All citations for Vancrest-Upper Valley

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Vancrest-Upper Valley

Last standard health inspection on record

July 21, 2026

Showing 1 to 25 of 65 citations

Harm to a resident
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level G.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
The home is disputing this citation.
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Widespread (many residents). CMS level F.
Health citation F-0887, Infection Control Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 11, 2026).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 11, 2026).
No harm, with potential for more than minimal harm
Create arrangements with other facilities to receive patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0025, Emergency Preparedness Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 11, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Widespread (many residents). CMS level F.
Fire safety citation K-0223, Egress Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
A waiver was granted (January 23, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Honor the resident's right to manage his or her financial affairs.
Pattern (more than a few residents). CMS level E.
Health citation F-0567, Resident Rights Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Pattern (more than a few residents). CMS level E.
Health citation F-0883, Infection Control Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (August 31, 2026).
No harm, with potential for more than minimal harm
Have proper power supply for life support equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0915, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 21, 2026. Found during a standard inspection.
The home has a plan to correct it (February 28, 2027).
No harm, with potential for more than minimal harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0232, Egress Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Install an approved automatic sprinkler system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0351, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 23, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.
A waiver was granted (January 23, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.