Vancrest-Upper Valley

3232 North County Road 25a · Troy, OH · 45373 · 9374407663

127 certified beds Non profit - Corporation Chain: Vancrest Health Care Centers

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 94
Staffing 20% 71
Federal penalties 15% 80
Trend 10% 57
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.923.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day3.43≈ weekday level
Nursing turnover / year38%median 45%
Fines (3-yr window)1 · $4,233

Inspection citations (32 in the current record)

  • Potential for harm · D July 25, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected August 23, 2024 · Resident Rights

  • Potential for harm · D July 25, 2024

    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 August 23, 2024 · Resident Rights

  • Potential for harm · D July 25, 2024

    Assess the resident when there is a significant change in condition

    Corrected August 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 25, 2024

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

    Corrected August 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 25, 2024

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

    Corrected August 23, 2024 · Quality of Life and Care

  • Potential for harm · D July 25, 2024

    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 August 23, 2024 · Quality of Life and Care

  • Potential for harm · D July 25, 2024

    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 August 23, 2024 · Quality of Life and Care

  • Potential for harm · D July 25, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 23, 2024 · Pharmacy Service

  • Potential for harm · D July 25, 2024

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

    Corrected August 23, 2024 · Pharmacy Service

  • Potential for harm · D July 25, 2024

    Ensure that residents are free from significant medication errors.

    Corrected August 23, 2024 · Pharmacy Service

  • Potential for harm · D July 25, 2024

    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 August 23, 2024 · Pharmacy Service

  • Potential for harm · D July 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 23, 2024 · Infection Control

  • No harm found · B July 25, 2024

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

    Corrected August 23, 2024 · Resident Rights

  • Potential for harm · D November 23, 2021

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 13, 2021 · Resident Rights

  • Potential for harm · D November 23, 2021

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected December 13, 2021 · Resident Rights

  • Potential for harm · D November 23, 2021

    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 December 13, 2021 · Resident Rights

  • Potential for harm · D November 23, 2021

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 13, 2021 · Resident Rights

  • Potential for harm · D November 23, 2021

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 13, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D November 23, 2021

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 13, 2021 · Quality of Life and Care

  • Potential for harm · D November 23, 2021

    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 December 13, 2021 · Quality of Life and Care

  • Potential for harm · D November 23, 2021

    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 December 13, 2021 · Pharmacy Service

  • Potential for harm · D November 23, 2021

    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 December 13, 2021 · Pharmacy Service

  • Potential for harm · D November 23, 2021

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected December 13, 2021 · Administration

  • Potential for harm · D November 23, 2021

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected December 13, 2021 · Environmental

  • Actual harm · G August 22, 2019

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 16, 2019 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 14, 2023Fine$4,233

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365735 · certified since May 8, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.