Ashland Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Ashland Health and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Nov 21, 2023

  Based on observations, record reviews, and facility policy reviews the facility failed to clean and disinfect a multi-use glucometer with the approved disinfecting wipe for two (2) of two (2) medication carts reviewed. Findings Include: Record review of the policy titled, Diabetic Management, dated 04/2019, revealed, Cleaning and disinfecting your EvenCare G2 Meter: .4. To disinfect your meter, clean the meter surface with one of the following disinfecting wipes: Dispatch Hospital Cleaner Disinfectant Towel with Bleach (1 minute). Medline Micro-Kill Disinfecting, Deodorizing, cleaning wipes with Alcohol (30 seconds). Clorox Healthcare Bleach Germicidal and Disinfectant Wipes (1 minute). […]

• No harm, potential for more than minimal, isolatedF558Apr 15, 2026

  Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure a resident's call light was readily accessible for one (1) of 49 residents observed during the initial tour. Resident #22.Findings Include: Review of the facility policy titled Call Light Standard revised 3/19, revealed under, Policy Explanation and Compliance Guidelines: . 5. With each interaction in the resident's room or bathroom, staff will ensure the call light is within reach of resident and secured, as needed. During the initial tour on 4/13/26 at 10:28 AM, Resident #22 was observed lying in bed, which was positioned against the wall on his right side. The call light was not visible or accessible to the resident. […]

• No harm, potential for more than minimal, isolatedF761Apr 15, 2026

  Based on observations, staff interviews, record reviews, and facility policy review, the facility failed to ensure medications were accurately labeled and corresponded with the physician's order for one (1) of three (3) residents observed during medication pass (Resident #47) Findings Include:Review of facility policy titled, Medication Order & Dispensing Variance Protocol dated 03/2026, revealed, .Procedures.1. a. Licensed nursing staff must verify that the medication label, physician's order, and Medication Administration Record (MAR) match prior to each medication administration.3. e. […]

• No harm, potential for more than minimal, isolatedF656May 7, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to develop a comprehensive care plan for a resident requiring oral care for one (1) of three (3) sampled residents. Resident #3 Findings Include: Review of the facility policy titled The Care Plan with a revision date of 4/2019 revealed, The Comprehensive Care Plan is completed within seven (7) days after the MDS (minimum data set) is completed . Record review of the Activities of Daily Living (ADL) Care Plan for Resident #3 revealed under, Focus: The resident has an ADL self care performance deficit r/t (related to) Hemiplegia from hx (history) of CVA (Cerebrovascular Accident) affecting left side. Further review revealed the care plan was not developed for oral care. […]

• No harm, potential for more than minimal, isolatedF677May 7, 2025

  Based on observation, staff interview, record review, and facility policy review, the facility failed to provide oral care for one (1) of three (3) residents requiring assistance with activities of daily living (ADLs). Resident #3 Findings Include: Review of the facility policy titled Oral Care, with a revision date of 6/2022, revealed under Standard: It is the standard of this facility that every resident will receive oral care at least twice daily, and as needed. Additionally revealed under Process: . 10. Inspect the resident's mouth, teeth and gums for open areas of irritation; notify the supervising nurse immediately of any problems noted or any complaints by the resident. 11. […]