Hearth Record

Vancrest-Upper Valley

A nursing home in Troy, Ohio 45373

3232 North County Road 25a, Troy, Ohio 45373. (937) 440-7663.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 28 citations in 2 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

14 health citations at the latest inspection cycle

The Ohio average is 10.5.

Last standard inspection Jul 21, 2026.

Most serious in three years: actual harm (G), at a standard inspection on Jul 21, 2026

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

28 citations in 2 months of the last 36. Last cited Jul 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

28 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 28 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 1 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 21, 2026: standard inspection14 citations

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

    Rule F0686. G: actual harm. The provider has asked for a review. Correction date, as CMS recorded it: Aug 31, 2026.

  • Honor the resident’s right to manage his or her financial affairs.

    Rule F0567. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 4, 2026.

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

    Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 31, 2026.

  • Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Rule F0640. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2026.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 19, 2026.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 10, 2026.

  • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Rule F0849. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 17, 2026.

  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

    Rule F0887. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 21, 2026.

Jul 21, 2026: standard and complaint inspection1 citation

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 31, 2026.

Jul 25, 2024: standard inspection13 citations

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

    Rule F0552. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 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.

    Rule F0585. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

  • Assess the resident when there is a significant change in condition

    Rule F0637. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

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

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 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.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 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.

    Rule F0700. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

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

    Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

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

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

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

    Rule F0582. B: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Aug 23, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since May 8, 1989.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 127 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • 1 Medicare payment denial in the last three years.
  • 1 citation in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

On record, newest first
DateWhatDetail
Jul 21, 2026Medicare payment denial

Who does the caring?

3.83 nurse hours per resident per day

The Ohio average is 3.71.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeOhio average
Nurse hours per resident per day3.833.71
Of which registered nurses0.590.64
At weekends3.293.29
Nursing staff turnover37.7%49%
Registered nurse turnover10%44.4%
Administrators who left0Not given

Who owns it?

  • Vancrest Management Corp. and Troy Health Facilities, LLC run it.
  • 49 owners or officers are people: Mark A White (owns 5% or more directly, 45%); Mark Stuart Mccleery (owns 5% or more directly, 40%); Jon D Bagley (owns 5% or more directly, 15%); Nicolaus White (owns 5% or more directly, 10%); Mark L Myers (owns 5% or more directly, 10%); Scott White (owns 5% or more directly, 5%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Mark Rudasill (runs it (operational or managerial control)); Mark Rudasill (additional disclosable party (controls, leases property to, or provides services to the home)); Jon D Bagley (corporate officer); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Robert Contento (runs it (operational or managerial control)); Robert Contento (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Naga Prasuna Madireddy (runs it (operational or managerial control)); Naga Prasuna Madireddy (additional disclosable party (controls, leases property to, or provides services to the home)); Claire White (owns 5% or more directly); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Kathy Parker (runs it (operational or managerial control)); Kathy Parker (additional disclosable party (controls, leases property to, or provides services to the home)); Betty Allen (runs it (operational or managerial control)); Betty Allen (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Cierra Sutherland (runs it (operational or managerial control)); Cierra Sutherland (additional disclosable party (controls, leases property to, or provides services to the home)); Mark A White (corporate officer); Mark A White (runs it (operational or managerial control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Shane Stewart (runs it (operational or managerial control)); Shane Stewart (on the governing body (managing control)); Shane Stewart (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Edgar Silalahi (runs it (operational or managerial control)); Edgar Silalahi (on the governing body (managing control)); Edgar Silalahi (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Fuelling (runs it (operational or managerial control)); Elizabeth Fuelling (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Julia Pottenger (runs it (operational or managerial control)); Julia Pottenger (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Vancrest Health Care Centers (13 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Vancrest Management Corp.Runs it (operational or managerial control)Dec 30, 2024
Vancrest Management Corp.Additional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 12, 2025
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
Aquila Initiative Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
Bashore Reineck Stoller & Waterman Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
Twomagnets LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
Veracity Resourcing and Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 12, 2025
Troy Health Facilities, LLCRuns it (operational or managerial control)Dec 30, 2024
Troy Health Facilities, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024
Therapy SolutionsAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 1, 2025
Uvmc Nursing Care, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Dec 27, 1989
Howard, Wershbale & CoAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 30, 2024

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Ohio average 4.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating3 of 5
Health inspections2 of 5
Staffing3 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 15.3 miles, this one had the 2nd most health citations at the latest inspection cycle (14; the middle value was 10.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Vancrest-Upper Valley This nursing home14
Troy Rehabilitation and Healthcare Center3.89
Ayden Healthcare of Piqua4.011
Piqua Manor4.810
Stillwater Skilled Nursing and Rehabilitation6.98
Otterbein Tipp City8.114
Fair Haven Shelby County12.232
Shelby Skilled Nursing and Rehabilitation13.77
Momentous Health at Vandalia13.814
Momentous Health at Sidney14.110
Vancrest of New Carlisle14.510
Laurels of Huber Heights the15.311

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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