Facility profile · CCN 555466
Ashby Care Center
37 federal citations on record , and 2 federal enforcement actions totaling $66,134.
Record summary
Federal record · Q1 202637
Total citations
33
Last 3 years
2
Actual harm+
2
Federal penalties
$66,134
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 22, 2025 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| May 22, 2025 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| May 22, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 22, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| May 22, 2025 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard |
| May 22, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| May 22, 2025 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| May 22, 2025 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| May 22, 2025 | F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard |
| May 22, 2025 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard |
| May 8, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 8, 2025 | F761 | 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. | D | Complaint |
| Apr 10, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Oct 20, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard |
| Oct 20, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F | Standard |
| Oct 20, 2023 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Oct 20, 2023 | F908 | Keep all essential equipment working safely. | F | Standard |
| Oct 20, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Oct 20, 2023 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Oct 20, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 20, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard |
| Oct 20, 2023 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Oct 20, 2023 | F761 | 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. | D | Standard |
| Oct 20, 2023 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| Oct 20, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| Oct 20, 2023 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Oct 20, 2023 | F679 | Provide activities to meet all resident's needs. | F | Standard |
| Oct 20, 2023 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Oct 20, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Oct 20, 2023 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard |
| Oct 20, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Standard |
| Oct 13, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint |
| May 27, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 16, 2021 | F912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard |
| Jun 16, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Jun 16, 2021 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jun 16, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $66,134 and 1 payment-denial actions spanning 8 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 10, 2024 | Fine | $66,134 | — |
| Apr 10, 2024 | Payment Denial | — | May 1, 2024 · 8 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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