Ashton Health and Rehabilitation
5533 Burlington Road, McLeansville, NC 27301
Ashton Health and Rehabilitation, a 134-bed for profit - limited liability company nursing facility in McLeansville, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding 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: 3366980045
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 3.75
- About average · nurse hrs/day · nat'l 3.89
- 5
- Inspection findings · 1 serious
- $9K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345548
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 134
- Residents
- 120
- In Hospital
- No
- County
- Guilford
- Last Inspection
- Jul 3, 2025
Staffing Data
How the 3.75 total nursing hours per resident-day are staffed:
- RN Hours
- 0.19 (nat'l avg: 0.68)
- LPN Hours
- 0.97
- CNA Hours
- 2.59
- Total Nursing Hours
- 3.75 (nat'l avg: 3.89)
- PT Hours
- 0.12
- Nursing Turnover
- 48.1%
- RN Turnover
- 53.3%
What the CMS Record Reveals About Ashton Health and Rehabilitation
Ashton Health and Rehabilitation operates 134 certified beds in McLeansville, NC with approximately 120 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 2★ · quality 4★).
The inspection file contains 5 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $9K levied against this facility. Per resident day, this facility reports 3.75 total nursing hours (national average 3.89) and 0.19 RN hours.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Ashton Health and Rehabilitation falls into a category where comparative context matters. Reported nursing turnover at this facility is 48.1%, within a range generally associated with stable care teams.
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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (5 most recent)
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 11, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Category: Administration Deficiencies
Corrected: May 18, 2024
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 12, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: May 16, 2023
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.
Category: Resident Rights Deficiencies
Corrected: May 16, 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 | 11.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.2% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.1% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 5.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.1% | 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 | 93.9% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 18.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 95.7% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 18.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 88.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 93.2% | No |
Penalty History 1 penalties totaling $9K
| Date | Type | Amount |
|---|---|---|
| Apr 30, 2025 | Fine | $9K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Ashton Health and Rehabilitation?
What are the staffing levels at Ashton Health and Rehabilitation?
How many beds does Ashton Health and Rehabilitation have?
Does Ashton Health and Rehabilitation have any deficiencies on record?
Has Ashton Health and Rehabilitation received any fines or penalties?
Who owns Ashton Health and Rehabilitation?
When was Ashton Health and Rehabilitation last inspected?
What quality measures are tracked for Ashton Health and Rehabilitation?
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.
Read our methodology - how this data is sourced, computed, and verified.
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