Average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Boyd Nursing And Rehabilitation during CMS and state inspections, most recent first.
Failure to Follow Health Department Legionella Testing Guidance: The facility did not follow local health department guidance for Legionella water testing after a resident tested positive for Legionella. Staff reported the water was supposed to be tested twice weekly for a set period and dead-end areas were to be flushed and tested, but the Legionella log only showed limited testing entries and there was no evidence the dead-end area testing or the recommended twice-weekly testing was completed as directed.
Medication error rate exceeded 5% during observed med pass. A QMA made multiple med errors for two residents, including giving incorrect doses of escitalopram and potassium chloride, omitting ordered Januvia, cyanocobalamin, polyethylene glycol, calcium with D3, and fluticasone, and stating some meds were missed because they were on order or overlooked on the MAR. The DON and ED stated meds were expected to be given per physician orders and the five rights of medication administration.
Failure to notify the physician of missed medications for two residents. One resident with severe cognitive impairment and diagnoses including HTN, DM, depression, psychotic disorder, and GERD repeatedly missed scheduled AM meds because he was asleep. Another resident with severe cognitive impairment and HTN repeatedly missed ordered antihypertensives, including amlodipine, lisinopril, and Lopressor, on multiple occasions. The Medical Director stated she was not aware the residents were not receiving their meds, and the DON and ED stated staff should notify the physician when medications are not administered.
A resident with dysphagia, gastrostomy status, severe cognitive impairment, and a feeding tube had an order for Keppra oral solution documented on the MAR as given by mouth, even though staff stated it was actually administered via feeding tube. The LPN and DON both acknowledged the record was inaccurate because the medication route was charted as PO instead of via feeding tube.
The facility failed to maintain adequate nursing staff, resulting in a one-star staffing rating and a low hours per patient day (PPD) ratio. Residents reported delays in receiving care, such as showers and toileting assistance, due to staffing shortages. Management acknowledged the issue, but efforts to cover shortages were insufficient, leading to unmet resident needs.
A resident with severe cognitive impairment had her hair cut against her religious beliefs without consulting her guardian. Despite clear instructions from the family, a SRNA cut the resident's hair, claiming the resident requested it. Staff interviews confirmed awareness of the family's religious preferences, but the SRNA was not authorized to cut hair, and the guardian should have been consulted.
A facility failed to follow its infection control policy during glucose monitoring for a resident. An LPN placed a glucometer directly on a treatment cart without a barrier, contrary to the facility's guidelines. The resident, with type II diabetes and no cognitive impairment, was involved in the incident. Interviews with facility staff confirmed the expectation to use barriers to prevent contamination.
Failure to Follow Health Department Legionella Testing Guidance
Penalty
Summary
The facility failed to ensure that health department recommendations were followed for Legionella water testing. The facility policy titled, Water Management Policy, stated the facility would notify the local health department upon knowledge of any new presumptive or confirmed Legionella within 24 hours and would make efforts to follow guidance provided by health department officials and field experts. The report states that one resident tested positive for Legionella, and the local health department had notified the facility in April 2025 of a Legionella case. During interviews, facility staff gave differing accounts of the testing process and the status of compliance with the health department’s directions. The Maintenance Director stated Legionella water testing had been completed twice a week and results were sent to the health department, but also stated the facility was told to test dead-end areas and run water in those areas for three minutes. The local health department RN Administrator stated the facility was recommended to test water twice a week for three months and that the results should show the actual twice-weekly testing and the location of the water source. Review of the Legionella Test log showed testing entries for limited date ranges in August and November 2025, with pass noted on each set of dates, but there was no evidence of testing dead-end areas for three minutes or that testing was completed as recommended by the local health department.
