Virginia › Hanover County › Ashland
Ashland Nursing and Rehabilitation
906 Thompson Street, Ashland, VA 23005
CMS abuse iconSpecial Focus Facility candidateNo standard inspection in 2+ years
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Ashland Nursing and Rehabilitation is a For-profit, corporation nursing home in Ashland, Virginia, certified for 190 beds and caring for about 157 residents a day.
CMS gives it 1 of 5 stars overall, below the Virginia median of 3; the health inspection rating is 1, staffing 2 and quality measures 2.
Inspectors recorded 174 health deficiencies across the three most recent survey cycles (118, 13, 43 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 91.6 per 100 beds, more than the state median of 34.5.
CMS lists 2 penalties in the period covered: fines totalling $36K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Virginia median of 3.4; nursing staff turnover is 57.6%.
CMS flags that the facility carries the CMS abuse icon, is a Special Focus Facility candidate and has not had a standard health inspection in more than two years.
174health deficiencies, 3 survey cycles2 at actual harm or worse
$36Kfines listed by CMS2 penalties in period
3.0nurse hours per resident per daystate median 3.4
83%occupancy (residents ÷ beds)157 residents a day
Compared with county, state and nation
| Measure | This facility | Hanover Co. median | Virginia median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 174 | 39 | 32 | 28.7 |
| Citations per 100 beds | 91.6 | 32.5 | 34.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.4 | 3.4 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 57.6% | 57.6% | 48.3% | 45.8% |
| Fines listed | $36,491 | $14,901 | $0 | — |
County and state figures are medians across facilities (4 in the county, 289 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Virginia average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Feb 2024, 7 Jun 2022.
Severity mix: J ×2 D ×104 E ×59 F ×8 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Jul 2026 |
| 2 Jul 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 10 Jun 2026 |
| 2 Jul 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Jul 2026 |
| 18 Mar 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 29 Apr 2026 |
| 18 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Jul 2026 |
| 18 Mar 2026 | F0838 | 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 | Complaint investigation | 2 Jul 2026 |
| 18 Mar 2026 | F0584 | 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. | E | Complaint investigation | 29 Apr 2026 |
| 18 Mar 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 29 Apr 2026 |
| 18 Mar 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 16 Jul 2026 |
| 18 Mar 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 29 Apr 2026 |
| 18 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Jul 2026 |
| 18 Mar 2026 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Complaint investigation | 2 Jul 2026 |
| 18 Mar 2026 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Complaint investigation | 2 Jul 2026 |
| 18 Mar 2026 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Complaint investigation | 2 Jul 2026 |
| 18 Mar 2026 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Complaint investigation | 2 Jul 2026 |
| 18 Mar 2026 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 2 Jul 2026 |
| 21 Aug 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | F | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | F | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0838 | 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 | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | F | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0584 | 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 | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0946 | Provide training in compliance and ethics. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Complaint investigation | 17 Nov 2025 |
| 21 Aug 2025 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Complaint investigation | 17 Nov 2025 |
| 11 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0700 | 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 | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Complaint investigation | 7 May 2024 |
| 11 Apr 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 7 May 2024 |
| 9 Feb 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | F | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 7 May 2024 |
| 9 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 7 May 2024 |
| 9 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0727 | 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. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 7 May 2024 |
| 9 Feb 2024 | F0758 | 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. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 7 May 2024 |
| 9 Feb 2024 | F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0584 | 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 | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 May 2024 |
| 9 Feb 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0690 | 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 | Complaint investigation | 7 May 2024 |
| 9 Feb 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0700 | 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 survey | 7 May 2024 |
| 9 Feb 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0803 | 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 | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Complaint investigation | 11 Apr 2024 |
| 9 Feb 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0946 | Provide training in compliance and ethics. | D | Standard survey | 11 Apr 2024 |
| 9 Feb 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Standard survey | 11 Apr 2024 |
| 20 Nov 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Dec 2023 |
| 20 Nov 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 19 Dec 2023 |
| 20 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Dec 2023 |
| 7 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0727 | 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. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0803 | 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 investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 17 Oct 2023 |
| 7 Sep 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Oct 2023 |
| 7 Jun 2022 | F0584 | 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. | E | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 12 Jul 2022 |
| 7 Jun 2022 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Standard survey | 12 Jul 2022 |
| 6 Feb 2020 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0584 | 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 survey | 10 Mar 2020 |
| 6 Feb 2020 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0690 | 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 survey | 10 Mar 2020 |
| 6 Feb 2020 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0758 | 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 survey | 10 Mar 2020 |
| 6 Feb 2020 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Standard survey | 18 Apr 2019 |
| 6 Feb 2020 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Mar 2020 |
| 6 Feb 2020 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 10 Mar 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Mar 2026 | Payment denial | — | 28 days |
| 18 Mar 2026 | Fine | $36,491 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Virginia average. Turnover: nursing staff 57.6%, RNs 69.2%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Virginia median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.2% | 13.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.2% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.6% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.3% | 14.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 4.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 30.9% | 13.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 906 Thompson Street Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ashland Parentco LLC | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| Nts Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Vaop Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Ohi Assets (Va) Ashland, LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Ohi Assets (Va) Ashland, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/16/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hanover County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Covenant Woods Nursing Home | Mechanicsville | 62 | 4 | 4 | 3 | 13 | 21.0 | — | 13 Mar 2024 |
| Autumn Care of Mechanicsville | Mechanicsville | 169 | 2 | 2 | 2 | 33 | 19.5 | $10K | 26 Feb 2025 |
| Hanover Health and Rehabilitation Center | Mechanicsville | 120 | 2 | 3 | 1 | 39 | 32.5 | $15K | 6 Mar 2026 |
All 4 facilities in Hanover County
Questions and answers
How many deficiencies has Ashland Nursing and Rehabilitation been cited for?
174 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Virginia median is 32 per facility.
Has Ashland Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $36K in the period covered, plus 1 payment denial.
How does staffing at Ashland Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Virginia median of 3.4 and a national average of 3.9.
Who operates Ashland Nursing and Rehabilitation?
It is part of the Avardis Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Ashland Parentco LLC, Nts Holdco LLC and Vaop Holdco LLC. Individual owners and managers are not listed on this site.
When was Ashland Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jul 2026; the most recent standard health survey was 9 Feb 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.