2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Vancrest of Ada Assisted Living is a nursing home on West North Avenue in Ada, Ohio, providing skilled nursing care and rehabilitation services. The home is owner-operated by Shane Stewart, which is a relatively small community with 41 beds. Families can pay through Medicare, Medicaid, and private pay to cover the cost of care.
Residents stay here an average of 94 days because of its focus on rehabilitation rather than longer-term custodial care. It fits residents recovering from surgery, a hospital stay, or an acute illness who need skilled nursing support during healing.
The home offers both inpatient and outpatient rehabilitation services, supported by 24-hour staffing. Daily nurse staffing averages roughly 3 hours and 30 minutes per resident. Nurse aides provide an additional 3 hours and 28 minutes of hands-on support, a substantial level of personal care and assistance.
Families can access respite care for short-term coverage while their primary caregiver takes a break. Dining includes a selection of menu options at mealtime, so residents can customize their meals to their preferences.
Ada’s location has a walkability score of 51 out of 100. Some errands can be handled on foot, but most trips require driving. The neighborhood is near amenities, which can be helpful for visiting families.
Families considering Vancrest should take a tour of the facility to see the home’s rehabilitation equipment and therapy areas, meet the care team, and get a feel for the community’s atmosphere.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 29m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 14m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 15m per day | |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 27m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Vancrest of Ada Assisted Living is administered by Aaron Maidlow.
Key information about the people who lead and staff this community.
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 3 | 2 | This facility has 50% more total citations than a typical Ohio assisted living residence (3 vs. OH avg 2).↑ 50% worse |
Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.
Ohio average: 86 / 100
Ohio average: 89 / 100
Ohio average: 95 / 100
Ohio average: 82 / 100
Ohio average: 86 / 100
Ohio average: 89 / 100
Ohio average: 80 / 100
Ohio average: 81 / 100
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Have you gotten or are you getting physical therapy, occupational therapy or speech therapy, while living at this care facility?
This facility59/100
Ohio average46/100
Did (Do) the therapists help you set goals?
This facility100/100
Ohio average89/100
Did (Does) the therapy help you meet your goals?
This facility100/100
Ohio average88/100
Did (Do) you know who to speak to about your therapy progress?
This facility100/100
Ohio average85/100
Can you decide how to spend your day?
This facility100/100
Ohio average94/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are you able to get around the building if you want to?
This facility94/100
Ohio average95/100
Do you feel you have enough privacy?
This facility100/100
Ohio average95/100
Do you feel safe here?
This facility100/100
Ohio average98/100
Can you find a place to be alone if you want to be alone?
This facility100/100
Ohio average96/100
Can you enjoy the outdoors if you want to?
This facility100/100
Ohio average91/100
Is it easy for you to get around in your room (or apartment)?
This facility100/100
Ohio average96/100
Is it very clean here?
This facility100/100
Ohio average96/100
Are your personal items safe here?
This facility100/100
Ohio average92/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Did you receive a thorough orientation to VANCREST OF ADA ASSISTED LIVING?
This facility100/100
Ohio average70/100
Were you given enough information to learn how things work here?
This facility100/100
Ohio average82/100
Did you feel warmly welcomed as a new resident?
This facility100/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are you friends with anyone who lives here?
This facility76/100
Ohio average81/100
Do the people who work here tell you when rules, policies, and procedures change?
This facility86/100
Ohio average78/100
Are you as involved in decisions about your care as you want to be?
This facility93/100
Ohio average85/100
Are you encouraged to speak up about things you don’t like here?
This facility94/100
Ohio average81/100
Are your concerns taken care of in a timely way?
This facility94/100
Ohio average86/100
Do the people who work here go above and beyond to give you a good life?
This facility94/100
Ohio average87/100
Do the people who work here seem happy to work here?
This facility94/100
Ohio average92/100
Overall, are you satisfied with the care you receive here?
This facility100/100
Ohio average94/100
Do the people who work here help you with technology, if needed?
This facility100/100
Ohio average89/100
Would you highly recommend VANCREST OF ADA ASSISTED LIVING to someone who needs this type of care?
This facility100/100
Ohio average89/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do the people who care for you explain your care and services to you?
This facility87/100
Ohio average85/100
Do you feel confident the people who work here would come quickly anytime you needed help?
This facility88/100
Ohio average85/100
Are the people who work here knowledgeable about your medical conditions and treatments?
This facility93/100
Ohio average90/100
Do the same people take care of you most of the time?
This facility93/100
Ohio average84/100
Do the people who work here make sure you are comfortable when they provide care or services?
This facility94/100
Ohio average95/100
Do the people who work here check on you often enough to see if you need anything?
This facility94/100
Ohio average81/100
Do the people who work here support you to do as much for yourself as you are able to do?
This facility94/100
Ohio average96/100
Do the people who work here do things the way you want them done?
This facility100/100
Ohio average88/100
Do the people who work here do everything they can to protect you from getting sick?
This facility100/100
Ohio average94/100
Do you have opportunities to maintain your health and wellness, if you want?
This facility100/100
Ohio average92/100
Do the people who work here ever get angry at you?
This facility100/100
Ohio average88/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are there enjoyable things to do on the weekends, if you want?
This facility63/100
Ohio average63/100
Do you have something to look forward to most days?
