Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
119
116 employees · 3 contractors · 36 on an average day Vancrest of Ada Assisted Living
Nursing Home, Assisted Living, Home Care, Hospice Care, Respite Care & Skilled Nursing · Ada, OH
ALM Inspection Grade
B
ALM's inspection grade is 83 / 100, a B — 1 point below the Ohio average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 83 / 100, a B — 1 point below the Ohio average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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
Nursing Home, Assisted Living, Home Care, Hospice Care, Respite Care & Skilled Nursing · Ada, OH
ALM Inspection Grade
B
ALM's inspection grade is 83 / 100, a B — 1 point below the Ohio average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 83 / 100, a B — 1 point below the Ohio average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
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 accepts Medicare, Medicaid, and private pay.
Overview of Vancrest of Ada Assisted Living
Vancrest of Ada Assisted Living provides nursing home, assisted living, home care, hospice care, respite care, and skilled nursing in Ada, Ohio. Nursing home and skilled nursing services provide licensed nursing care on site around the clock. Assisted living helps with daily tasks such as bathing, dressing, and medication, while home care supports a person in their own residence.
Hospice care provides end of life care. Respite care offers a short stay that may suit a family whose usual caregiver needs to travel or recover. Inpatient and outpatient rehabilitation gives residents access to therapy either during an inpatient stay or through an outpatient visit.
There are 41 beds. The smaller setting gives staff and residents more opportunity to get to know each other, which may suit someone who prefers a smaller community. Total nurse staffing is 3h 37m per resident per day, representing the documented daily hands on nurse time assigned per resident.
Medicare, Medicaid, and private pay are accepted, giving families payment options that can include Medicare for qualifying short term skilled care after a hospital stay, Medicaid when eligible, or payment from personal funds. Aaron Maidlow serves as the administrator.
A Walk Score of 51 out of 100 places the area in the somewhat walkable band, where some errands can be done on foot. For a resident who no longer drives, that can allow limited independent trips without a car.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 67th out of 176 nursing homes we track in Ohio for nurse hours. 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.
3h 37m
This nursing home is ranked 67th out of 176 nursing homes we track in Ohio for nurse hours. 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.
3h 37mStandout metric: Physical therapist is +134% above Ohio average
2 of 6 metrics below Ohio average
Daily care time per resident, by role
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. All 12 are the facility's own employees; no agency contractors work in this role.
12 staff · 6.7-hour shifts
40m
↑ 11% · OH 36mThis facility: 40m per resident per day, 11% above the Ohio average of 36m (among Ohio facilities reporting a recent figure).
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. All 12 are the facility's own employees; no agency contractors work in this role.
12 staff · 6.7-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 8.3-hour shifts
50m
↓ 6% · OH 53mThis facility: 50m per resident per day, 6% below the Ohio average of 53m (among Ohio facilities reporting a recent figure).
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. All 16 are the facility's own employees; no agency contractors work in this role.
16 staff · 8.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 48 are the facility's own employees; no agency contractors work in this role.
48 staff · 7.2-hour shifts
2h 6m
↑ 6% · OH 1h 59mThis facility: 2h 6m per resident per day, 6% above the Ohio average of 1h 59m (among Ohio facilities reporting a recent figure).
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. All 48 are the facility's own employees; no agency contractors work in this role.
48 staff · 7.2-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
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.
