Average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Vancrest Health Care Center Of Eaton during CMS and state inspections, most recent first.
Improper Storage of Food Items: Surveyors found expired, opened, and undated food items in the walk-in freezer and reach-in refrigerator, including ham, rye bread, French fries, waffles, and ravioli. The FC verified the items should have been dated when opened and discarded when expired. Facility policy stated frozen foods should not be stored in a frozen state for more than six months and staples should be dated upon delivery.
A facility failed to complete its TB risk assessment as part of the infection prevention and control program. The worksheet was undated, unsigned, and missing key items such as the TB risk level, number of beds, and whether there was a high incidence of immunocompromised patients or healthcare workers. The IP RN, Administrator, and DON confirmed the facility was a low-risk setting with no current or recent TB cases, and the IP RN stated she had not completed the form in full when she assumed the role.
Unequal Allocation of Resident Trust Account Interest: Interest from the shared resident trust account was not credited equitably to individual resident trust accounts for four residents. Review showed interest was added randomly instead of being based on each account’s balance, and the SSD, ALD, and Administrator confirmed interest was distributed by alphabetical lists rather than by calculation of individual balances.
A nurse failed to follow the facility’s medication storage policy when she entered a resident’s room with a cup containing multiple medications and a tub of pudding, placed them on the overbed table, and left the room, closing the door, while the resident began taking the medications. The RN later returned with water and acknowledged leaving the medications unattended. This incident involved a resident with multiple conditions, including DM2, spinal stenosis, anxiety disorder, and overactive bladder, and had the potential to affect other cognitively impaired, independently mobile residents.
Incomplete incontinence care was observed for a cognitively impaired resident with an indwelling urinary catheter and dependence on staff for toileting. Two CNAs cleansed only the anterior peri area, reused a wipe that had brown material visible on it, and did not complete further perineal care to ensure the posterior area was clean and free of irritation. An RN verified the care should have been thorough and complete, and the facility policy stated skin should be kept clean, dry, and free of irritation and odor.
Oxygen care was not provided appropriately for three residents. For one resident with respiratory failure, pulmonary fibrosis, and interstitial lung disease, a CNA disconnected the nasal cannula from the portable O2 tank, the tubing fell to the floor, and an LPN later attached that same tubing to a new tank. Two other residents receiving O2 had tubing that was not dated, and an LPN confirmed the tubing should have been dated when applied.
Hospice documentation was not sufficient or available for facility staff to review for two residents receiving hospice services. The facility had visit logs for hospice aides, RNs, and a chaplain, but no documentation of the actual care, assessments, or treatments provided, and the DON stated staff had to call hospice for information because they did not have access to hospice notes. Hospice RN also stated the hospice care plans were not developed in collaboration with facility staff and routine documentation was not provided to the facility.
A facility failed to follow infection control procedures during incontinence care for a resident with dementia and diabetes. A CNA did not remove gloves after providing care and exited the room, contrary to facility policy and CDC guidelines. This was confirmed during an interview with the CNA.
Improper Storage of Food Items
Penalty
Summary
The facility failed to store food in a sanitary manner. During observation of the walk-in freezer, surveyors found a bag of ham in a zip lock bag with an expiration date of 05/29/24, two loaves of rye bread without expiration dates, and a bag of opened and undated French fries. During observation of the reach-in refrigerator, surveyors found a box of waffles that was opened and undated and a bag of ravioli that was opened, undated, and had an expiration date of 08/03/25. The facility representative verified that the items in the freezer and refrigerator should have been dated when opened and discarded when expired. Review of the facility policy titled Storage of Staples dated January 2022 stated frozen foods should not be stored in a frozen state for more than six months and all staples should be dated upon delivery indicating the date the product was received in the facility.
Incomplete TB Risk Assessment
Penalty
Summary
The facility failed to conduct a complete TB risk assessment as part of its infection prevention and control program. Review of the TB risk assessment worksheet showed it was undated, unsigned, and incomplete, with missing information including the facility’s TB risk level, the number of beds in the facility, and whether there was a high incidence of immunocompromised patients or healthcare workers. During interview, the RN designated as the Infection Preventionist, along with the Administrator and DON, confirmed the facility was a low-risk setting with no current or recent TB cases, and the RN stated she did not complete the TB risk assessment form in its entirety when she assumed the IP role. The facility policy stated the TB risk assessment form should be completed yearly and reviewed by the DON or designee, the Administrator, and the Medical Director.
Unequal Allocation of Resident Trust Account Interest
Penalty
Summary
The facility failed to equitably credit interest earned from the shared resident trust account to individual resident trust accounts for four residents out of 42 residents with accounts. Review of the trust account statements for Residents #8, #39, #46, and #51 showed that interest was added randomly rather than being calculated based on the balance of funds in each account. During interview, the SSD and ALD confirmed the facility did not calculate interest based on individual account balances and instead awarded interest monthly by alphabetical lists, with the accounts managed by the facility broken into fourths and rotated through each list quarterly. They also confirmed no calculations were made of account balances and that interest was awarded solely based on the alphabetical lists. The Administrator confirmed the facility had not allocated interest to the individual resident trust fund accounts in an equitable manner and that interest should be calculated based on the balance of the individual resident account.
