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VANCREST OF NEW CARLISLE Inspection Report, Violations & Safety Grade (NEW CARLISLE, Ohio)

1885 N DAYTON LAKEVIEW RD, NEW CARLISLE, Ohio 45344

Phone: 9378458219

CMS Overall:4/5

Overview & Bed Count

Certified Beds
86
Avg Residents/Day
74.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Clark
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing2/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityOhio AvgDifference
RN Hours per Resident per Day0.440.64-0.20
Total Nurse Hours per Resident per Day3.533.71-0.18
CMS Staffing Rating2/52.4/5-
Nursing Staff Turnover47.9%49%-

Health Citation History

19 health citations on record

DateCategoryDescriptionSeverity
2026-05-14Resident Rights DeficienciesHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.D – Moderate Harm Potential
2025-12-22Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2025-12-22Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-12-22Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-12-22Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2025-12-22Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-12-22Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.D – Moderate Harm Potential
2025-12-22Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2025-12-22Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-12-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-06-03Resident Rights DeficienciesHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.D – Moderate Harm Potential
2024-06-03Resident Rights DeficienciesPrepare residents for a safe transfer or discharge from the nursing home.D – Moderate Harm Potential
2024-06-03Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-02-16Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E – Moderate Harm Potential
2023-02-16Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2023-02-16Resident Rights DeficienciesInform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.D – Moderate Harm Potential
2023-02-16Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D – Moderate Harm Potential
2023-02-16Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2023-02-16Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential

Fire Safety Citation History

25 fire safety citations on record

DateCategoryDescriptionSeverity
2025-12-22Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2025-12-22Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-12-22Smoke DeficienciesConstruct fire resistant interior walls.E – Moderate Harm Potential
2025-12-22Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-02-16Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2023-02-16Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2023-02-16Egress DeficienciesHave horizontal exits used in accordance with safety requirements.E – Moderate Harm Potential
2023-02-16Egress DeficienciesInstall proper backup exit lighting.E – Moderate Harm Potential
2023-02-16Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2023-02-16Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.E – Moderate Harm Potential
2021-05-10Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2021-05-10Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.F – Moderate Harm Potential
2021-05-10Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2021-05-10Smoke DeficienciesFollow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.F – Moderate Harm Potential
2021-05-10Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2021-05-10Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2021-05-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2021-05-10Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2021-05-10Smoke DeficienciesHave an enclosure around a vertical opening shaft.E – Moderate Harm Potential
2021-05-10Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2021-05-10Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.E – Moderate Harm Potential
2021-05-10Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2021-05-10Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2021-05-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.D – Moderate Harm Potential
2021-05-10Miscellaneous DeficienciesHave restrictions on the use of highly flammable decorations.B – Minimal Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-12-22Payment Denial-17 days starting 2026-01-20

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