ASHLAND NURSING AND REHABILITATION
Ratings & Quality
Staffing Details
| RN Hours per Resident per Day | 0.38 |
|---|---|
| Total Nurse Hours per Resident per Day | 2.97 |
| Number of Certified Beds | 190 |
| Number of Residents | 161 |
Inspection Deficiencies (158)
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction date: 2025-11-17
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Correction date: 2025-11-17
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction date: 2025-11-17
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction date: 2025-11-17
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.
Correction date: 2025-11-17
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction date: 2025-11-17
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2025-11-17
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2025-11-17
Respond appropriately to all alleged violations.
Correction date: 2025-11-17
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction date: 2025-11-17
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2025-11-17
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction date: 2025-11-17
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction date: 2025-11-17
Provide activities to meet all resident's needs.
Correction date: 2025-11-17
Ensure the activities program is directed by a qualified professional.
Correction date: 2025-11-17
Provide appropriate foot care.
Correction date: 2025-11-17
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2025-11-17
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction date: 2025-11-17
Observe each nurse aide's job performance and give regular training.
Correction date: 2025-11-17
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction date: 2025-11-17
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Correction date: 2025-11-17
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction date: 2025-11-17
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.
Correction date: 2025-11-17
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.
Correction date: 2025-11-17
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.
Correction date: 2025-11-17
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2025-11-17
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.
Correction date: 2025-11-17
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Correction date: 2025-11-17
Provide and implement an infection prevention and control program.
Correction date: 2025-11-17
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Correction date: 2025-11-17
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Correction date: 2025-11-17
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Correction date: 2025-11-17
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction date: 2025-11-17
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Correction date: 2025-11-17
Provide training in compliance and ethics.
Correction date: 2025-11-17
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction date: 2025-11-17
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Correction date: 2025-11-17
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction date: 2024-05-07
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2024-05-07
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction date: 2024-05-07
Provide safe and appropriate respiratory care for a resident when needed.
Correction date: 2024-05-07
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.
Correction date: 2024-05-07
Observe each nurse aide's job performance and give regular training.
Correction date: 2024-05-07
Provide timely, quality laboratory services/tests to meet the needs of residents.
Correction date: 2024-05-07
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2024-05-07
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction date: 2024-04-11
Reasonably accommodate the needs and preferences of each resident.
Correction date: 2024-04-11
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Correction date: 2024-04-11
Keep residents' personal and medical records private and confidential.
Correction date: 2024-04-11
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction date: 2024-04-11
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction date: 2024-04-11
Respond appropriately to all alleged violations.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
PASARR screening for Mental disorders or Intellectual Disabilities
Correction date: 2024-04-11
Honor each resident's preferences, choices, values and beliefs.
Correction date: 2024-04-11
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction date: 2024-04-11
Ensure the activities program is directed by a qualified professional.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Provide safe and appropriate respiratory care for a resident when needed.
Correction date: 2024-05-07
Provide safe, appropriate pain management for a resident who requires such services.
Correction date: 2024-04-11
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction date: 2024-04-11
Provide care or services that was trauma informed and/or culturally competent.
Correction date: 2024-04-11
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.
Correction date: 2024-05-07
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Observe each nurse aide's job performance and give regular training.
Correction date: 2024-05-07
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Correction date: 2024-04-11
Provide or obtain dental services for each resident.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction date: 2024-04-11
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Correction date: 2024-04-11
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Correction date: 2024-04-11
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Correction date: 2024-04-11
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction date: 2024-04-11
Provide training in compliance and ethics.
Correction date: 2024-04-11
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction date: 2024-04-11
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Correction date: 2024-04-11
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction date: 2024-04-11
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction date: 2024-04-11
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction date: 2024-04-11
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2024-04-11
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction date: 2024-05-07
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2024-04-11
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction date: 2024-04-11
Provide activities to meet all resident's needs.
Correction date: 2024-04-11
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2024-05-07
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction date: 2024-04-11
Provide appropriate foot care.
Correction date: 2024-04-11
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2024-04-11
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction date: 2024-05-07
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Correction date: 2024-04-11
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Ensure that residents are free from significant medication errors.
Correction date: 2024-04-11
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2024-05-07
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction date: 2024-04-11
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.
Correction date: 2024-04-11
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction date: 2024-04-11
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Correction date: 2024-04-11
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction date: 2023-12-19
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction date: 2023-12-19
Provide and implement an infection prevention and control program.
Correction date: 2023-12-19
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction date: 2023-10-17
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2023-10-17
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2023-10-17
Provide enough food/fluids to maintain a resident's health.
Correction date: 2023-10-17
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction date: 2023-10-17
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.
Correction date: 2023-10-17
Ensure that residents are free from significant medication errors.
Correction date: 2023-10-17
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Correction date: 2023-10-17
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.
Correction date: 2023-10-17
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction date: 2023-10-17
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction date: 2023-10-17
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2023-10-17
Provide and implement an infection prevention and control program.
Correction date: 2023-10-17
Reasonably accommodate the needs and preferences of each resident.
Correction date: 2022-07-12
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.
Correction date: 2022-07-12
PASARR screening for Mental disorders or Intellectual Disabilities
Correction date: 2022-07-12
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2022-07-12
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction date: 2022-07-12
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2022-07-12
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction date: 2022-07-12
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction date: 2022-07-12
Ensure medication error rates are not 5 percent or greater.
Correction date: 2022-07-12
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction date: 2022-07-12
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction date: 2022-07-12
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2022-07-12
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.
Correction date: 2022-07-12
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction date: 2020-03-10
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.
Correction date: 2020-03-10
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction date: 2020-03-10
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.
Correction date: 2020-03-10
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction date: 2020-03-10
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction date: 2020-03-10
Ensure services provided by the nursing facility meet professional standards of quality.
Correction date: 2020-03-10
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction date: 2020-03-10
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction date: 2020-03-10
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction date: 2020-03-10
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction date: 2020-03-10
Provide safe, appropriate pain management for a resident who requires such services.
Correction date: 2020-03-10
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction date: 2020-03-10
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.
Correction date: 2020-03-10
Ensure that residents are free from significant medication errors.
Correction date: 2020-03-10
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction date: 2020-03-10
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.
Correction date: 2019-04-18
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction date: 2020-03-10
Make sure that a working call system is available in each resident's bathroom and bathing area.
Correction date: 2020-03-10
Facility Information
- Address 906 THOMPSON STREET, Ashland, VA 23005
- Phone 8047983291
- Type Medicare and Medicaid
- Ownership For profit - Corporation
About ASHLAND NURSING AND REHABILITATION
ASHLAND NURSING AND REHABILITATION is a medicare and medicaid certified nursing home in Ashland, Virginia. The facility has 190 certified beds and currently houses 161 residents. It has received an overall quality rating of 1 out of 5 stars from CMS. The facility has 158 inspection deficiencies on record. Registered nurse hours are 0.38 per resident per day.