This facility71/100
Ohio average77/100
Are you as connected to the community as you want to be?
This facility75/100
Ohio average71/100
Do you have enough opportunities to go on outings and special events?
This facility75/100
Ohio average73/100
Do you have plenty of opportunities to do things that are meaningful to you?
This facility88/100
Ohio average83/100
Do you usually enjoy how you spend your time?
This facility88/100
Ohio average87/100
Do you feel included in life here?
This facility88/100
Ohio average89/100
Do you like the activities here?
This facility100/100
Ohio average83/100
Are you able to do the activities offered here, if you want?
This facility100/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do you look forward to mealtimes?
This facility69/100
Ohio average80/100
Does the menu change often enough?
This facility80/100
Ohio average77/100
Do you get enough fresh food options here?
This facility94/100
Ohio average81/100
Do you get enough to eat here?
This facility94/100
Ohio average95/100
Do you have input on the food that is served?
This facility100/100
Ohio average68/100
Do you like the food here?
This facility100/100
Ohio average81/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
State average N/A
Last Health inspection on Nov 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 21 citations resulted from standard inspections; and 4 of 21 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 10 RN Staff are full-time employees. No contractors work on this role.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.4 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
102 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 10,234 | 92 | 100% | 6.8 |
| Licensed Practical Nurse | 19 | 0 | 19 | 5,610 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 966 | 65 | 71% | 8.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 887 | 90 | 98% | 5.8 |
| Registered Nurse | 10 | 0 | 10 | 829 | 75 | 82% | 6.4 |
| Physical Therapy Aide | 5 | 0 | 5 | 813 | 70 | 76% | 6.2 |
| Speech Language Pathologist | 3 | 0 | 3 | 625 | 71 | 77% | 6 |
| Therapeutic Recreation Specialist | 2 | 0 | 2 | 529 | 61 | 66% | 6.7 |
| Physical Therapy Assistant | 6 | 0 | 6 | 514 | 75 | 82% | 6.2 |
| Dietitian | 1 | 0 | 1 | 506 | 66 | 72% | 7.7 |
| Administrator | 1 | 0 | 1 | 476 | 60 | 65% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 452 | 57 | 62% | 7.9 |
| Qualified Social Worker | 4 | 0 | 4 | 410 | 64 | 70% | 5.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 405 | 68 | 74% | 6 |
| Mental Health Service Worker | 1 | 0 | 1 | 260 | 35 | 38% | 7.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 96 | 12 | 13% | 8 |
| Nurse Aide in Training | 4 | 0 | 4 | 80 | 18 | 20% | 4 |
| Medical Director | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
| Feeding Assistant | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.5
40% better than State averageState average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.9
6% better than State averageState average: 12.7
Percent of long-stay residents whose need for help with daily activities has increased
3.6%
48% better than State averageState average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
5.3%
40% better than State averageState average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
22% worse than State averageState average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
30% better than State averageState average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
1.5%
61% better than State averageState average: 3.9%
Percent of long-stay residents with a urinary tract infection
1.8%
234% worse than State averageState average: 0.5%
Percent of long-stay residents who lose too much weight
4.7%
24% better than State averageState average: 6.2%
Percent of long-stay residents who have depressive symptoms
22.0%
9% better than State averageState average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
3.9%
54% better than State averageState average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than State averageState average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than State averageState average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
95.1%
22% better than State averageState average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
48% worse than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
26% better than State averageState average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
41% of new residents, usually for short-term rehab.
37% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Vancrest of Ada Assisted Living from 2017–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #157 / 199Payroll — State benchmarkedThis home is ranked 157th out of 199 homes in Ohio for Payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #120 / 199Payroll % — State benchmarkedThis home is ranked 120th out of 199 homes in Ohio for Payroll %. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio facilities typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (41% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Ada's city center to Vancrest of Ada Assisted Living's address, calculated via Google Maps.
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The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Brookdale Westlake Village | NH AL IL MC SNF | Westlake | - | 60 | A+ | 25 | 1 Bed / 2 Bed |
| Elizabeth Scott Community | NH AL MC SNF | Maumee | - | 60 | A+ | 0 | Studio / 1 Bed |
| The Knolls of Oxford | NH AL IL MC SNF | Oxford | - | 50 | - | 0 | Private / 1 Bed / 2 Bed / 3 Bed Rooms |
| Otterbein SeniorLife | NH AL HC HOS IL MC SNF | Lebanon | - | 154 | - | 0 | Studio / 1 Bed / 2 Bed / 3 Bed |
| Vancrest of Ada Assisted Living | NH AL HC HOS RC SNF | Ada (Liberty Township) | - | 41 | A+ | 51 | - |
Vancrest of Ada Assisted Living is in the Liberty Township neighborhood of ADA.
Melissa Bulerin is the Director of Nursing at Vancrest of Ada Assisted Living.
Vancrest of Ada Assisted Living has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Vancrest of Ada Assisted Living's occupancy is 89.1%.
No, Vancrest of Ada Assisted Living has a no-pet policy.
The team at Vancrest of Ada Assisted Living can be reached at AMAIDLOW@VANCREST.COM.
Vancrest of Ada Assisted Living is registered as a for-profit in OH.
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