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 27 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  13. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    A waiver was granted (January 23, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, 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).

  15. No harm, with potential for more than minimal harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0552, Resident Rights Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  16. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  17. No harm, with potential for more than minimal harm

    Assess the resident when there is a significant change in condition

    Isolated (one or a few residents). CMS level D.

    Health citation F-0637, Resident Assessment and Care Planning Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  18. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  19. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  20. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  21. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  22. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  23. No harm, with potential for more than minimal harm

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  24. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

  25. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 25, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 23, 2024).

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.