8m
↑ 134% · OH 3mThis facility: 8m per resident per day, 134% above the Ohio average of 3m (among Ohio facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 9m
↑ 2% · OH 3h 5mThis facility: 3h 9m per resident per day, 2% above the Ohio average of 3h 5m (among Ohio facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
24m
↓ 8% · OH 26mThis facility: 24m per resident per day, 8% below the Ohio average of 26m (among Ohio facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
119
116 employees · 3 contractors · 36 on an average day
119 total staff / 54 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.20 : 1
↑ 10% · OH 2.00This facility: 2.20 staff per resident, 10% above the Ohio average of 2.00 (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
119 staff ÷ 54 residents
See full Ohio ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.2 h
↓ 11% · OH 8.1 hThis facility: 7.2 h, 11% below the Ohio average of 8.1 h (among Ohio facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
23,553 staff hours this quarter
See full Ohio ranking →100% of staff hours were worked by the facility's own employees
Ohio average: 90.5% · Contractors this quarter: Medical Director (1), Feeding Assistant (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
56
Rank #145 / 194Bed count — State benchmarked This nursing home is ranked 145th out of 194 nursing homes we track in Ohio for bed count. Shows this facility's certified or reported bed count compared to other Ohio facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
56
Rank #145 / 194Bed count — State benchmarked This nursing home is ranked 145th out of 194 nursing homes we track in Ohio for bed count. Shows this facility's certified or reported bed count compared to other Ohio facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #84 / 231Walk Score — State benchmarked This nursing home is ranked 84th out of 231 nursing homes we track in Ohio for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Ohio facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #84 / 231Walk Score — State benchmarked This nursing home is ranked 84th out of 231 nursing homes we track in Ohio for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Ohio facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
51
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
53
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
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.
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.
100
days
BBB Rating
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
A+
Not Accredited
How BBB ratings workAbout This Community
StatusActive
CountyHardin
CMS Certification Number366444
Vancrest of Ada Assisted Living is administered by Aaron Maidlow.
Resident Council
Family Council
Director of NursingMelissa Bulerin
Physical Therapy
Occupational Therapy
Speech Therapy
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Email
amaidlow@vancrest.com
Fax(419) 558-1385
Pets not allowed
Resident satisfaction survey results
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.
Average score
94 / 100
Ohio average: 86 / 100
2022 – 2023 Period
Based on 17 completed resident interviews out of 33 eligible residents, collected November 2022 through May 2023.
Care and services
100 / 100
Ohio average: 89 / 100
Environment
99 / 100
Ohio average: 95 / 100
Moving in
100 / 100
Ohio average: 82 / 100
Facility culture
94 / 100
Ohio average: 86 / 100
Caregivers
96 / 100
Ohio average: 89 / 100
Spending time
81 / 100
Ohio average: 80 / 100
Meals and dining
88 / 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.
CMS Health Inspection History
ALM Inspection Grade
83 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
1 point below the Ohio average for CMS-certified facilities (84/100)
Category breakdown
Citations
Typical
75 severity-weighted points (20 citations) · 1% higher than the typical CMS-certified OH facility (median: 74)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Concern
48 days to fix issues · slower than the typical CMS-certified OH facility (median: 32)
Total health inspections
5
↓ 22% · OH 6.4This facility: 5, 22% below the OH average of 6.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
20
Rank #62 / 176Health citations — State benchmarked This nursing home is ranked 62nd out of 176 nursing homes we track in Ohio for health citations. Shows this facility's total health deficiency citations benchmarked to the Ohio State average, with a ranking across all 176 OH facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 36% · OH 31.2This facility: 20, 36% below the OH average of 31.2 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4
Rank #73 / 176Citations per inspection — State benchmarked This nursing home is ranked 73rd out of 176 nursing homes we track in Ohio for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Ohio mean across 176 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 18% · OH 4.85This facility: 4, 18% below the OH average of 4.85 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
20 of 20 citations corrected
Critical
J–L
0
↓ 100% · OH 0.3This facility: 0, 100% below the OH average of 0.3 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
↑ 11% · OH 0.9This facility: 1, 11% above the OH average of 0.9 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
19
↓ 35% · OH 29.4This facility: 19, 35% below the OH average of 29.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
↓ 100% · OH 0.6This facility: 0, 100% below the OH average of 0.6 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Nov 06, 2025 · 2 citations, all corrected
Most cited category: Quality of Life & Care, 5 of 20 citations · 8 categories in total
