ElderGrade
F

34/100

Poor

Ashland Nursing And Rehabilitation

906 Thompson Street, Ashland, VA 23005

CMS 1/5 stars #4 of 4 in Hanover County (804) 798-3291
Certified beds
190
Occupancy
83%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,140 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Last inspection was more than 2 years ago

    Ratings here are based on older survey data than at most facilities.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -10 for 137 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.77 total nurse hours per resident per day (national median 3.77)
  • 0.41 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

3/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 58% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,140 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.02 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.41 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.65 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 57.60%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 169 citations

Last standard health inspection: February 9, 2024 (2 years ago).

J Mar 18, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Immediate jeopardy to resident health or safety

J Mar 18, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

F Mar 18, 2026 F0838 From a complaint

Administration Deficiencies

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.

No actual harm, potential for more than minimal harm

E Mar 18, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 18, 2026 F0554 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 18, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 18, 2026 F0941 From a complaint

Administration Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 18, 2026 F0942 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVARDIS HEALTH, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
OHI ASSETS (VA) ASHLAND, LLC Organization 5% OR GREATER SECURITY INTEREST
HOBACK, TIFFANY Individual MANAGING CONTROL - GOVERNING BODY
MORGAN, DANIEL Individual MANAGING CONTROL - GOVERNING BODY
SNF MGR LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BRANDT, KAREN Individual OPERATIONAL/MANAGERIAL CONTROL
HOBACK, TIFFANY Individual OPERATIONAL/MANAGERIAL CONTROL
JONES, TEQUILLA Individual OPERATIONAL/MANAGERIAL CONTROL
MCCAIN, SHALANDREA Individual OPERATIONAL/MANAGERIAL CONTROL
MORGAN, DANIEL Individual OPERATIONAL/MANAGERIAL CONTROL
SIDDIQUI, MOHAMMAD Individual OPERATIONAL/MANAGERIAL CONTROL
OHI ASSETS (VA) ASHLAND, LLC Organization ADP OF THE SNF
SNF MGR LLC Organization ADP OF THE SNF

What families say

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Common questions about Ashland Nursing And Rehabilitation

What is the ElderGrade for Ashland Nursing And Rehabilitation? +

Ashland Nursing And Rehabilitation holds an ElderGrade of F (34 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Ashland Nursing And Rehabilitation? +

Residents receive an average of 3.02 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Ashland Nursing And Rehabilitation been cited for harming residents? +

Yes. 2 of the 169 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Ashland Nursing And Rehabilitation accept Medicaid? +

Yes, Ashland Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.