Federal inspection record · CMS data as of October 1, 2026

Ashby Ponds Inc

21160 Maple Branch Terrace, Ashburn, VA · (571) 291-6200

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
44
Residents per day
40
Ownership
Non-Profit
Chain
Erickson Senior Living
Medicare / Medicaid
Medicare
Certified since
July 26, 2014

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.

  2. Staffing

    +1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Virginia homes

Ashby Ponds Inc carries 39 inspection points. That is fewer than 69% of Virginia's 287 rated homes.

5★4★3★2★1★+9 homes above 494.7505102550100200400inspection points → fewer is better on the leftThis home · 39 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–16 pts
  • 4★ 16–45 pts
  • 3★ 45–76.5 pts
  • 2★ 76.5–168.75 pts
  • 1★ over 168.75 pts

Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

17 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 10 4 pts
E 7 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care5E
  1. E

    Provide safe, appropriate pain management for a resident who requires such services.

    February 22, 2024 · Standard · F697 · Corrected April 5, 2024

  2. E

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 22, 2024 · Standard · F698 · Corrected April 5, 2024

  3. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 26, 2021 · Standard · F695 · Corrected May 10, 2021

  4. D

    Provide safe, appropriate pain management for a resident who requires such services.

    March 26, 2021 · Standard · F697 · Corrected May 10, 2021

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 26, 2021 · Standard · F698 · Corrected May 10, 2021

Resident Assessment and Care Planning4E
  1. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 22, 2024 · Standard · F656 · Corrected April 5, 2024

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 26, 2021 · Standard · F656 · Corrected May 10, 2021

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 26, 2021 · Standard · F657 · Corrected May 10, 2021

  4. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    March 26, 2021 · Standard · F658 · Corrected May 10, 2021

Nutrition and Dietary3E
  1. E

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

    February 22, 2024 · Standard · F812 · Corrected April 5, 2024

  2. E

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

    April 28, 2022 · Standard · F812 · Corrected May 31, 2022

  3. E

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

    March 26, 2021 · Standard · F812 · Corrected May 10, 2021

Pharmacy Service2E
  1. E

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    February 22, 2024 · Standard · F758 · Corrected April 5, 2024

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 26, 2021 · Standard · F757 · Corrected May 10, 2021

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    February 22, 2024 · Standard · F880 · Corrected April 5, 2024

  2. D

    Provide and implement an infection prevention and control program.

    April 28, 2022 · Standard · F880 · Corrected May 31, 2022

Resident Rights1D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 22, 2024 · Standard · F550 · Corrected April 5, 2024

Inspection history

  1. 2024-02-22

    7 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2022-04-28

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  3. 2021-03-26

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 6 min of nursing staff time a day, 1 h 29 min of it from a registered nurse.

This home

5 h 6 min

Virginia average

3 h 53 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 37% of nursing staff and 21% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better0.51.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts better0.81.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts worse83.3%91.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts worse90.9%93.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts worse4.5%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms20.5 pts better0.0%20.5%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts better4.8%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.7 pts worse27.4%20.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.2 pts better14.0%14.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3 pts worse17.2%14.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts better13.8%14.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.0%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection1.5 pts worse3.1%1.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better21.0%21.3%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts worse6.7%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better74.9%74.2%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit7.2 pts better4.3%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better0.5%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.6 pts better89.9%73.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts better18.6%22.0%23.4%

·

Who owns and runs it

48 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
National Senior Communities, Inc5% Or Greater Direct Ownership Interest · Organization100%16 facilities
Bison, MichaelIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%16 facilities
Brown, IanCorporate Director · Individual0%16 facilities
Brown, PatriciaCorporate Director · Individual0%16 facilities
Butler, RichardOperational/Managerial Control · Individual0%35 facilities
Clupper, KatherineCorporate Director · Individual0%16 facilities
Colins, MaryCorporate Director · Individual0%16 facilities
Colins, MaryCorporate Officer · Individual0%16 facilities
Embley, MarkCorporate Officer · Individual0%17 facilities
Embley, MarkOperational/Managerial Control · Individual0%17 facilities
Embley, MarkAdp Of The SNF · Individual0%17 facilities
Erickson Senior Living LLCOperational/Managerial Control · Organization0%18 facilities
Erickson Senior Living LLCAdp Of The SNF · Organization0%18 facilities
Erstad, EileenCorporate Director · Individual0%16 facilities
Erstad, EileenCorporate Officer · Individual0%16 facilities
Hall, JohnCorporate Officer · Individual0%18 facilities
Hall, JohnOperational/Managerial Control · Individual0%18 facilities
Hall, JohnAdp Of The SNF · Individual0%18 facilities
Jacque, ZinaCorporate Director · Individual0%16 facilities
Jacque, ZinaCorporate Officer · Individual0%16 facilities
Kotwal, ShavetaOperational/Managerial Control · Individual0%1 facilities
Kotwal, ShavetaAdp Of The SNF · Individual0%1 facilities
Leonard, MontyCorporate Director · Individual0%16 facilities
Leonard, MontyCorporate Officer · Individual0%16 facilities
Merkert, RobertCorporate Officer · Individual0%16 facilities
Merkert, RobertOperational/Managerial Control · Individual0%16 facilities
Merkert, RobertAdp Of The SNF · Individual0%16 facilities
Moscato, MaryCorporate Director · Individual0%16 facilities
National Senior Communities, IncOperational/Managerial Control · Organization0%16 facilities
Oak Investment TrustAdp Of The SNF · Organization0%21 facilities
Oak Investment Trust IiAdp Of The SNF · Organization0%20 facilities
Paulk, PamelaCorporate Director · Individual0%16 facilities
Pomeranz, WilliamCorporate Director · Individual0%17 facilities
Rebholtz, CarlaOperational/Managerial Control · Individual0%1 facilities
Rebholtz, CarlaAdp Of The SNF · Individual0%1 facilities
Reel, StephanieCorporate Director · Individual0%16 facilities
Ridley, FredIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%16 facilities
Roskiewicz, MichaelCorporate Director · Individual0%16 facilities
Sawicki, ScottCorporate Officer · Individual0%16 facilities
Sharp, RusselCorporate Director · Individual0%16 facilities
Sones, RandallIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%16 facilities
Stiner, PamelaCorporate Officer · Individual0%17 facilities
Stiner, PamelaOperational/Managerial Control · Individual0%17 facilities
Stiner, PamelaAdp Of The SNF · Individual0%17 facilities
Sweetser, ChristianOperational/Managerial Control · Individual0%18 facilities
Sweetser, ChristianAdp Of The SNF · Individual0%18 facilities
Tyler, DanielCorporate Officer · Individual0%16 facilities
Wallick, DanielCorporate Director · Individual0%16 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Egress2D
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    February 22, 2024 · K222 · Corrected September 13, 2024

  2. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    March 26, 2021 · K222 · Corrected May 20, 2021

Smoke1D
  1. D

    Provide properly protected cooking facilities.

    April 28, 2022 · K324 · Corrected June 3, 2022

Miscellaneous1D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    April 28, 2022 · K761 · Corrected June 3, 2022

Gas, Vacuum, and Electrical Systems1D
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    March 26, 2021 · K918 · Corrected May 20, 2021

·

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