13 health deficiencies
Top issue: Pharmacy Service (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Troy, OH
4-star overall rating with 3-star inspections with $4,233 in total fines with 13 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
3232 North County Road 25a, Troy, OH
(937) 440-7663
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
127
Certified beds
Average residents
118
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Vancrest Health Care Centers
Operator or chain grouping
Approved since
1989-05-08
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
0.41
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.33
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.87
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.56
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
35%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,112
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.71
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.72
Baseline 20.09% · Performance 19.71% · Measure score 3.72 · Achievement 3.72 · Improvement 0.75
Healthcare-associated infections
1.84
Baseline 6.62% · Performance 7.29% · Measure score 1.84 · Achievement 1.84 · Improvement 0
Total nurse turnover
4.33
Baseline 50.79% · Performance 46.00% · Measure score 4.33 · Achievement 4.33 · Improvement 1.35
Adjusted total nurse staffing
0
Baseline 3.03 hours · Performance 3.09 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.99% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 190 · Observed rate 12.11% · Lower 95% interval 8.3% |
| Discharge to community | 52.85% |
50.57%
2.3 pts better
|
No Different than the National Rate · Eligible stays 159 · Observed rate 46.54% · Lower 95% interval 46.73% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 95 · Denominator 95 |
| Falls with major injury | 3.16% |
0.77%
2.4 pts worse
|
Numerator 3 · Denominator 95 |
| Discharge self-care score | 61.97% |
53.69%
8.3 pts better
|
Numerator 44 · Denominator 71 |
| Discharge mobility score | 50.7% |
50.94%
0.2 pts worse
|
Numerator 36 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 4.21% |
2.29%
1.9 pts worse
|
Numerator 4 · Denominator 95 · Adjusted rate 4.3% |
| Healthcare-associated infections requiring hospitalization | 7.29% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 97 · Observed rate 8.25% · Lower 95% interval 4.91% |
| Staff COVID-19 vaccination coverage | 2.45% |
8.2%
5.7 pts worse
|
Numerator 4 · Denominator 163 |
| Staff flu vaccination coverage | 10% |
42%
32 pts worse
|
Numerator 14 · Denominator 140 |
| Discharge function score | 69.01% |
56.45%
12.6 pts better
|
Numerator 49 · Denominator 71 |
| 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 34 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 18.37% |
25.2%
6.8 pts worse
|
Numerator 9 · Denominator 49 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
92.4%
6.8 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 98.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
94.5%
4.5 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.9% |
3.3%
2.6 pts worse
|
3.3%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.3% · Q3 7.9% · Q4 9.5% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.6% |
26.1%
14.5 pts better
|
11.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 10.5% · Q3 6.1% · Q4 20.6% · 4Q avg 11.6% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
6.2%
2 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.2% · Q3 4.8% · Q4 5.8% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.8% |
25.4%
1.4 pts worse
|
19.6%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 27.4% · Q3 25.0% · Q4 25.3% · 4Q avg 26.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.1% |
11.5%
3.4 pts better
|
16.7%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 5.0% · Q3 9.2% · Q4 6.8% · 4Q avg 8.1% · 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 | 2.6% |
7.7%
5.1 pts better
|
16.3%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 3.3% · Q4 2.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.3% |
6.2%
3.9 pts better
|
14.9%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 3.7% · Q4 2.4% · 4Q avg 2.3% · 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 | 0.5% |
0.5%
About the same
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.0% |
21.7%
16.7 pts better
|
19.8%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 4.8% · Q3 7.0% · Q4 6.8% · 4Q avg 5.0% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
3.7%
2.6 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.6% · Q3 0.7% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
78.1%
17.2 pts better
|
81.7%
13.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.4% · Q2 96.4% · Q3 96.2% · Q4 98.5% · 4Q avg 95.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.7% |
12.5%
2.2 pts worse
|
12.0%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 14.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.8% |
75.6%
13.2 pts better
|
79.7%
9.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
25.1%
8.4 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 16.9% · Expected 24.1% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Resident Rights (4 deficiencies)
4 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-01-23
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-23
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-23
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-23
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-08-23
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-08-23
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 2024-08-23
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-23
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-01-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-23
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-08-23
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 2021-12-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-12-13
Fire Safety
Meet other general requirements that are deficient.
Corrected 2021-12-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-12-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-16
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 2019-09-16
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-09-16
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-09-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-09-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-09-16
Inspection history
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-23
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-08-23
Health
Assess the resident when there is a significant change in condition
Corrected 2024-08-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-23
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 2024-08-23
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 2024-08-23
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-08-23
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-08-23
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 2024-08-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-23
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-08-23
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-12-13
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2021-12-13
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2021-12-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-12-13
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 2021-12-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-12-13
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-12-13
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 2021-12-13
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 2021-12-13
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2021-12-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-12-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-09-16
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2019-09-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-09-16
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2019-09-16
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-09-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-09-16
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-09-16
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-09-16
Penalties and ownership
Fine · fine $4,233
Fine
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Nearby options
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2-star overall rating with 2-star inspections with $35,968 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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2-star overall rating with 2-star inspections with $19,890 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Piqua, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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