Vancrest-Upper Valley
3232 NORTH COUNTY ROAD 25A, TROY, OH 45373 · CCN 365735
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 127
- Avg residents/day
- 117.5
- Phone
- 9374407663
Inspection history vs Ohio & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-07-25 | 13 | 10.2 | 9.5 | +2.8 worse |
| 2 | 2021-11-23 | 11 | 10.7 | 9.8 | +0.3 worse |
| 3 | 2019-08-22 | 8 | 9.9 | 9.3 | -1.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 2 |
| Resident rights | 3 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.87 | 34.6% |
| RN staffing (reported) | 0.41 | 30.0% |
| Total nurse staffing (adjusted) | 3.56 | — |
Fines & penalties
- Total fines
- $4,233
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- VANCREST HEALTH CARE CENTERS
- Facilities in chain
- 13
- Chain avg overall
- 4.20 / 5
Inspection citations (32)1 actual harm
- DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-07-25 · Health · corrected 2024-08-23
Potential for minimal harm
- DF0585Honor 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.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0700Try 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.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0761Ensure 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.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-07-25 · Health · corrected 2024-08-23
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0578Honor 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.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0688Provide 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.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0758Implement 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.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0761Ensure 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.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-11-23 · Health · corrected 2021-12-13
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-08-22 · Health · corrected 2019-09-16
Potential for more than minimal harm
- DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2019-08-22 · Health · corrected 2019-09-16
Potential for more than minimal harm
- DF0578Honor 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.2019-08-22 · Health · corrected 2019-09-16
Potential for more than minimal harm
- CF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2019-08-22 · Health · corrected 2019-09-16
Potential for minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-08-22 · Health · corrected 2019-09-16
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-08-22 · Health · corrected 2019-09-16
Actual harm
- EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2019-08-22 · Health · corrected 2019-09-16
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2019-08-22 · Health · corrected 2019-09-16
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BAGLEY, JON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| MCCLEERY, MARK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| MYERS, MARK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| WHITE, CLAIRE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| WHITE, MARK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| WHITE, NICOLAUS | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| WHITE, SCOTT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2024-12-30 |
| TROY HEALTH FACILITIES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| VANCREST MANAGEMENT CORP. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| ALLEN, BETTY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| CONTENTO, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| FUELLING, ELIZABETH | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| MADIREDDY, NAGA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| PARKER, KATHY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| POTTENGER, JULIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| RUDASILL, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| SILALAHI, EDGAR | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| STEWART, SHANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| SUTHERLAND, CIERRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| WHITE, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| BAGLEY, JON | Individual | CORPORATE OFFICER | — | 2024-12-30 |
| WHITE, MARK | Individual | CORPORATE OFFICER | — | 2024-12-30 |
Other facilities in TROY
| Name | Overall | Beds |
|---|---|---|
| TROY REHABILITATION AND HEALTHCARE CENTER | ★★☆☆☆ | 155 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.