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

MOMENTOUS HEALTH AT VANDALIA

VANDALIA, OH · 118 certified beds · Last Life Safety survey March 16, 2026

CMS Certification Number 366035 · first certified November 1995

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed May 1, 2022 (change of ownership)from FHS CROSSROADS INC
45
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
26
Inspection & testing records
Of the citations on file

Position within OH

45 citations — more than 98% 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 11 citations; the earlier surveys in the window averaged 11.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2027 — about 13 months from now. This facility’s last Life Safety survey was March 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

8 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.

Emergency preparedness

3 of the 45 citations on file are 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)

14 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 45 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0908 Keep all essential equipment working safely.

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 facility45OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility45
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
72019-1182023-04192024-10112026-03
Citations at each Life Safety survey
Survey dateCitations
November 7, 20197
April 24, 20238
October 8, 202419
March 16, 202611

Most-cited tags

Most-cited tags at this facility
K-03534K-05114K-09203K-07123K-03213K-03243K-02112K-02232
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.42026-03-16
K-0511Have properly installed electrical wiring and gas equipment.42026-03-16
K-0920Ensure proper usage of power strips and extension cords.32026-03-16
K-0712Have simulated fire drills held at unexpected times.32026-03-16
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32024-10-08
K-0324Provide properly protected cooking facilities.32024-10-08
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22024-10-08
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.22026-03-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 15
  • Egress Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Miscellaneous Deficiencies 6
  • Other 9
Citations by CMS category
CategoryCitations
Smoke Deficiencies15
Egress Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies7
Miscellaneous Deficiencies6
Services Deficiencies5
Emergency Preparedness Deficiencies3
Construction Deficiencies1

Every citation on file

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

March 16, 2026 — 11 citations

Citations issued on March 16, 2026
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 20, 2026)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 20, 2026)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (April 20, 2026)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 20, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (April 20, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 20, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 20, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (April 20, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (April 20, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 20, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 20, 2026)

October 8, 2024 — 19 citations

Citations issued on October 8, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (November 14, 2024)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 14, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (November 14, 2024)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (November 14, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 14, 2024)
K-0321Ensure 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 (November 14, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 14, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 14, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 14, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (November 14, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 14, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 14, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 14, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 14, 2024)
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 (November 14, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 14, 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 (November 14, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (November 14, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 14, 2024)

April 24, 2023 — 8 citations

Citations issued on April 24, 2023
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 20, 2023)
K-0321Ensure 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 (June 20, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 20, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 20, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 20, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 20, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 20, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 20, 2023)

November 7, 2019 — 7 citations

Citations issued on November 7, 2019
TagWhat the surveyor checksStatus
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (December 13, 2019)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 13, 2019)
K-0321Ensure 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 (December 13, 2019)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 13, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 13, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 13, 2019)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 13, 2019)

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