The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
VANCREST OF ADA
ADA, OH · Medicare-certified · 60 beds
In good standing
For-profitChain member
2 of 5 overall
VANCREST OF ADA has an overall 2-star rating, with a 2-star health inspection rating and 3-star staffing; reported nurse staffing is 3.97 hours per resident per day, slightly below the federal benchmark of 4.1. It had $0 fines in the last 24 months, but recent inspection citations included pressure ulcer care, food safety, and registered nurse coverage requirements.
Facility ratings
Health inspections
Staffing
3.9715 hrs/resident/day
Quality measures
Last inspection: November 6, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9715.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 1.23
- Nurse aides
- 2.25
- Weekend nursing
- 3.44
Hours per resident per day.
Total staff turnover: 43%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.6%Steady
Residents with a fall causing major injury
2.4%Worsening
Residents with pressure ulcers (bedsores)
0.9%Improving
Residents with a urinary tract infection
1.9%Improving
Residents who lost too much weight
4.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
3.7%Improving
Residents whose ability to walk got worse
6.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
31%Worsening
Short-stay residents newly given an antipsychotic
3.6%Worsening
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
25.4%Improving
Residents with depressive symptoms
20.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
95.3%Steady
Short-stay residents given the pneumonia vaccine
99.7%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to fully assess a resident promptly on admission and then keep that assessment updated regularly. Cited May 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 636 — 42 CFR §483.20 — S/S: E
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of VANCREST HEALTH CARE CENTERS · 13 homes · 4.2 stars avg
- Occupancy
- 49.7 residents on an average day (83% of 60 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 9 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.