minimal harm 2023-08-16

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 2023-10-20

F · Potential for more than minimal harm 2023-03-02

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 2023-04-21

E · Potential for more than minimal harm 2023-03-02