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Ashley Healthcare Center

Open-data reference.

Ashley Healthcare Center is a for profit - corporation facility in Ashley, MI with 63 certified beds and a 1-star overall CMS rating. The facility has 41 deficiency records on file. Total penalties: $117K.

103 West Wallace Street, Ashley, MI 48806

Phone: 9898472011

Overall Rating

1/5

Health Inspection

1/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
235532
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
63
Residents
54
In Hospital
No
County
Gratiot
Last Inspection
Jan 9, 2025

Staffing Data

RN Hours
0.77 (nat'l avg: 0.68)
LPN Hours
0.36
CNA Hours
2.04
Total Nursing Hours
3.17 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
48.9%
RN Turnover
62.5%

What the CMS Record Reveals About Ashley Healthcare Center

Ashley Healthcare Center operates 63 certified beds in Ashley, MI with approximately 54 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (4★), and quality measures (2★). 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.

The inspection file contains 41 deficiency records from recent surveys, of which 7 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 3 penalties totaling $117K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.17 total nursing hours per resident day (national average 3.89), with RN coverage at 0.77 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Ashley Healthcare Center falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 48.9%, within a range generally associated with stable care teams. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (41 most recent)

D — Isolated - Minimal harm Nov 13, 2025 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 1, 2025

D — Isolated - Minimal harm Nov 13, 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: Dec 1, 2025

D — Isolated - Minimal harm Aug 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 25, 2025

G — Isolated - Actual harm Aug 13, 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: Aug 14, 2025

G — Isolated - Actual harm Jul 2, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 21, 2025

E — Pattern - Minimal harm Jan 9, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 15, 2025

D — Isolated - Minimal harm Jan 9, 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: Jan 15, 2025

E — Pattern - Minimal harm Jan 9, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 15, 2025

D — Isolated - Minimal harm Jan 9, 2025 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 15, 2025

E — Pattern - Minimal harm Jul 31, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 16, 2024

D — Isolated - Minimal harm Jul 31, 2024 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: Aug 16, 2024

D — Isolated - Minimal harm Jul 31, 2024 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: Aug 16, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 19, 2024

E — Pattern - Minimal harm Feb 15, 2024 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: Mar 11, 2024

E — Pattern - Minimal harm Feb 15, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 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: Apr 19, 2024

F — Widespread - Minimal harm Feb 15, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

E — Pattern - Minimal harm Feb 15, 2024 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: Apr 19, 2024

G — Isolated - Actual harm Feb 15, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 19, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 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: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 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: Apr 19, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 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: Mar 11, 2024

D — Isolated - Minimal harm Feb 15, 2024 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Apr 19, 2024

E — Pattern - Minimal harm Feb 15, 2024 Tag: 0882

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Category: Infection Control Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Jul 5, 2023 Tag: 0730

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

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 30, 2023

G — Isolated - Actual harm Jul 5, 2023 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: Aug 30, 2023

J — Isolated - Jeopardy Mar 17, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 5, 2023

D — Isolated - Minimal harm Mar 17, 2023 Tag: 0728

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 5, 2023

J — Isolated - Jeopardy Mar 17, 2023 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: Apr 5, 2023

D — Isolated - Minimal harm Mar 17, 2023 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2023

D — Isolated - Minimal harm Mar 17, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2023

D — Isolated - Minimal harm Mar 17, 2023 Tag: 0622

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.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2023

D — Isolated - Minimal harm Mar 17, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2023

D — Isolated - Minimal harm Mar 17, 2023 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: Apr 5, 2023

J — Isolated - Jeopardy Mar 17, 2023 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 5, 2023

E — Pattern - Minimal harm Mar 17, 2023 Tag: 0551

Give the resident's representative the ability to exercise the resident's rights.

Category: Resident Rights Deficiencies

Corrected: Apr 5, 2023

D — Isolated - Minimal harm Mar 16, 2023 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 5, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.2% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 2.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 11.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 87.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 28.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 6.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 82.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 25.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 38.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 67.9% Yes

Penalty History 3 penalties totaling $117K

Date Type Amount
Aug 13, 2025 Payment Denial -
Feb 15, 2024 Fine $53K
Feb 15, 2024 Payment Denial -
Jul 5, 2023 Fine $37K
Jul 5, 2023 Payment Denial -
Mar 16, 2023 Fine $24K
Mar 16, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for Ashley Healthcare Center?
Ashley Healthcare Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at Ashley Healthcare Center?
Ashley Healthcare Center reports 3.17 total nursing hours per resident day (national average: 3.89). RN hours are 0.77 per resident day (national average: 0.68). Nursing staff turnover is 48.9%.
How many beds does Ashley Healthcare Center have?
Ashley Healthcare Center has 63 certified beds with approximately 54 residents. The facility is located at 103 West Wallace Street, Ashley, MI 48806.
Does Ashley Healthcare Center have any deficiencies on record?
Yes, Ashley Healthcare Center has 41 deficiencies on record from recent inspections. Of these, 7 are classified as causing actual harm or jeopardy.
Has Ashley Healthcare Center received any fines or penalties?
Yes, Ashley Healthcare Center has received 3 penalties totaling $117K.
Who owns Ashley Healthcare Center?
Ashley Healthcare Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Ashley Healthcare Center last inspected?
The most recent health inspection for Ashley Healthcare Center was on Jan 9, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Ashley Healthcare Center?
Ashley Healthcare Center 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial