Facility profile · CCN 045421
Ashley Rehabilitation And Health Care Center
39 federal citations on record , including 2 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $65,473.
Record summary
Federal record · Q1 202639
Total citations
39
Last 3 years
2
Actual harm+
1
Federal penalties
$65,473
Total fines
—
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
39 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 12, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard |
| Jun 9, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Jun 9, 2025 | F583 | Keep residents' personal and medical records private and confidential. | D | Complaint |
| Nov 1, 2024 | 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. | D | Complaint |
| Nov 1, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Nov 1, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 1, 2024 | F949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F | Standard |
| Nov 1, 2024 | F946 | Provide training in compliance and ethics. | F | Standard |
| Nov 1, 2024 | F941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard |
| Nov 1, 2024 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Nov 1, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Nov 1, 2024 | F848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | F | Standard |
| Nov 1, 2024 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard |
| Nov 1, 2024 | F838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard |
| Nov 1, 2024 | F837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F | Standard |
| Nov 1, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Nov 1, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Nov 1, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard |
| Nov 1, 2024 | F732 | Post nurse staffing information every day. | F | Standard |
| Nov 1, 2024 | F700 | 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. | D | Standard |
| Nov 1, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Nov 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Nov 1, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Standard |
| Nov 1, 2024 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard |
| Nov 1, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Nov 1, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard |
| Nov 1, 2024 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F | Complaint |
| Jan 9, 2024 | 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. | E | Complaint |
| Sep 29, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Standard |
| Sep 29, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 29, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 29, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard |
| Sep 29, 2023 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard |
| Sep 29, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Sep 29, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard |
| Sep 29, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| Sep 29, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Aug 11, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Aug 11, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $65,473 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 1, 2024 | Fine | $65,473 | — |
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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