Vancrest Of Ada
VANCREST OF ADA in ADA, OH — inspection on November 6, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #50's nursing progress notes revealed no evidence the NP, Wound NP, or responsible party were notified of Resident #50's new skin impairment to her buttocks.
Interview on 11/03/25 at 8:18 A.M. with Wound NP #420 confirmed she was not notified of the new skin impairment identified on Resident #50's buttocks on 10/24/25. NP #420 further stated she would typically be notified of new skin impairments for follow-up.
Interview on 11/05/25 at 10:52 A.M. with NP #415 confirmed she was not notified of the new skin impairment to the bilateral buttocks of Resident #50. NP #415 further stated she rounded on Resident #50 the morning of 10/24/25 and was still in the facility at the time the facility staff identified the skin impairment.
Interview on 11/05/25 at 8:12 A.M. with the Director of Nursing (DON) verified the facility had no evidence the NP or resident representative were notified of the new skin impairment identified on Resident #50's buttocks.
Review of the facility policy titled, Change in a Resident's Condition or Status, revised February 2021, revealed the facility promptly notified the resident, his or her attending physician, and the resident representative of changes in the resident's medical/mental condition and/or status.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/06/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Vancrest of Ada
600 West North Avenue Ada, OH 45810
SUMMARY STATEMENT OF DEFICIENCIES
During a follow-up interview on 11/05/25 at 4:00 P.M. with Resident #32, the resident stated Resident #50's bedpan was usually kept in a bag in the bathroom and while she was using the bathroom (during the early morning of 10/24/25), CNA #303 came and got the bedpan for Resident #50.
Review of the facility policy titled, Pressure Ulcer Risk Assessment and Management, revised October 2016, revealed it was the facility policy to assess all residents on admission and regularly thereafter to determine the presence of skin conditions and/or areas of skin compromise, and to identify potential risk factors for their development.
The intent was that a resident would not develop pressure areas unless the resident's clinical condition demonstrated that they were unavoidable.
Responsibilities of the floor nurse would include obtaining measurements (width, length, and depth), updating the physician, and application of appropriate treatments.
Review of the facility policy titled, Skilled Nursing Facility Wound Care Policy, undated, revealed the facility would follow the requirements set forth by the Ohio Department of Health (ODH) and the Centers for Medicare and Medicaid (CMS) Federal Regulations for treatment and services to prevent/heal pressure ulcers to ensure residents were not developing avoidable wounds while in the facility and received appropriate treatment and services for existing wounds.
This deficiency represents non-compliance investigated under Complaint Number 2655902.
Facility ID: