Michigan › Gratiot County › Ashley
Ashley Healthcare Center
103 West Wallace Street, Ashley, MI 48806
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.
Ashley Healthcare Center is a For-profit, limited liability company nursing home in Ashley, Michigan, certified for 63 beds and caring for about 53 residents a day.
CMS gives it 1 of 5 stars overall, below the Michigan median of 3; the health inspection rating is 2, staffing 4 and quality measures 1.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (17, 5, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 46.0 per 100 beds, more than the state median of 29.4.
CMS lists 4 penalties in the period covered: fines totalling $71K and 2 payment denials.
Reported nurse staffing is 3.2 hours per resident per day (0.8 RN), close to the Michigan median of 3.8; nursing staff turnover is 50.9%.
Compared with county, state and nation
| Measure | This facility | Gratiot Co. median | Michigan median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 29 | 27 | 29 | 28.7 |
| Citations per 100 beds | 46.0 | 46.0 | 29.4 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.8 | 3.8 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 50.9% | 37.5% | 44.6% | 45.8% |
| Fines listed | $70,904 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 422 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: Michigan average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Feb 2026, 9 Jan 2025.
Severity mix: G ×2 D ×21 E ×6
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Feb 2026 | F0578 | 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. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | 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 | 17 Apr 2026 |
| 25 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 18 May 2026 |
| 25 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Apr 2026 |
| 25 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Apr 2026 |
| 25 Feb 2026 | 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 | Standard survey | 17 Apr 2026 |
| 13 Nov 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 Dec 2025 |
| 13 Nov 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Dec 2025 |
| 13 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 14 Aug 2025 |
| 13 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Sep 2025 |
| 2 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 21 Jul 2025 |
| 9 Jan 2025 | F0761 | 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 | Standard survey | 15 Jan 2025 |
| 9 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Jan 2025 |
| 9 Jan 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 15 Jan 2025 |
| 9 Jan 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 | Standard survey | 15 Jan 2025 |
| 31 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Aug 2024 |
| 31 Jul 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 | Standard survey | 16 Aug 2024 |
| 31 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 16 Aug 2024 |
| 15 Feb 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 11 Mar 2024 |
| 15 Feb 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 11 Mar 2024 |
| 15 Feb 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Complaint investigation | 11 Mar 2024 |
| 15 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Aug 2025 | Payment denial | — | 15 days |
| 13 Aug 2025 | Fine | $17,686 | |
| 15 Feb 2024 | Payment denial | — | 34 days |
| 15 Feb 2024 | Fine | $53,218 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Michigan average. Turnover: nursing staff 50.9%, RNs 53.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Michigan median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.1% | 9.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.3% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.1% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.1% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.2% | 10.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.7% | 4.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 54.8% | 13.5% | 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, limited liability company. Legal business name: Ashley Healthcare Center Llc. Chain: Pioneer Healthcare Management (9 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 Gratiot County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Michigan Masonic Home | Alma | 204 | 5 | 4 | 5 | 13 | 6.4 | — | 29 Jan 2026 |
| Schnepp Senior Care and Rehabilitation Centerabuse icon | St. Louis | 97 | 4 | 2 | 5 | 17 | 17.5 | — | 13 Aug 2025 |
| Riverside Healthcare Center | St. Louis | 39 | 3 | 3 | 3 | 37 | 94.9 | — | 22 Apr 2026 |
| The Laurels of Fulton | Perrinton | 50 | 3 | 2 | 4 | 27 | 54.0 | $59K | 18 Dec 2025 |
All 5 facilities in Gratiot County
Questions and answers
How many deficiencies has Ashley Healthcare Center been cited for?
29 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Michigan median is 29 per facility.
Has Ashley Healthcare Center been fined?
Yes. CMS lists fines totalling $71K in the period covered, plus 2 payment denials.
How does staffing at Ashley Healthcare Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Michigan median of 3.8 and a national average of 3.9.
Who operates Ashley Healthcare Center?
It is part of the Pioneer Healthcare Management chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Ashley Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 25 Feb 2026; the most recent standard health survey was 25 Feb 2026.
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.