Ashland Nursing and Rehabilitation
906 Thompson Street · Ashland, VA · 23005 · 8047983291
190 certified beds For profit - Corporation Chain: Avardis Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 2.83 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $8,140 |
Inspection citations (169 in the current record)
-
Immediate jeopardy · J March 18, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J March 18, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has plan of correction · Quality of Life and Care
-
Potential for harm · D March 18, 2026 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 29, 2026 · Resident Rights
-
Potential for harm · E March 18, 2026 · found via complaint
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.
Corrected April 29, 2026 · Resident Rights
-
Potential for harm · D March 18, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · F March 18, 2026 · found via complaint
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.
Deficient, Provider has no plan of correction · Administration
-
Potential for harm · D March 18, 2026 · found via complaint
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Deficient, Provider has no plan of correction · Administration
-
Potential for harm · D March 18, 2026 · found via complaint
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Deficient, Provider has no plan of correction · Resident Rights
-
Potential for harm · D March 18, 2026 · found via complaint
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Deficient, Provider has no plan of correction · Administration
-
Potential for harm · D March 18, 2026 · found via complaint
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Deficient, Provider has no plan of correction · Administration
-
No harm found · C March 18, 2026 · found via complaint
Post nurse staffing information every day.
Deficient, Provider has no plan of correction · Nursing and Physician Services
-
Potential for harm · D August 21, 2025 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected November 17, 2025 · Resident Rights
-
Potential for harm · D August 21, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected November 17, 2025 · Resident Rights
-
Potential for harm · F August 21, 2025 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected November 17, 2025 · Resident Rights
-
Potential for harm · D August 21, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 17, 2025 · Resident Rights
-
Potential for harm · D August 21, 2025 · found via complaint
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.
Corrected November 17, 2025 · Resident Rights
-
Potential for harm · E August 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E August 21, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 21, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E August 21, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 21, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected November 17, 2025 · Resident Rights
-
Potential for harm · E August 21, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E August 21, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E August 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 17, 2025 · Quality of Life and Care
-
Potential for harm · E August 21, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected November 17, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 18, 2026 | Fine | $8,140 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495362 · certified since July 8, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.