Vancrest Health Care Center of Eaton

In the surveyor’s words

From the most serious findings on record at Vancrest Health Care Center of Eaton, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 26, 2026

  Based on observation, staff interview, and review of the facility policy, the facility failed to store food in a sanitary manner. This had the potential to affect all residents receiving meals from the facility kitchen. The facility census was 69 residents. Findings include: Observation on 02/23/26 at 10:10 A.M. of the walk-in freezer revealed it contained the following: 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, a bag of opened and undated French fries. Observation on 02/23/26 at 10:20 A.M. of the reach in refrigerator revealed it contained a box of waffles opened and undated and a bag ravioli that was opened, undated, and had an expiration date of 08/03/25. Interview on 02/23/26 at 10:25 A.M. […]

• No harm, potential for more than minimal, widespreadF880Feb 26, 2026

  Based on review of facility documents and staff interview, the facility failed to conduct a complete assessment of the facility's risk for tuberculosis (TB.) This had the potential to affect all of the residents residing in the facility. The facility census was 69 residents.Findings include: Review of the facility's TB risk assessment worksheet revealed it was undated and unsigned, and many portions of the form were not completed. The following areas were not addressed: indication of the risk level for TB (low, moderate, or ongoing transmission), number of beds in the facility, indication if there was a high incidence of immunocompromised patients or healthcare workers in the facility. Interview on 02/25/26 at 11:40 A.M. […]

• No harm, potential for more than minimal, patternF567Feb 26, 2026

  Based on record review and staff interview, the facility failed to equitably credit interest earned from the shared resident trust account to individual resident trust accounts. This affected four (Residents #8, #39, #46 and #51) of 42 residents who had accounts with the facility. The facility census was 69 residents.Findings include: Review of resident trust account statements for Residents #8, #39, #46 and #51 revealed interest was added to the accounts randomly and was not calculated based on the balance of funds in the accounts. Interview on 02/26/26 at 3:07 P.M. with Social Services Director (SSD) #253 and Assisted Living Director (ALD) #227 confirmed the facility did not add interest to individual resident accounts based on the balance of funds in the account. […]

• No harm, potential for more than minimal, isolatedF684Aug 28, 2026

  Based on record review, staff interview and policy review, the facility failed to follow physician's orders related to daily weights. This affected one (#65) out of three residents reviewed for following physician's orders. The facility census was 71. Findings include: Review of Resident #65 medical record revealed an admission date of 11/21/23 with diagnoses of acute on chronic systolic congestive heart failure, type two diabetes mellitus with diabetic peripheral angiopathy, hemiplegia and hemiparesis following cerebral infarction, chronic obstructive pulmonary disease with acute exacerbation, and Parkinson's disease. Review of the Discharge Return Anticipated Minimum Data Set (MDS) dated [DATE] revealed Resident #65 was cognitively intact. […]

• No harm, potential for more than minimal, isolatedF689Feb 26, 2026

  Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure medications were secure. This affected one (Resident #40) and had the potential to affect three residents identified by the facility as being cognitively impaired and independently mobile. The facility census was 69 residents. Findings include:Review of the medical record of Resident #40 revealed an admission date of 01/06/26 with diagnoses including type two diabetes mellitus, spinal stenosis, anxiety disorder, and overactive bladder. Observation on 02/23/26 at 3:20 P.M. revealed Registered Nurse (RN) #262 entered Resident #40's room with a medication cup with various medications and a small tub of vanilla pudding. […]