Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Of St Mary's during CMS and state inspections, most recent first.
Infection Control and Isolation Signage Failures: The facility failed to follow isolation practices for a resident with pneumonia when a CNA assisted the resident without PPE and transported the resident through the hall and dining room without a mask. The facility also failed to post correct isolation and PPE signage for multiple residents on contact isolation or enhanced barrier precautions, including residents with MRSA, ESBL, a cutaneous abscess, a diabetic foot ulcer, and MRSA pneumonia; several rooms had a PPE cart and a sign to see the nurse, but no instructions for PPE use were posted.
Inaccurate and Incomplete Care Plans: The facility failed to ensure care plans were comprehensive, person-centered, and matched current orders and diagnoses for two residents. One resident with bipolar disorder was receiving Abilify, but the care plan did not address the diagnosis or antipsychotic monitoring. Another resident had a DNRCC-arrest advance directive, but the care plan still listed full code. The DON verified the care plan inaccuracies.
Infection Control and Isolation Signage Failures
Penalty
Summary
The facility failed to implement appropriate infection control practices for a resident who was on isolation. Resident #02 was admitted with pneumonia, hypoxia, and pressure-induced deep tissue damage, and the record showed a BIMS score of 11. During observation, the resident did not have isolation signage posted on the door. An LPN confirmed the absence of the sign and isolation symbol, then placed a sign and a carrot symbol on the doorway. Later, a CNA assisted the resident from the toilet to a wheelchair and transported the resident through the hallway and into the dining room without a mask or other PPE, and the CNA confirmed no PPE was worn. The LPN later verified the resident had pneumonia and should have had a daisy symbol for droplet isolation rather than a carrot for contact isolation, and that the resident should have been wearing a mask when ambulated through the halls and dining room. The facility also failed to ensure proper isolation signage was posted for multiple residents on isolation. Resident #59 was admitted with a cutaneous abscess of the right lower limb and diabetes, had a BIMS score of 14, and was observed without isolation signage. An LPN initially placed a carrot symbol for contact isolation, then later verified the resident should not have been in contact isolation and instead should have had an elephant symbol for enhanced barrier precautions related to the abscess, IV antibiotics, and diabetes. Resident #04, admitted with a left femur fracture, diabetes, TIA, CKD, and a diabetic foot ulcer to the left heel, was also observed without isolation signage, and an LPN later placed an elephant symbol for enhanced barrier precautions. Resident #01 had diagnoses including diabetes, cellulitis, colostomy complications, peripheral venous insufficiency, lymphedema, chronic gout, and MRSA, and the care plan and physician orders indicated contact isolation for ESBL and MRSA in bilateral lower extremity wounds. Observation showed a carrot symbol and a sign to see the nurse before entering, but no posting indicating what PPE was required. The resident stated staff were not using the supplies in the room and was unsure whether isolation was still in effect. Resident #44, who had diagnoses including cervical fusion, spinal stenosis, diabetes, protein calorie malnutrition, conjunctivitis, anxiety disorder, and pruritus, also had a carrot symbol and a sign to see the nurse before entering, but no PPE instructions were posted despite a PPE cart in the room. Resident #23, admitted with MRSA pneumonia, MRSA infection, diabetes, hypotension, CKD stage four, and major depressive disorder, had a sign to see the nurse before entering and a carrot symbol on the name plate, but the room had a PPE cart with no signage. The facility policy stated transmission-based precautions are initiated for residents with transmissible infection or laboratory-confirmed infection, and droplet precautions require a mask during transport.
Inaccurate and Incomplete Care Plans
Penalty
Summary
The facility failed to ensure that comprehensive, person-centered, and individualized care plans accurately reflected residents’ current orders, diagnoses, and treatment decisions for two residents reviewed. Resident #5 was admitted with diagnoses including aphasia following intracranial hemorrhage, cerebral infarction, Sjogren syndrome, depression, dementia, quadriplegia, seizures, bipolar disorder, and anxiety. The quarterly MDS showed impaired cognition with a BIMS score of nine and identified dementia, anxiety, depression, and bipolar disorder. The resident was receiving Abilify 10 mg daily, an antipsychotic medication ordered on 07/04/25, but the comprehensive care plan dated 09/15/25 did not include a care plan problem, goal, or interventions for bipolar disorder or for antipsychotic medication use, including monitoring for effectiveness or adverse side effects. The DON and MDS Nurse verified the medication, diagnosis, and absence of a specific individualized care plan, stating the monitoring was documented under other care-planned areas rather than in a clearly identified plan for bipolar disorder or antipsychotic use. Resident #23 was admitted with diagnoses including MRSA pneumonia, MRSA infection, type 2 diabetes mellitus, hypotension, CKD stage four, and major depressive disorder. The resident’s MDS showed cognitive intactness, and physician orders and signed advance directive documentation dated 04/14/25 identified the resident as DNRCC-arrest. However, the care plan dated 07/31/23 still listed the resident as full code. The DON verified that the care plan for advance directives was not accurate. The facility policy on interdisciplinary team care planning stated that comprehensive, person-centered care plans are based on resident assessments and developed by an interdisciplinary team.
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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 St Marys
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Transitional Care Unit | 0.2 mi | ★★★★★ | 4 | 0 |
| Grande Lake Healthcare Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Otterbein St Marys Retirement Community | 3.5 mi | ★★★★★ | 0 | 0 |
| Wapakoneta Manor | 9.3 mi | ★★★★★ | 0 | 0 |
| Gardens At Celina | 9.4 mi | ★★★★★ | 3 | 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.