Nursing Care Index

Vancrest-Upper Valley

Troy, Miami County, Ohio · CCN 365735 · Non-profit (Corporation) · part of Vancrest Health Care Centers (13 facilities, chain average 4 stars)

CMS rates Vancrest-Upper Valley 4 of 5 overall as of August 2026. 127 certified beds, 115 residents a day on average. 32 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing3.86924 hours per resident per day
Registered nurses0.53273 hours per resident per day
Weekend total3.37532 hours per resident per day
Nursing staff turnover40.9% (registered nurses 30%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-07-25 Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · tag F0552
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 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.
Resident Rights Deficiencies · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 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.
Quality of Life and Care Deficiencies · tag F0700
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-23
2024-07-25 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2024-08-23
2021-11-23 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 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.
Quality of Life and Care Deficiencies · tag F0688
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2021-11-23 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-12-13
2019-08-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2019-09-16
2019-08-22 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · tag F0770
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2019-09-16
2019-08-22 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-09-16
2019-08-22 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-09-16
2019-08-22 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-09-16
2019-08-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-09-16
2019-08-22 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-09-16
2019-08-22 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has plan of correction
2019-09-16

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Aquila Initiative Inc.
Organization
adp of the snf2024-12-30
Bashore Reineck Stoller & Waterman Inc.
Organization
adp of the snf2024-12-30
Howard, Wershbale & Co
Organization
adp of the snf2024-12-30
Therapy Solutions
Organization
adp of the snf2025-04-01
Troy Health Facilities, LLC
Organization
adp of the snf2024-12-30
Twomagnets LLC
Organization
adp of the snf2024-12-30
Uvmc Nursing Care, Inc.
Organization
adp of the snf1989-12-27
Vancrest Management Corp.
Organization
adp of the snf2024-12-30
Veracity Resourcing And Services LLC
Organization
adp of the snf2024-12-30
Troy Health Facilities, LLC
Organization
operational/managerial control2024-12-30
Vancrest Management Corp.
Organization
operational/managerial control2024-12-30
Bagley, Jon
Individual
5% or greater direct ownership interest2024-12-30
Mccleery, Mark
Individual
5% or greater direct ownership interest2024-12-30
Myers, Mark
Individual
5% or greater direct ownership interest2024-12-30
White, Claire
Individual
5% or greater direct ownership interest2024-12-30
White, Mark
Individual
5% or greater direct ownership interest2024-12-30
White, Nicolaus
Individual
5% or greater direct ownership interest2024-12-30
White, Scott
Individual
5% or greater direct ownership interest2024-12-30
Allen, Betty
Individual
adp of the snf2024-12-30
Contento, Robert
Individual
adp of the snf2024-12-30
Fuelling, Elizabeth
Individual
adp of the snf2024-12-30
Madireddy, Naga
Individual
adp of the snf2024-12-30
Parker, Kathy
Individual
adp of the snf2024-12-30
Pottenger, Julia
Individual
adp of the snf2024-12-30
Rudasill, Mark
Individual
adp of the snf2024-12-30
Silalahi, Edgar
Individual
adp of the snf2024-12-30
Stewart, Shane
Individual
adp of the snf2024-12-30
Sutherland, Cierra
Individual
adp of the snf2024-12-30
Bagley, Jon
Individual
corporate officer2024-12-30
White, Mark
Individual
corporate officer2024-12-30
Silalahi, Edgar
Individual
managing control - governing body2024-12-30
Stewart, Shane
Individual
managing control - governing body2024-12-30
Allen, Betty
Individual
operational/managerial control2024-12-30
Contento, Robert
Individual
operational/managerial control2024-12-30
Fuelling, Elizabeth
Individual
operational/managerial control2024-12-30
Madireddy, Naga
Individual
operational/managerial control2024-12-30
Parker, Kathy
Individual
operational/managerial control2024-12-30
Pottenger, Julia
Individual
operational/managerial control2024-12-30
Rudasill, Mark
Individual
operational/managerial control2024-12-30
Silalahi, Edgar
Individual
operational/managerial control2024-12-30
Stewart, Shane
Individual
operational/managerial control2024-12-30
Sutherland, Cierra
Individual
operational/managerial control2024-12-30
White, Mark
Individual
operational/managerial control2024-12-30

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Miami County.