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CMS Nursing Home Compare · August 2026

Ashland Nursing and Rehabilitation

906 Thompson Street, Ashland, VA 23005

Ashland Nursing and Rehabilitation, a 190-bed for profit - corporation nursing facility in Ashland, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #269 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8047983291

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1 / 5
Much below average · CMS overall · nat'l 3.0
#269 of 286
In-state rank among rated VA homes
3.02
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 2 serious

The verdict

Ashland Nursing and Rehabilitation, a 190-bed for profit - corporation nursing facility in Ashland, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #269 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#269 of 286
In-state rank among rated VA homes
3.02
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 289 VA nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
495362
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
190
Residents
157
In Hospital
No
County
Hanover
Last Inspection
Feb 9, 2024
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

How the 3.02 total nursing hours per resident-day are staffed:

RN Hours
0.41 (nat'l avg: 0.69)
LPN Hours
0.88
CNA Hours
1.73
Total Nursing Hours
3.02 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
57.6%
RN Turnover
69.2%

What the CMS Record Reveals About Ashland Nursing and Rehabilitation

According to CMS Nursing Home Compare, Ashland Nursing and Rehabilitation ranks #269 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Ashland Nursing and Rehabilitation operates 190 certified beds in Ashland, VA with approximately 157 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 2★ · quality 2★).

The inspection file contains 50 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $36K. Staffing is reported at 3.02 total nursing hours per resident day (national average 3.86), with RN coverage at 0.41 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Ashland Nursing and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 57.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Jul 2, 2026 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 16, 2026

D - Isolated - Minimal harm Jul 2, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 10, 2026

D - Isolated - Minimal harm Jul 2, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jul 16, 2026

C - Widespread - No harm Mar 18, 2026 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 2, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Jul 2, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Jul 2, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Jul 2, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0941

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Category: Administration Deficiencies

Corrected: Jul 2, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 16, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 29, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jul 16, 2026

D - Isolated - Minimal harm Mar 18, 2026 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2026

E - Pattern - Minimal harm Mar 18, 2026 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2026

F - Widespread - Minimal harm Mar 18, 2026 Tag: 0838

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.

Category: Administration Deficiencies

Corrected: Jul 2, 2026

J - Isolated - Jeopardy Mar 18, 2026 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 2, 2026

J - Isolated - Jeopardy Mar 18, 2026 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 29, 2026

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0949

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Category: Administration Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0941

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Category: Administration Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0849

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.

Category: Administration Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0745

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Nov 17, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0809

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0802

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 17, 2025

F - Widespread - Minimal harm Aug 21, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 17, 2025

F - Widespread - Minimal harm Aug 21, 2025 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Nov 17, 2025

F - Widespread - Minimal harm Aug 21, 2025 Tag: 0840

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.

Category: Administration Deficiencies

Corrected: Nov 17, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 24.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.8% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 24.3% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 30.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 66.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 44.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 53.7% No

Penalty History 1 penalties totaling $36K

Date Type Amount
Mar 18, 2026 Fine $36K
Mar 18, 2026 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Ashland Nursing and Rehabilitation, both outside VA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Ashland Nursing and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The VA registry aggregates state averages and the highest-rated homes in this cohort. View VA registry
  • Peer homes near 190 beds show how CMS stars vary at a similar scale in VA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Ashland Nursing and Rehabilitation?
Ashland Nursing and Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
Where does Ashland Nursing and Rehabilitation rank among nursing homes in VA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Ashland Nursing and Rehabilitation ranks 269th among 286 rated nursing homes in VA (#269 of 286). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Ashland Nursing and Rehabilitation?
Ashland Nursing and Rehabilitation reports 3.02 total nursing hours per resident day (national average: 3.86). RN hours are 0.41 per resident day (national average: 0.69). Nursing staff turnover is 57.6%.
How many beds does Ashland Nursing and Rehabilitation have?
Ashland Nursing and Rehabilitation has 190 certified beds with approximately 157 residents. The facility is located at 906 Thompson Street, Ashland, VA 23005.
Does Ashland Nursing and Rehabilitation have any deficiencies on record?
Yes, Ashland Nursing and Rehabilitation has 50 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Ashland Nursing and Rehabilitation received any fines or penalties?
Yes, Ashland Nursing and Rehabilitation has received 1 penalties totaling $36K.
Who owns Ashland Nursing and Rehabilitation?
Ashland Nursing and Rehabilitation is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Ashland Nursing and Rehabilitation last inspected?
The most recent health inspection for Ashland Nursing and Rehabilitation was on Feb 9, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Ashland Nursing and Rehabilitation?
Ashland Nursing and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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