Vancrest-Upper Valley
Vancrest-Upper Valley is a 127-bed nursing home in TROY, Ohio. CMS has certified it for Medicare and Medicaid since 1989-05-08. It averages 114.5 residents a day.
What harm was found in the violations cited at Vancrest-Upper Valley?
CMS lists 32 health-inspection deficiencies for Vancrest-Upper Valley since 2019-08-22, 13 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2024-07-25.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-07-25 | F0552, F0585, F0637, F0656, F0689, F0690, F0700, F0756, F0757, F0760, F0761, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Assess the resident when there is a significant change in condition / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-07-25 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B |
| 2021-11-23 | F0558, F0569, F0578, F0580, F0657, F0684, F0688, F0758, F0761, F0770, F0921 | Reasonably accommodate the needs and preferences of each resident. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2019-08-22 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2019-08-22 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E |
| 2019-08-22 | F0550, F0569, F0578, F0684, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2019-08-22 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C |
How is Vancrest-Upper Valley staffed?
| Measure | This facility | OH average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.86924 | 3.68589 |
| Total nursing staff turnover (%) | 40.9 | 48.7 |
| Average number of residents per day | 114.5 | 73.7 |
Who owns Vancrest-Upper Valley, and what chain is it in?
Vancrest-Upper Valley is registered with CMS as Non profit - Corporation, operates under the legal business name VANCREST OF TROY, LLC and belongs to the VANCREST HEALTH CARE CENTERS chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | BAGLEY, JON, MCCLEERY, MARK, MYERS, MARK, WHITE, CLAIRE, WHITE, MARK, WHITE, NICOLAUS, WHITE, SCOTT | since 12/30/2024 |
| MANAGING CONTROL - GOVERNING BODY | SILALAHI, EDGAR, STEWART, SHANE | since 12/30/2024 |
| CORPORATE OFFICER | BAGLEY, JON, WHITE, MARK | since 12/30/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | TROY HEALTH FACILITIES, LLC, VANCREST MANAGEMENT CORP., ALLEN, BETTY, CONTENTO, ROBERT, FUELLING, ELIZABETH, MADIREDDY, NAGA, PARKER, KATHY, POTTENGER, JULIA, RUDASILL, MARK, SILALAHI, EDGAR, STEWART, SHANE, SUTHERLAND, CIERRA, WHITE, MARK | since 12/30/2024 |
| ADP OF THE SNF | AQUILA INITIATIVE INC, BASHORE REINECK STOLLER & WATERMAN INC, HOWARD, WERSHBALE & CO, THERAPY SOLUTIONS, TROY HEALTH FACILITIES, LLC, TWOMAGNETS LLC, UVMC NURSING CARE, INC, VANCREST MANAGEMENT CORP., VERACITY RESOURCING AND SERVICES LLC, ALLEN, BETTY, CONTENTO, ROBERT, FUELLING, ELIZABETH, MADIREDDY, NAGA, PARKER, KATHY, POTTENGER, JULIA, RUDASILL, MARK, SILALAHI, EDGAR, STEWART, SHANE, SUTHERLAND, CIERRA | since 04/01/2025 |
Were you or a family member harmed at Vancrest-Upper Valley?