Medication error rate exceeded 5% during observed med pass
Penalty
Summary
The facility failed to ensure its medication error rate remained below 5%, with seven errors out of 28 opportunities for a 25% medication error rate during observation of medication administration for two residents. The facility policy stated medications are to be administered by licensed nurses or other authorized staff in accordance with professional standards of practice. During observation, a QMA administered medications to one resident with major depressive disorder, type 2 diabetes mellitus, B-group vitamin deficiency, and hypokalemia, but gave escitalopram 5 mg instead of the ordered 15 mg, gave potassium chloride 20 mEq instead of the ordered 40 mEq, and did not administer Januvia 100 mg or cyanocobalamin 500 mcg because she said they were on order and should have been pulled from backup. During observation of medication administration for another resident with constipation, vitamin D deficiency, and seasonal allergic rhinitis, the same QMA did not administer polyethylene glycol, calcium with Vitamin D, or fluticasone propionate. The QMA stated she missed those medications because she was nervous, was going too fast, and overlooked them on the MAR. The DON stated staff were expected to follow the rights of medication administration, and the ED stated medications should be administered per physician orders and the five rights should be followed.
Failure to Notify Physician of Missed Medications
Penalty
Summary
The facility failed to notify the physician when medications were not administered for 2 of 5 sampled residents reviewed for unnecessary medications, R4 and R20. The facility policy titled, Medication Administration, dated 01/02/2024, stated physicians would be notified timely of medication omissions. R4 was admitted on 07/22/2024 with diagnoses including hypertension, diabetes mellitus, major depressive disorder, psychotic disorder with hallucinations, and gastroesophageal reflux disease. R4’s quarterly MDS with an ARD of 09/08/2025 showed a BIMS score of 3 out of 15, indicating severe cognitive impairment. Review of R4’s MAR showed medications ordered for 7:00 AM were not administered on multiple dates in October and November 2025 because the resident was asleep. R20 was admitted on 12/22/2022 with a diagnosis including hypertension, and the quarterly MDS with an ARD of 08/20/2025 showed a BIMS score of 3 out of 15, indicating severe cognitive impairment. Review of R20’s MAR showed amlodipine, lisinopril, and Lopressor ordered for 9:00 AM were not administered on multiple dates in October and November 2025. During interview, the Medical Director stated she was not aware either resident was not receiving medications because they were sleeping and said she should have been informed when medications were not administered. The DON stated that if a resident was asleep and could not be awakened for medication administration, the QMA should notify the nurse, who should then notify the physician to see if the physician wanted the medication administered later. The ED also stated staff should let the physician know if medication was not administered.
Inaccurate documentation of medication route
Penalty
Summary
The facility failed to ensure the route of medication administration was accurate for 1 of 14 sampled residents, Resident 7. Review of the resident’s record showed diagnoses of dysphagia and gastrostomy status, severe cognitive impairment with a BIMS score of 3 out of 15, and a feeding tube. The care plan identified the resident as at risk for complications related to requiring a feeding tube due to dysphagia and NPO status. The order recap included an NPO diet order and an order for Keppra oral solution 100 mg/ml, 5 ml by mouth twice daily for seizures. Review of the MAR for 11/01/2025 through 11/30/2025 showed staff documented the Keppra oral solution as administered by mouth. During interview, an LPN stated the resident took all medications by feeding tube and nothing by mouth, and that the liquid Keppra was given through the feeding tube rather than by mouth. The LPN stated the order needed to be changed and that the medical record was not accurate if it showed the medication was taken by mouth. The DON also stated the facility should have obtained an order to change the Keppra route from by mouth to by feeding tube and acknowledged that documenting the medication as given by mouth instead of by feeding tube made the medical record inaccurate.