Citations history
Most recent first
Nov 06, 2025
2 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Feb 06, 2025
13 citations
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Sep 04, 2024
1 citation
Nursing Services moderate citation
Corrected
Corrected
May 18, 2023
2 citations
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 13, 2020
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Top deficiency categories
Share of 20 citations
Quality of Life & Care
5 deficiencies (25%)
Pharmacy Services
4 deficiencies (20%)
Resident Assessment & Care Planning
3 deficiencies (15%)
Infection Control
2 deficiencies (10%)
Resident Rights
2 deficiencies (10%)
Nutrition & Dietary
2 deficiencies (10%)
Abuse, Neglect & Exploitation
1 deficiency (5%)
Nursing & Physician Services
1 deficiency (5%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 20 citations resulted from standard inspections; and 3 of 20 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Enforcement
Penalties and fines
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
OH avg $71KOhio average: $71,095. Average among the 334 Ohio facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
OH avg 1.56Ohio average: 1.56. Average among the 334 Ohio facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
OH avg 0.53Ohio average: 0.53. Average among the 334 Ohio facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Ohio average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
4.6
Score · lower is better
≈ 0% · OH 4.6This facility: 4.6, level with the OH average of 4.6 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
11.5
Score · lower is better
↑ 9% · OH 10.5This facility: 11.5, 9% above the OH average of 10.5 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 7 better, 3 worse, 1 near OH average
3 short-stay measures: 2 better, 1 worse
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
3.9%
↓ 23% · OH 5.0This facility: 3.9, 23% below the OH average of 5.0 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
3.9%
↓ 23% · OH 5.0This facility: 3.9, 23% below the OH average of 5.0 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
9.3%
↑ 74% · OH 5.3This facility: 9.3, 74% above the OH average of 5.3 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
9.3%
↑ 74% · OH 5.3This facility: 9.3, 74% above the OH average of 5.3 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
↑ 3% · OH 20.9This facility: 21.4, 3% above the OH average of 20.9 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.4%
↑ 3% · OH 20.9This facility: 21.4, 3% above the OH average of 20.9 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · OH 0.4This facility: 0.0, 100% below the OH average of 0.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.0%
↓ 100% · OH 0.4This facility: 0.0, 100% below the OH average of 0.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
↑ 60% · OH 3.1This facility: 4.9, 60% above the OH average of 3.1 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.9%
↑ 60% · OH 3.1This facility: 4.9, 60% above the OH average of 3.1 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
1.1%
↓ 65% · OH 3.2This facility: 1.1, 65% below the OH average of 3.2 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
1.1%
↓ 65% · OH 3.2This facility: 1.1, 65% below the OH average of 3.2 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
3.6%
↓ 41% · OH 6.1This facility: 3.6, 41% below the OH average of 6.1 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
3.6%
↓ 41% · OH 6.1This facility: 3.6, 41% below the OH average of 6.1 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
23.2%
↓ 27% · OH 31.6This facility: 23.2, 27% below the OH average of 31.6 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
23.2%
↓ 27% · OH 31.6This facility: 23.2, 27% below the OH average of 31.6 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
9.8%
↑ 16% · OH 8.5This facility: 9.8, 16% above the OH average of 8.5 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
9.8%
↑ 16% · OH 8.5This facility: 9.8, 16% above the OH average of 8.5 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · OH 92.7This facility: 100.0, 8% above the OH average of 92.7 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 8% · OH 92.7This facility: 100.0, 8% above the OH average of 92.7 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 7% · OH 93.7This facility: 100.0, 7% above the OH average of 93.7 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 7% · OH 93.7This facility: 100.0, 7% above the OH average of 93.7 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
↑ 160% · OH 1.2This facility: 3.1, 160% above the OH average of 1.2 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
3.1%
↑ 160% · OH 1.2This facility: 3.1, 160% above the OH average of 1.2 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
↑ 24% · OH 78.4This facility: 97.1, 24% above the OH average of 78.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.1%
↑ 24% · OH 78.4This facility: 97.1, 24% above the OH average of 78.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
↑ 23% · OH 76.4This facility: 94.3, 23% above the OH average of 76.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.3%
↑ 23% · OH 76.4This facility: 94.3, 23% above the OH average of 76.4 (among OH facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Vancrest of Ada Assisted Living’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 174 Ohio nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Breaking even on care
4.4% operating margin
−1.3 pts vs prior year
Positive margin in 6 of the last 8 reported years. Net income $0.3M after other income.