Unattended Medications Left in Resident Room
Penalty
Summary
The facility failed to ensure medications were stored and handled in a secure manner when a nurse left medications unattended in a resident’s room. A resident admitted with diagnoses including type 2 diabetes mellitus, spinal stenosis, anxiety disorder, and overactive bladder was observed when an RN entered the room carrying a medication cup containing various medications and a small tub of vanilla pudding. The RN placed the medications and pudding on the overbed table and then left the room, closing the door, while the resident began taking the medications using the pudding. The RN returned shortly afterward with a glass of water and confirmed in interview that she had left the medications unattended on the overbed table. Review of the facility’s undated policy titled “Storage of Medications” showed that drugs were to be stored in a safe, secure, and orderly manner, which was not followed in this instance. This deficiency affected one identified resident and had the potential to affect three residents the facility had identified as cognitively impaired and independently mobile.
Incomplete Incontinence Care
Penalty
Summary
Improper incontinence care was identified for a resident with an indwelling urinary catheter and dependence on staff for toileting. The resident had an admission diagnosis history that included end stage renal disease, chronic combined congestive heart failure, and hemiplegia and hemiparesis following a stroke. The Minimum Data Set assessment dated 12/22/25 indicated the resident was cognitively impaired, dependent on staff for toileting, and had an indwelling urinary catheter. During observation of catheter care on 02/26/26, two CNAs removed the incontinent brief and cleansed the resident’s peri area by separating the labia and wiping from front to back. One CNA then reused the same wipe on a different section and observed brown-colored material on the wipe after cleansing the urethral area. The CNA discarded that wipe and used a clean one, but the CNAs completed care only to the resident’s anterior side, reapplied the same incontinent brief, and left the room. In interview, both CNAs confirmed the wipe had brown material visible after the first stroke and acknowledged they did not provide further perineal care to ensure the posterior area was clean and free of irritation. An RN verified the CNAs should have provided thorough and complete incontinent care, and the facility policy stated resident skin should be kept clean, dry, and free of irritation and odor.
Oxygen tubing handled unsafely and left undated
Penalty
Summary
The facility failed to ensure that only licensed staff administered oxygen and that oxygen tubing was handled in a sanitary manner for a resident receiving continuous oxygen. Resident #49 had diagnoses including acute and chronic respiratory failure, pulmonary fibrosis, and interstitial lung disease, and was ordered continuous oxygen at 3 liters per minute via nasal cannula. During observation in the dining room, a CNA disconnected the resident’s nasal cannula tubing from the portable oxygen tank, removed the tank from the wheelchair, and placed it in an oxygen storage room. The resident’s oxygen tubing fell to the floor, and a few minutes later an LPN attached that tubing, which had been lying on the floor, to a new tank. The facility also failed to ensure oxygen tubing was dated for two residents receiving oxygen. Resident #22 had diagnoses including malignant neoplasm of the right lung and congestive heart failure and had an order for oxygen at 2 liters per minute at night; observation showed the oxygen tubing was undated, and an LPN confirmed it should have been dated upon application. Resident #13, who had diagnoses including end stage renal disease, diabetes, and atrial fibrillation, was observed receiving oxygen via concentrator with undated tubing, and an LPN again confirmed the tubing was undated and should have been dated upon application.
Hospice documentation and care plan coordination were insufficient
Penalty
Summary
The facility failed to ensure hospice documentation was sufficient and available for facility staff to review so that assessments, treatments, and care planning were provided according to the hospice plan of care. For Resident #58, who was admitted with diagnoses including non-Hodgkin's lymphoma and heart failure and was documented as having impaired cognition, being dependent for ADLs, and receiving hospice services, the hospice binder at the nurses station listed hospice aide visit dates but did not include documentation of the care provided. RN #257 confirmed the facility had no charting for bathing or shampooing because hospice completed that care, and the DON stated facility staff did not have access to hospice medical records or visit notes and had to call hospice for information. The facility also did not jointly collaborate with hospice to develop resident care plans. Hospice RN #400 stated she did not develop Resident #58's hospice care plan in collaboration with facility staff and did not review the facility care plan to ensure hospice services were identified, and she had not routinely provided documentation of visits, assessments, or treatments to the facility. For Resident #23, who had diagnoses including dementia, atherosclerotic heart disease, and CHF and was admitted to hospice, the facility had a visitation binder showing hospice visits but no documentation of the services provided. RN #254 confirmed the facility had only a log of hospice staff visits and no documentation regarding the services provided, while Hospice RN #400 confirmed hospice documented on mobile devices and the facility did not have access to those notes.
Infection Control Breach During Incontinence Care
Penalty
Summary
The facility failed to adhere to infection control procedures during incontinence care for a resident. The resident, who was admitted with diagnoses including dementia and type two diabetes mellitus, required moderate assistance with toileting hygiene and was always in urine and bowel. During an observation of incontinence care, a CNA used gloved hands to cleanse the resident's peri area and buttocks, removed a wet incontinence product, and secured a new one without changing gloves. The CNA then exited the resident's room without removing the gloves, which is against the facility's policy and CDC guidelines. The facility's policy on incontinence care requires staff to remove gloves, place them in a plastic liner, tie the liner, wash hands, and dispose of the liner. The CDC guidelines also state that gloves should be removed before exiting a resident's room. The CNA confirmed in an interview that she did not remove her gloves after providing care and leaving the resident's room. This deficiency was identified during a complaint investigation.
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Illustrative
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Eaton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Greenbriar Nursing Center | 0.2 mi | ★★★★★ | 3 | 0 |
| Maple Gardens Rehabilitiation And Nursing Center | 1.7 mi | ★★★★★ | 4 | 0 |
| Arbor Trace Health & Living Community | 11.4 mi | ★★★★★ | 1 | 0 |
| Forest Park Health Campus | 12.3 mi | ★★★★★ | 12 | 0 |
| Brickyard Healthcare - Golden Rule Care Center | 13.1 mi | ★★★★★ | 16 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.