The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Koester Pavilion
Registered name: Vancrest-Upper Valley
TROY, OH · Medicare-certified · 127 beds
In good standing
For-profitChain member
Data as of September 1, 2026
3 of 5 overall
Koester Pavilion in Troy, OH has a 3-star overall rating, with stronger quality measures (5 stars) but weaker health inspection and staffing ratings (both 2 stars). Reported nurse staffing is 3.87 hours per resident day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.8692 hrs/resident/day
Quality measures
Last inspection: July 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8692.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 1.00
- Nurse aides
- 2.34
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 30%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.7%5.4%Improving
Residents with a fall causing major injury
7.9%3%Improving
Residents with pressure ulcers (bedsores)
0.7%0.7%No change
Residents with a urinary tract infection
1%1%No change
Residents who lost too much weight
4.8%4.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.7%5.1%Worsening
Residents whose ability to walk got worse
3.3%3%No change
Long-stay residents on antianxiety or sleep medication
25%25.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7%19.2%Worsening
Residents with depressive symptoms
6.1%77.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—99%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.8%—
Short-stay residents given the pneumonia vaccine
96.2%99.3%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — 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 educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited July 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: F
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of VANCREST HEALTH CARE CENTERS · 13 homes · 3.9 stars avg
- Occupancy
- 114.5 residents on an average day (90% of 127 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.