Does it invest in staff?
Spends less on payroll than most Ohio homes
50.9% payroll share of revenue
OH average 54.7%Rank #113 / 174Payroll % of net patient revenue — State benchmarked This nursing home is ranked 113th out of 174 nursing homes we track in Ohio for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Ohio average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $0.2M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Ohio homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | OH median | Compared with OH homesRank in OH | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $6.7M | +$0.2M | Trend 20172024 | OH median $9.7M | Rank in OH Rank #134 / 174Net patient revenue — State benchmarked This nursing home is ranked 134th out of 174 nursing homes we track in Ohio for net patient revenue. Shows this facility's net patient revenue compared to the Ohio average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 23% of homes | Below OH median Higher net patient revenue than 23% of OH homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $6.4M | +$0.3M | Trend 20172024 | OH median $10.0M | Rank in OH Rank #141 / 174Operating expenses — State benchmarked This nursing home is ranked 141st out of 174 nursing homes we track in Ohio for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Ohio homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 19% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.3M | −$0.1M | Trend 20172024 | OH median −$0.3M | Rank in OH Rank #47 / 174Net patient income — State benchmarked This nursing home is ranked 47th out of 174 nursing homes we track in Ohio for net patient income. Shows net patient revenue minus operating expenses, compared with other Ohio homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 73% of homes | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 4.4% | −1.3 pts | Trend 20172024 | OH median −4.1% | Rank in OH Rank #41 / 174Operating margin — State benchmarked This nursing home is ranked 41st out of 174 nursing homes we track in Ohio for operating margin. Shows net patient income as a share of net patient revenue, compared with other Ohio homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 77% of homes | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Other income Money not from resident care: investments, grants, services. | $0.0M | — | Trend — | OH median $0.0M | Rank in OH Rank #73 / 161Other income — State benchmarked This nursing home is ranked 73rd out of 161 nursing homes we track in Ohio for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Ohio homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $0.3M | −$0.3M | Trend — | OH median −$0.2M | Rank in OH Rank #58 / 174Net income — State benchmarked This nursing home is ranked 58th out of 174 nursing homes we track in Ohio for net income. Shows the bottom line after other income, compared with other Ohio homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 67% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Ohio homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | OH median | Compared with OH homesRank in OH | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $3.4M | +$0.2M | Trend 20172024 | OH median $5.3M | Rank in OH Rank #137 / 174Payroll costs — State benchmarked This nursing home is ranked 137th out of 174 nursing homes we track in Ohio for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Ohio average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 21% of homes | Below OH median Higher payroll than 21% of OH homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 50.9% | +0.8 pts | Trend 20172024 | OH median 53.7% | Rank in OH Rank #113 / 174Payroll % of net patient revenue — State benchmarked This nursing home is ranked 113th out of 174 nursing homes we track in Ohio for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Ohio average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 35% of homes | 3.8 pts under OH average The OH average is 54.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · OH benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Ohio payroll average.
