Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Ashland Health And Rehabilitation during CMS and state inspections, most recent first.
Call Light Not Accessible to a Resident. A resident was observed in bed with the call light cord wedged between the wall and mattress and the device on the floor under the bed, making it inaccessible. Facility policy required staff to ensure the call light was within reach during room or bathroom interactions. The resident had diagnoses including moderate intellectual disabilities, muscle weakness, and unsteadiness on feet, and was moderately cognitively impaired per BIMS.
Medication Label Did Not Match EMAR Order: An LPN administered a pharmacy-prepared Benztropine pack labeled 0.5 mg even though the EMAR order listed Benztropine Mesylate 1 mg with directions to give 0.5 mg twice daily. The LPN acknowledged the mismatch, and the DON confirmed the order and label did not correspond for a resident with schizophrenia, major depressive disorder, and moderate cognitive impairment.
A resident with a history of CVA, hemiplegia, and moderate cognitive impairment did not have a care plan developed for oral care, despite facility policy requiring comprehensive care plans. The resident was observed with a dry, cracked lower lip, and staff interviews confirmed that oral care was not provided because it was not included in the care plan.
A resident with significant physical and cognitive impairments did not receive required oral care or lip hydration, despite facility policy and visible signs of dry, cracked, and bleeding lips. Staff were aware of the issue but did not consistently provide or document oral hygiene or moisturizer, and the care plan lacked tasks for these interventions.
A facility failed to create a comprehensive care plan for a resident with PTSD, omitting trigger-specific interventions as required by policy. The resident, with a history of combat-related PTSD, reported that loud noises increased his anxiety. Interviews confirmed the care plan's inadequacy, leaving staff unaware of necessary interventions.
A facility failed to conduct a trauma-informed care assessment for a resident with PTSD, Generalized Anxiety Disorder, and Major Depressive Disorder. The resident's history of combat service and traumatic childhood experiences were not documented, and staff were unaware of his triggers, such as loud noises and lack of sleep. Interviews revealed gaps in the assessment process, with the resident's cognitive status intact as per a BIMS score of 15.
Call Light Not Within Reach
Penalty
Summary
The facility failed to ensure a resident's call light was readily accessible for one resident observed during the initial tour. The resident was lying in bed with the bed positioned against the wall on the right side, and the call light was not visible or accessible. The call light cord was wedged between the wall and the mattress, and the call light device was on the floor under the bed, making it inaccessible to the resident. Facility policy stated that with each interaction in the resident's room or bathroom, staff would ensure the call light was within reach and secured as needed. The resident had been admitted with diagnoses including Moderate Intellectual Disabilities, Muscle Weakness, and Unsteadiness on Feet, and the MDS showed a BIMS score of 12, indicating moderate cognitive impairment.
Medication Label Did Not Match EMAR Order
Penalty
Summary
Medication labeling did not match the physician’s order for one resident observed during medication pass. During observation, an LPN retrieved a pharmacy-prepared medication pack labeled Benztropine Mesylate 0.5 mg, while the electronic MAR order listed Benztropine Mesylate Tablet 1 mg with instructions to administer 0.5 mg by mouth two times a day for mood disorder. The LPN acknowledged the discrepancy between the EMAR order and the medication label and stated she did not notice the inconsistency at the time, although she was aware the resident was to receive 0.5 mg twice daily. The DON later confirmed that the physician’s order did not match the labeled medication and that nursing staff are responsible for ensuring medication labels correspond with the physician’s order and accurately reflect the medication to be administered. Record review showed the resident had diagnoses including Undifferentiated Schizophrenia and Major Depressive Disorder, Recurrent, Severe with Psychotic Symptoms, and the MDS indicated a BIMS score of 09, showing moderate cognitive impairment.
Failure to Develop Comprehensive Oral Care Plan for Resident with Hemiplegia
Penalty
Summary
The facility failed to develop a comprehensive care plan addressing oral care needs for a resident with a history of cerebrovascular accident (CVA) resulting in hemiplegia and moderate cognitive impairment. The resident was admitted with diagnoses including nontraumatic intracranial hemorrhage, hemiplegia and hemiparesis affecting the left side, and had a gastrostomy. Review of the resident's Activities of Daily Living (ADL) care plan showed a focus on self-care deficits related to hemiplegia, but no care plan was developed for oral care. Facility policy required a comprehensive care plan to be completed within seven days after the Minimum Data Set (MDS) was completed, but this was not done for oral care in this case. Observations revealed the resident had a dry, cracked, and peeling lower lip on two separate occasions. Interviews with staff confirmed that oral care was not performed, with a CNA stating the resident could wash her dentures herself. Both the RN and the administrator confirmed the absence of an oral care plan, and the MDS nurse acknowledged that staff could not be expected to provide care that was not included in the care plan. The lack of a care plan for oral care resulted in staff not being aware of or providing necessary oral hygiene for the resident.
