Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

VANCREST OF HICKSVILLE

HICKSVILLE, OH · 61 certified beds · Last Life Safety survey May 7, 2026

CMS Certification Number 365680 · first certified May 1986

Ownership

Operated by VANCREST HEALTH CARE CENTERS · For profit - Limited Liability company

  • Ownership changed April 1, 2021 (change of ownership)from HICKORY CREEK HEALTHCARE FOUNDATION INC
21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within OH

21 citations — more than 67% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2027 — about 15 months from now. This facility’s last Life Safety survey was May 2026. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 21 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 21 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility21OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
132021-0552024-0132026-05
Citations at each Life Safety survey
Survey dateCitations
May 6, 202113
January 18, 20245
May 7, 20263

Most-cited tags

Most-cited tags at this facility
K-05112K-01311K-02321K-07611K-07111K-03461K-02711K-09181
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0511Have properly installed electrical wiring and gas equipment.22024-01-18
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.12026-05-07
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.12021-05-06
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12021-05-06
K-0711Provide a written emergency evacuation plan.12021-05-06
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12021-05-06
K-0271Have exits that are accessible at all times.12024-01-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-01-18

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Miscellaneous Deficiencies 4
  • Services Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Miscellaneous Deficiencies4
Services Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Egress Deficiencies3
Emergency Preparedness Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 7, 2026 — 3 citations

Citations issued on May 7, 2026
TagWhat the surveyor checksStatus
K-0131Meet requirements for sections of health care facilities separated by fire resistive construction.Deficient, Provider has date of correction (June 26, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 26, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 26, 2026)

January 18, 2024 — 5 citations

Citations issued on January 18, 2024
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (February 27, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 27, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 27, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (February 27, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 27, 2024)

May 6, 2021 — 13 citations

Citations issued on May 6, 2021
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 20, 2021)
K-0222Add 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.Deficient, Provider has date of correction (June 20, 2021)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (June 20, 2021)
K-0331Construct fire resistant interior walls.Deficient, Provider has date of correction (June 20, 2021)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (June 20, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 20, 2021)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (June 20, 2021)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 20, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 20, 2021)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 20, 2021)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (June 20, 2021)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 20, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 20, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.