Inspection Reports for
Vancrest of New Carlisle
1885 N DAYTON-LAKEVIEW RD, NEW CARLISLE, OH, 45344
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
13% better than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
178% occupied
Based on a June 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Complaint Investigation
Census: 73
Deficiencies: 3
Date: Jun 3, 2024
Visit Reason
The inspection was conducted as a complaint investigation under Complaint Number OH00153799 regarding the facility's failure to provide written notification of room changes, accurate resident medical information during hospital transfers, and development of comprehensive care plans.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00153799.
Findings
The facility failed to provide written notice to residents or their representatives before room changes, failed to provide accurate medical information when transferring a resident to the hospital, and failed to develop a comprehensive, person-centered care plan for a resident with a ventriculoperitoneal (VP) shunt. These deficiencies affected a few residents and represent non-compliance.
Deficiencies (3)
F 0559: The facility failed to provide residents or their representatives with written notification of room changes. This affected three residents reviewed for room changes. The facility census was 73.
F 0624: The facility failed to provide accurate resident medical information when transferring a resident to a hospital. This affected one resident reviewed for change of condition. The facility census was 73.
F 0656: The facility failed to develop a comprehensive, person-centered care plan that included measurable objectives and timetables for a resident with a VP shunt. This affected one resident out of five reviewed for comprehensive care plans.
Report Facts
Residents affected: 3
Residents affected: 1
Residents affected: 1
Facility census: 73
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Service #235 | Social Service | Interviewed confirming lack of written notification for room changes |
| Director of Nursing | Director of Nursing | Interviewed confirming lack of documentation for hospital transfer communication |
| Registered Nurse #203 | Registered Nurse | Interviewed confirming lack of comprehensive care plan documentation |
Inspection Report
Complaint Investigation
Census: 65
Deficiencies: 6
Date: Feb 16, 2023
Visit Reason
The inspection was conducted based on complaints regarding failure to provide appropriate assistive devices, inaccurate visitation guideline communication, failure to notify Ombudsmen of hospital discharges, incomplete baseline care plans, failure to follow physician orders for respiratory care, and improper use of psychotropic medications.
Complaint Details
This inspection was complaint-related, addressing issues such as failure to provide assistive devices, visitation guideline miscommunication, failure to notify Ombudsmen of discharges, incomplete care plans, respiratory care deficiencies, and improper psychotropic medication use. The complaint number OH00138660 is referenced in relation to visitation guideline non-compliance.
Findings
The facility was found to have multiple deficiencies including failure to provide appropriate assistive devices for a resident, inaccurate communication of visitation guidelines to resident representatives, failure to notify Ombudsmen of hospital discharges, incomplete baseline care plans for residents, failure to document oxygen saturation levels as ordered, and failure to provide non-pharmaceutical interventions prior to administering psychotropic medications.
Deficiencies (6)
F 0558: The facility failed to provide a resident with the appropriate chair to safely get out of bed. This affected one resident (#28).
F 0564: The facility failed to accurately inform a resident's representative of visitation guidelines, incorrectly stating CMS rules on visitor limits. This affected one resident (#209).
F 0623: The facility failed to notify the Ombudsmen of hospital discharges for two residents (#28 and #50).
F 0655: The facility failed to complete thorough baseline care plans for two residents (#116 and #121), missing mental health and isolation precautions.
F 0695: The facility failed to follow physician orders for oxygen use and monitoring oxygen saturation levels for one resident (#57).
F 0758: The facility failed to provide non-pharmaceutical interventions prior to administering as-needed psychotropic medication for one resident (#212).
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 1
Facility census: 65
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #128 | Licensed Practical Nurse | Named in visitation guideline deficiency for communicating CMS rules to resident family |
| RN #132 | Registered Nurse | Made family aware of CMS visitation guidelines for hospice patient |
| Social Worker #139 | Social Worker | Confirmed failure to send Ombudsmen notifications for hospital discharges |
| RN #134 | Registered Nurse | Interviewed regarding baseline care plans and respiratory care deficiencies |
| LPN #120 | Licensed Practical Nurse | Interviewed regarding respiratory care deficiency |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding assistive device and psychotropic medication deficiencies |
| Rehab Director #141 | Rehabilitation Director | Interviewed regarding assistive device use for Resident #28 |
| Occupational Therapist #145 | Occupational Therapist | Interviewed regarding assistive device assessment for Resident #28 |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: May 10, 2021
Visit Reason
Annual inspection survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 7
Date: Jun 13, 2019
Visit Reason
The inspection was conducted to investigate multiple complaints related to resident dignity during insulin administration, timely notification of Medicare non-coverage, transfer/discharge notification, medication administration, unnecessary drug use, rehabilitation services, and infection control practices.
Complaint Details
The visit was complaint-related, investigating multiple issues including dignity during insulin administration, timely Medicare non-coverage notices, transfer notification, medication administration, unnecessary drug use, rehabilitation services, and infection control. Specific substantiation status is not stated.
Findings
The facility was found to have multiple deficiencies including failure to maintain resident dignity during insulin administration, failure to provide timely Medicare non-coverage notices, failure to notify resident and representative in writing of hospital transfer, failure to follow physician orders for medication administration, failure to monitor drug regimens properly, failure to obtain timely speech therapy services, and failure to maintain infection control practices during blood glucose monitoring.
Deficiencies (7)
F 0550: The facility failed to maintain dignity for three residents while administering insulin in a shared dining room without privacy.
F 0582: The facility failed to provide Notice of Medicare Non-Coverage in a timely manner to three residents discharged from Medicare A services.
F 0623: The facility failed to notify one resident and their representative in writing of the resident's transfer to the hospital.
F 0755: The facility failed to follow physician orders for administration of Lasix for one resident with weight gain.
F 0757: The facility failed to monitor administration of pain medication properly by not assessing blood pressure prior to administration for one resident.
F 0825: The facility failed to obtain timely speech language pathology therapy services for one resident to determine safe food consistency.
F 0880: The facility failed to maintain infection control practices by not cleansing the glucometer between finger stick blood sugar tests on four residents.
Report Facts
Residents affected: 3
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 4
Facility census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #815 | Licensed Practical Nurse | Named in findings related to insulin administration without privacy and failure to cleanse glucometer between residents |
| Social Worker #850 | Social Worker | Interviewed regarding failure to provide timely Notice of Medicare Non-Coverage |
| Director of Nursing | Director of Nursing | Interviewed regarding medication administration failures and monitoring |
| Speech Language Pathologist #880 | Speech Language Pathologist | Interviewed regarding delayed speech therapy screening for resident |
| Administrator | Administrator | Interviewed regarding failure to notify resident and representative of hospital transfer |
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