Nursing home
Vancrest-Upper Valley
3232 North County Road 25A, Troy, OH 45373 · Map
Non profit - Corporation · Part of Vancrest Health Care Centers (13 facilities) · 127 certified beds
Vancrest-Upper Valley is a Medicare-certified nursing home in Troy, Ohio. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.87 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Jul 25, 2024 cited 13 deficiencies.
- 1 fine totaling $4,233In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Vancrest-Upper Valley compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.87 | 3.72 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.41 | 0.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.33 | 2.14 | 2.34 | above avg |
| Nursing staff turnover | 34.6% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 13.0 | 10.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $4,233, 1 total penalty.
What inspectors found at Vancrest-Upper Valley
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jul 25, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Quality of Life and Care Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jul 25, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jul 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3232 North County Road 25A
Troy, OH 45373 - CMS certification #
- 365735
- Ownership
- Non profit - Corporation
- Certified beds
- 127
- Avg residents/day
- 117.5
- Provider type
- Medicare and Medicaid
- First certified
- 1989-05-08
- Chain
- Vancrest Health Care Centers (13 facilities)
- Setting
- Urban
Part of Vancrest Health Care Centers
Vancrest Health Care Centers operates 13 nursing facilities across the United States. View all Vancrest Health Care Centers facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Vancrest-Upper Valley using Google Maps.
Other public records
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Kettering Health Troy, Troy. 3.5 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Troy Rehabilitation and Healthcare Center, Troy. 3.8 miles away, straight line.
- Nearest home health agency office
- Heritage Health Care, Piqua. 4.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 3.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 45373 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Upper Valley Kidney Center, Troy, 0.1 miles away, straight line (CMS rating 2 of 5 stars)
Fmc - Renal Care Group Sidney, Sidney, 12.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 17 Medicare hospices tell CMS they serve ZIP code 45373.
Hospice Of Miami County Inc, office in Troy, 0.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Interim Healthcare Hospice Of Dayton, office in Huber Heights, 17.8 miles away, straight line
Everheart Hospice, office in Greenville, 21.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Comprehensive Geriatric Care, LLC, Beavercreek. 23.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire very low, tornado relatively high, heat wave relatively low, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Vancrest-Upper Valley a good nursing home?
CMS gives Vancrest-Upper Valley an overall rating of 4 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Vancrest-Upper Valley staffed?
Vancrest-Upper Valley reports 3.87 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Vancrest-Upper Valley had inspection problems?
Its most recent CMS inspection cited 13 deficiencies.
How many beds does Vancrest-Upper Valley have?
Vancrest-Upper Valley is certified for 127 beds.