Inadequate Staffing Leads to Resident Care Deficiencies
Penalty
Summary
The facility failed to provide adequate nursing staff to meet the needs of its residents, as evidenced by a one-star staffing rating from April to June 2024. The facility assessment indicated a requirement of three state registered nurse aides (SRNAs) and one to two Licensed Practical Nurses (LPNs) per shift. However, on several occasions, including May 1, June 1, June 5, October 12, and October 13, 2024, the facility operated with only two SRNAs per shift. This staffing shortage resulted in a low hours per patient day (PPD) ratio of 1.6, which was below the facility's goal of 2.8 PPD. Residents reported negative impacts due to the staffing deficiencies. One resident filed a grievance after not receiving a shower over the weekend of October 12-13, 2024, and another resident expressed frustration over waiting up to an hour for assistance with toileting needs. The long-term care ombudsman also noted repeated complaints from residents about long call light wait times and missed showers due to short staffing. Interviews with staff confirmed that when only two SRNAs were on duty, residents experienced delays in receiving care, such as repositioning, incontinence care, and showering. The facility's management acknowledged the staffing issues, with the Assistant Director of Nursing Services (ADNS) and the Director of Nursing Services (DNS) both recognizing the need for more SRNAs per shift. The Executive Director (ED) mentioned efforts to cover staffing shortages through incentives and assistance from management and office staff, but these measures were insufficient to meet the facility's staffing requirements. The ED also acknowledged the failure to provide a timely shower to a resident and apologized for the oversight.
Resident's Religious Beliefs Disregarded in Haircut Incident
Penalty
Summary
The facility failed to honor a resident's religious beliefs by cutting her hair without consulting her guardian. The resident, who had severe cognitive impairment due to vascular dementia, was admitted with specific instructions from her family not to cut her hair as it was against their religious beliefs. Despite this, a State Registered Nurse Aide (SRNA) cut the resident's hair after a shower, claiming the resident requested it, although the resident's cognitive status made it unlikely she could make such a request. Interviews with various staff members revealed that the resident's family had clearly communicated their religious preferences, including the requirement for the resident to wear skirts and keep her hair long. Staff members were aware of these preferences, and some had even assisted in maintaining the resident's hair by braiding it. However, the SRNA who cut the hair was no longer employed at the facility and could not be interviewed. The Director of Nursing Services (DNS) acknowledged that the SRNA was not authorized to cut hair and that the guardian should have been consulted. The incident was discovered when the resident's daughter noticed the haircut during a visit and expressed her distress, believing the staff cut the hair to avoid caring for it. The Executive Director, who was not employed at the time of the incident, stated that staff should follow residents' religious preferences and consult guardians before making such decisions. The facility's policy on resident rights emphasizes the importance of respecting residents' dignity and personal beliefs, which was not adhered to in this case.
Infection Control Breach During Glucose Monitoring
Penalty
Summary
The facility failed to adhere to its infection prevention and control policy during blood glucose monitoring for one resident. An LPN was observed placing a resident's glucometer directly on the treatment cart without a barrier before obtaining a blood glucose reading. After the reading, the LPN cleaned the glucometer for two minutes and placed it back on the cart to dry, again without a barrier. This action was contrary to the facility's policy, which required the use of a barrier to prevent contamination. The facility's policy, dated March 2022, mandates that nurses practice aseptic techniques and follow the manufacturer's guidelines for cleaning glucometers. Interviews with the ADNS and DNS confirmed that the expectation was for nurses to use a barrier between the glucometer and any multi-use surface. The resident involved, admitted with diagnoses including morbid obesity and type II diabetes, had no cognitive impairment, as indicated by a BIMS score of 15 out of 15. The Executive Director also emphasized the importance of following infection control policies to prevent the spread of infection.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ashland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kingsbrook Lifecare Center | 5 mi | ★★★★★ | 0 | 0 |
| Woodland Oaks | 8 mi | ★★★★★ | 0 | 0 |
| Kings Daughters Medical Center | 8.5 mi | — | 0 | 0 |
| Sanctuary At Ohio Valley | 9.9 mi | ★★★★★ | 0 | 0 |
| Carter Nursing And Rehabilitation | 10.1 mi | ★★★★★ | 11 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.