Failure to Provide Oral Care and Lip Hydration for Dependent Resident
Penalty
Summary
Staff failed to provide required oral care and lip hydration for a resident who was unable to perform activities of daily living independently following a stroke. The facility's policy mandated oral care at least twice daily and the application of lip balm, especially for residents receiving nutrition through a feeding tube. Observations revealed the resident had dry, cracked, and peeling lips, with skin to the point of bleeding. Multiple staff members, including a CNA and LPN, were aware of the resident's condition but did not consistently provide or document oral care or lip moisturizer. The resident's care plan did not include tasks for oral hygiene or lip hydration, and staff interviews confirmed that these interventions were not routinely performed. The resident, who was moderately cognitively impaired and had significant physical limitations due to a recent stroke, was observed with ongoing oral health issues over multiple days. Staff acknowledged the problem but failed to initiate or document appropriate care measures. The administrator confirmed that the aide task for oral care was not set up and recognized the importance of such care, particularly for residents with feeding tubes. The deficiency was identified through observation, staff interviews, and record review, which showed a lack of adherence to facility policy and insufficient care planning for the resident's oral health needs.
Failure to Develop Comprehensive PTSD Care Plan
Penalty
Summary
The facility failed to develop a comprehensive care plan for a resident diagnosed with Post Traumatic Stress Disorder (PTSD), as required by their own policies. The care plan did not include trigger-specific interventions, which are essential for managing PTSD. The facility's policy on Trauma Informed Care mandates collaboration with the resident and relevant parties to identify and mitigate triggers that could re-traumatize the resident. However, the care plan for the resident in question did not address these triggers, leaving staff unaware of the specific interventions needed to manage the resident's PTSD effectively. The deficiency was identified through interviews and record reviews. The resident, who has a history of combat-related PTSD and childhood mistreatment, reported that loud noises and other triggers affected his sleep and increased his anxiety. The MDS Nurse confirmed that the care plan lacked trigger-specific interventions, and the Administrator acknowledged that the care plan should have been developed to reflect the resident's trauma history. The resident was readmitted to the facility with diagnoses including PTSD, Generalized Anxiety Disorder, and Major Depressive Disorder, and was found to be cognitively intact according to the MDS assessment.
Failure to Conduct Trauma-Informed Care Assessment for Resident with PTSD
Penalty
Summary
The facility failed to complete a trauma-informed care assessment for a resident diagnosed with Post Traumatic Stress Disorder (PTSD), Generalized Anxiety Disorder, and Major Depressive Disorder. Upon readmission, the resident's admission social history did not document PTSD, and the trauma screen inaccurately reflected the resident's experiences, indicating no traumatic events or military service. Interviews with the resident revealed a history of combat service in the marines and traumatic childhood experiences, which were not captured in the assessment. The resident reported triggers such as loud noises and lack of sleep, which exacerbated his anxiety and mood. Staff interviews revealed a lack of awareness regarding the resident's triggers and history. The LPN and RN were unaware of specific triggers, although the RN noted the resident's anxiety and skin-picking behavior. The CNA confirmed the resident's sensitivity to noise and crowded environments. Social Services acknowledged the omission of the resident's military and trauma history in the assessment, and the Director of Nursing and Administrator confirmed the assessment should have included this information to guide care. The resident was cognitively intact, as indicated by a Brief Interview for Mental Status (BIMS) score of 15.
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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) |
|---|---|---|---|---|
| Holly Springs Rehabilitation And Healthcare Center | 8.3 mi | ★★★★★ | 4 | 0 |
| Diversicare Of Ripley | 13.9 mi | ★★★★★ | 9 | 0 |
| Rest Haven Health And Rehabilitation | 13.9 mi | ★★★★★ | 8 | 0 |
| Tippah County Nursing Home | 14.1 mi | ★★★★★ | 7 | 0 |
| New Albany Health & Rehab Center | 23.6 mi | ★★★★★ | 0 | 0 |
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