% of net patient revenue
Payroll share Operating margin OH payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $4.3M | $4.8M | $4.7M | $4.6M | $5.1M | $6.3M | $6.5M | $6.7M |
| Operating expenses | $4.0M | $4.5M | $4.5M | $4.8M | $5.1M | $5.7M | $6.1M | $6.4M |
| Net patient income | $0.3M | $0.3M | $0.2M | −$0.2M | −$0.0M | $0.6M | $0.4M | $0.3M |
| Operating margin | 6.9% | 6.1% | 4.0% | −3.5% | −1.0% | 9.0% | 5.7% | 4.4% |
| Net income | $0.3M | $0.3M | $0.2M | $0.0M | $0.0M | $0.8M | $0.6M | $0.3M |
| Payroll costs | $1.9M | $2.2M | $2.3M | $2.5M | $2.6M | $2.9M | $3.2M | $3.4M |
| Payroll share of revenue | 44.7% | 45.0% | 48.7% | 54.5% | 52.0% | 46.8% | 50.1% | 50.9% |
| Beds | 50 | 50 | 50 | 50 | 60 | 60 | 60 | 60 |
| Gross revenue | $5.8M | $6.6M | $6.3M | $6.1M | $6.7M | $7.7M | $7.7M | $8.4M |
| Salaries | $1.6M | $1.7M | $1.8M | $1.9M | $2.0M | $2.3M | $2.5M | $2.9M |
| Wage-related costs | $0.3M | $0.5M | $0.5M | $0.6M | $0.7M | $0.6M | $0.7M | $0.5M |
| Contract labor | $0.6M | $0.6M | $0.6M | $0.5M | $0.6M | $0.7M | $0.6M | $0.6M |
| Other operating costs | $2.1M | $2.4M | $2.2M | $2.3M | $2.5M | $2.8M | $2.9M | $3.0M |
| Net patient revenue per day | $282 | $280 | $273 | $272 | $297 | $315 | $331 | $327 |
| Cost per day | $263 | $263 | $262 | $281 | $299 | $287 | $312 | $313 |
| Average length of stay | 73.1 days | 97.0 days | 101.5 days | 102.2 days | 91.6 days | 94.9 days | 93.8 days | 99.7 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
204 admissions · FY2024
Residents admitted during the year.
Medicare
69 · 34%
Medicaid
47 · 23%
Private pay & other
88 · 43%
Resident snapshot
54 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
9 · 17%
Medicaid
25 · 46%
Private pay & other
20 · 37%
Leaving
204 discharges · FY2024
Residents discharged during the year.
Medicare
69 · 34%
Medicaid
47 · 23%
Private pay & other
88 · 43%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Vancrest of Ada Assisted Living
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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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Info below is compiled from CMS reports & the OH Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Ohio average is: 54.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brookdale Westlake Village | NH AL CCRC IL MC SNF | Westlake | 60
Facility
60
OH AVG
93
Rank
#140 / 194 | ? |
91.8%
Facility
91.8%
OH AVG
85%
Rank
#34 / 113 | +8% | 4.42
Facility
4.42
OH AVG
3.48
Rank
#18 / 176 | +34% | +27% | $0
Facility
$0
OH AVG
$80.0k
Rank
#1 / 176 | 10
Facility
10
OH AVG
31.2
Rank
#18 / 176 | 1.7
Facility
1.7
OH AVG
4.9
Rank
#7 / 176 | - | 55 | A+ |
25
Facility
25
OH AVG
42
Rank
#171 / 231 | Labeed Diab | $21.3MFiscal year ending 12/2024
Facility
$21.3MFiscal year ending 12/2024
OH AVG
$10.5M
Rank
#8 / 174 | $11.0MFiscal year ending 12/2024
Facility
$11.0MFiscal year ending 12/2024
OH AVG
$5.6M
Rank
#8 / 174 | 51.6%Fiscal year ending 12/2024
Facility
51.6%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#105 / 174 | 366373 | ||||
| Genoa Retirement Village | NH ADC AL IL MC SNF | Genoa | 85
Facility
85
OH AVG
93
Rank
#103 / 194 | ? | - | - | 3.06
Facility
3.06
OH AVG
3.48
Rank
#128 / 176 | +25% | -12% | $0
Facility
$0
OH AVG
$80.0k
Rank
#1 / 176 | 15
Facility
15
OH AVG
31.2
Rank
#40 / 176 | 3.8
Facility
3.8
OH AVG
4.9
Rank
#62 / 176 | - | 64 | A+ |
17
Facility
17
OH AVG
42
Rank
#194 / 231 | Michelle Vernon | $12.8MFiscal year ending 12/2024
Facility
$12.8MFiscal year ending 12/2024
OH AVG
$10.5M
Rank
#43 / 174 | $6.5MFiscal year ending 12/2024
Facility
