Ohio › Miami County › Troy
Vancrest-Upper Valley
3232 North County Road 25a, Troy, OH 45373
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Vancrest-Upper Valley is a Non-profit, corporation nursing home in Troy, Ohio, certified for 127 beds and caring for about 115 residents a day.
CMS gives it 4 of 5 stars overall, above the Ohio median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.
Inspectors recorded 32 health deficiencies across the three most recent survey cycles (13, 11, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 25.2 per 100 beds, fewer than the state median of 33.3.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Ohio median of 3.6; nursing staff turnover is 40.9%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Miami Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 32 | 33 | 27 | 28.7 |
| Citations per 100 beds | 25.2 | 33.3 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 40.9% | 48.1% | 48.5% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (6 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jul 2024, 23 Nov 2021.
Severity mix: G ×1 D ×28 E ×1 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jul 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0585 | 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. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0700 | 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. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0761 | 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. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Aug 2024 |
| 25 Jul 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 23 Aug 2024 |
| 23 Nov 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0578 | 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. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0688 | 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. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0758 | 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. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0761 | 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. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 13 Dec 2021 |
| 23 Nov 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 13 Dec 2021 |
| 22 Aug 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0578 | 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. | D | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Sep 2019 |
| 22 Aug 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | C | Standard survey | 16 Sep 2019 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 40.9%, RNs 30.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.8% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.3% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.5% | 7.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Vancrest Of Troy, Llc. Chain: Vancrest Health Care Centers (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Troy Health Facilities, LLC | Operational/managerial control | NOT APPLICABLE | 12/30/2024 |
| Vancrest Management Corp. | Operational/managerial control | NOT APPLICABLE | 12/30/2024 |
| Aquila Initiative Inc | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
| Bashore Reineck Stoller & Waterman Inc | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
| Howard, Wershbale & Co | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
| Therapy Solutions | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Troy Health Facilities, LLC | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
| Twomagnets LLC | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
| Uvmc Nursing Care, Inc | Adp of the snf | NOT APPLICABLE | 12/27/1989 |
| Vancrest Management Corp. | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
| Veracity Resourcing and Services LLC | Adp of the snf | NOT APPLICABLE | 12/30/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Miami County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Piqua Manor | Piqua | 99 | 3 | 3 | 3 | 20 | 20.2 | — | 1 Jul 2026 |
| Springmeade Healthcenter | Tipp City | 99 | 2 | 2 | 3 | 33 | 33.3 | — | 3 Apr 2025 |
| Stillwater Skilled Nursing and Rehabilitation | Covington | 75 | 2 | 3 | 1 | 25 | 33.3 | — | 16 Apr 2026 |
| Troy Rehabilitation and Healthcare Center | Troy | 155 | 2 | 3 | 1 | 37 | 23.9 | $36K | 2 Jun 2026 |
| Ayden Healthcare of Piqua | Piqua | 99 | 1 | 2 | 1 | 41 | 41.4 | $20K | 26 Jun 2025 |
All 6 facilities in Miami County
Questions and answers
How many deficiencies has Vancrest-Upper Valley been cited for?
32 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Vancrest-Upper Valley been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Vancrest-Upper Valley compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Vancrest-Upper Valley?
It is part of the Vancrest Health Care Centers chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Troy Health Facilities, LLC and Vancrest Management Corp.. Individual owners and managers are not listed on this site.
When was Vancrest-Upper Valley last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jul 2024; the most recent standard health survey was 25 Jul 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.