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

VANCREST OF UPPER SANDUSKY

UPPER SANDUSKY, OH · 99 certified beds · Last Life Safety survey January 15, 2026

CMS Certification Number 365478 · first certified April 1980

Ownership

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

Ownership changed June 1, 2023 (change of ownership)from UNITED CHURCH HOMES, INC.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within OH

16 citations — more than 49% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was January 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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5 inspection-and-testing tags have 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.

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 16 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
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.

Citations on file over three years, compared
Measure	Citations
This facility	16
Median facility in OH	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
July 6, 2021	4
October 26, 2023	7
January 15, 2026	5

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2023-10-26
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2026-01-15
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2026-01-15
K-0363	Install corridor and hallway doors that block smoke.	2	2023-10-26
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-01-15
K-0222	Add 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.	1	2023-10-26
K-0920	Ensure proper usage of power strips and extension cords.	1	2023-10-26
K-0324	Provide properly protected cooking facilities.	1	2026-01-15

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 3
Services Deficiencies 2
Egress Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	3
Services Deficiencies	2
Egress Deficiencies	1
Miscellaneous Deficiencies	1

Every citation on file

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

January 15, 2026 — 5 citations

Citations issued on January 15, 2026
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (February 17, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 17, 2026)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (February 17, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 17, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 17, 2026)

October 26, 2023 — 7 citations

Citations issued on October 26, 2023
Tag	What the surveyor checks	Status
K-0222	Add 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 (November 17, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (November 17, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (November 17, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (November 17, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (November 17, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 17, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (November 17, 2023)

July 6, 2021 — 4 citations

Citations issued on July 6, 2021
Tag	What the surveyor checks	Status
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (August 23, 2021)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 23, 2021)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 23, 2021)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 23, 2021)

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