$6.5MFiscal year ending 12/2024
OH AVG
$5.6M
Rank
#44 / 174 | 50.8%Fiscal year ending 12/2024
Facility
50.8%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#114 / 174 | 365663 | ||||
| Shepherd of the Valley – Howland | NH AL IL MC RC SNF | Warren | 100
Facility
100
OH AVG
93
Rank
#68 / 194 | ? | - | - | 4.60
Facility
4.60
OH AVG
3.48
Rank
#13 / 176 | -8% | +32% | $0
Facility
$0
OH AVG
$80.0k
Rank
#1 / 176 | 11
Facility
11
OH AVG
31.2
Rank
#21 / 176 | 3.7
Facility
3.7
OH AVG
4.9
Rank
#57 / 176 | - | 45 | A+ |
19
Facility
19
OH AVG
42
Rank
#188 / 231 | Tamara Salvino | $7.3MFiscal year ending 12/2024
Facility
$7.3MFiscal year ending 12/2024
OH AVG
$10.5M
Rank
#122 / 174 | $4.1MFiscal year ending 12/2024
Facility
$4.1MFiscal year ending 12/2024
OH AVG
$5.6M
Rank
#119 / 174 | 56.4%Fiscal year ending 12/2024
Facility
56.4%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#64 / 174 | 366258 | ||||
| Elizabeth Scott Community | NH AL MC SNF | Maumee | 108
Facility
108
OH AVG
93
Rank
#63 / 194 | ? | - | - | 4.85
Facility
4.85
OH AVG
3.48
Rank
#9 / 176 | -59% | +39% | $0
Facility
$0
OH AVG
$80.0k
Rank
#1 / 176 | 9
Facility
9
OH AVG
31.2
Rank
#16 / 176 | 3.0
Facility
3.0
OH AVG
4.9
Rank
#34 / 176 | - | 55 | A+ | - | Elizabeth Scott, Inc | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
OH AVG
$10.5M
Rank
#131 / 174 | $3.5MFiscal year ending 12/2024
Facility
$3.5MFiscal year ending 12/2024
OH AVG
$5.6M
Rank
#134 / 174 | 51.1%Fiscal year ending 12/2024
Facility
51.1%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#108 / 174 | 366184 | ||||
| Vancrest of Ada Assisted Living | NH AL HC HOS RC SNF | Ada (Liberty Township) | 56
Facility
56
OH AVG
93
Rank
#145 / 194 | B | - | - | 3.62
Facility
3.62
OH AVG
3.48
Rank
#67 / 176 | +6% | +4% | $0
Facility
$0
OH AVG
$80.0k
Rank
#1 / 176 | 20
Facility
20
OH AVG
31.2
Rank
#62 / 176 | 4.0
Facility
4.0
OH AVG
4.9
Rank
#73 / 176 | 1 | 53 | A+ |
51
Facility
51
OH AVG
42
Rank
#84 / 231 | Shane Stewart | $6.7MFiscal year ending 12/2024
Facility
$6.7MFiscal year ending 12/2024
OH AVG
$10.5M
Rank
#134 / 174 | $3.4MFiscal year ending 12/2024
Facility
$3.4MFiscal year ending 12/2024
OH AVG
$5.6M
Rank
#137 / 174 | 50.9%Fiscal year ending 12/2024
Facility
50.9%Fiscal year ending 12/2024
OH AVG
54.7%
Rank
#113 / 174 | 366444 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other OH nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Ohio
Vancrest of Ada Assisted Living is in ADA, Ohio. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
Assisted Living Waiver (ALW)
Assisted Living Waiver (ALW)
Eligibility
- General
- Adults age 21+ meeting Medicaid financial and care-need requirements who live in an Ohio Department of Aging-certified assisted-living facility.
- OH specifics
- Medicaid assisted-living services require financial and care eligibility; room and board are a separate resident responsibility.
What it provides
- Pays for covered care in an approved assisted-living facility; participants remain responsible for room and board.
VA Aid and Attendance (A&A) and Housebound Benefits
VA Aid and Attendance (A&A) and Housebound Benefits
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- 2026 · Countable income is compared with the applicable maximum annual pension rate (MAPR), which varies by dependents and benefit category. For a veteran with one dependent and Aid and Attendance, MAPR is $34,488/year.
- Asset limit
- VA pension net-worth ceiling is $163,699 from December 1, 2025 through November 30, 2026. Net worth includes countable assets plus income for VA purposes; exclusions and transfer rules apply.
Eligibility
- General
- Aid and Attendance or Housebound is an increased VA pension rate for eligible veterans or surviving spouses who meet pension and additional care/disability requirements; it is not a stand-alone state benefit.
- OH specifics
- Federal VA pension rules apply nationwide.
What it provides
- Monthly pension is based on the applicable MAPR less countable annual income; divided by 12. Maximum annual veteran Aid and Attendance rates are $29,093 without dependents and $34,488 with one dependent; actual payments may be lower.
PASSPORT Waiver
PASSPORT Waiver
Eligibility
- General
- Adults age 60+ who meet Medicaid financial eligibility and nursing-facility level-of-care requirements and seek care at home.
- OH specifics
- PASSPORT is a Medicaid waiver supporting eligible older Ohioans at home or in community settings instead of nursing facilities.
What it provides
- Assessed home and community-based services; including personal-care assistance; through the PASSPORT Medicaid waiver.
National Family Caregiver Support Program
National Family Caregiver Support Program
- Who it is for
- Family or informal caregivers of an older adult
Eligibility
- General
- Family and informal caregivers seeking support through the state aging network; individual services are assessed through local providers.
What it provides
- Caregiver support through the Ohio aging network and local providers; funded under the National Family Caregiver Support Program.
Medicare Savings Program (MSP)
Medicare Savings Program (MSP)
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
Eligibility
- General
- Medicare beneficiary; the state determines the applicable Medicare Savings Program. QMB helps with premiums and Medicare cost sharing; SLMB and QI generally help with Part B premiums.
- OH specifics
- QI requires annual application and is funded first-come, first-served with priority for prior recipients. QMB, SLMB and QI confer Part D Extra Help.
What it provides
- QMB pays eligible Part A/Part B premiums and Medicare deductibles and cost sharing; SLMB and QI pay Part B premiums. The exact benefit depends on the approved program.
Home Energy Assistance Program (HEAP)
Home Energy Assistance Program (HEAP)
Eligibility
- General
- Income-eligible households with qualifying home-energy costs; the administering agency applies household-size and program eligibility rules.
- OH specifics
- Administered by the Ohio Department of Job and Family Services effective April 6, 2026.
What it provides
- Federally funded assistance with eligible household energy bills.
Homestead Exemption
Homestead Exemption
- Income limit
- 2026 application · $41,000 in qualifying total 2025 income, subject to grandfathering and special-category exceptions; state and county guidance governs income calculation.
Eligibility
- General
- Qualifying Ohio homeowners age 65+ or with permanent and total disability; the property must be the principal home and applicable income requirements must be met.
- OH specifics
- For tax year 2026 the standard exemption shields up to $29,700 of home value; it is not a $29,700 tax refund.
What it provides
- Tax savings equal the applicable local taxes on exempt home value.
Know before you visit
Frequently Asked Questions about Vancrest of Ada Assisted Living
Quick answers from public records and the community's own listing.01 What neighborhood is Vancrest of Ada Assisted Living in?
Vancrest of Ada Assisted Living is in the Liberty Township neighborhood of ADA.
02 Who is the Director of Nursing at Vancrest of Ada Assisted Living?
Melissa Bulerin is the Director of Nursing at Vancrest of Ada Assisted Living.
03 Is Vancrest of Ada Assisted Living in a walkable area?
Vancrest of Ada Assisted Living has a walk score of 51. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
04 What is the occupancy rate at Vancrest of Ada Assisted Living?
Vancrest of Ada Assisted Living's occupancy is 92.6%.
05 Are pets allowed at Vancrest of Ada Assisted Living?
No, Vancrest of Ada Assisted Living has a no-pet policy.
06 What is the best email address for Vancrest of Ada Assisted Living?
The team at Vancrest of Ada Assisted Living can be reached at AMAIDLOW@VANCREST.COM.
07 Does Vancrest of Ada Assisted Living operate as a for-profit or non-profit?
Vancrest of Ada Assisted Living is registered as a for-profit in OH.
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