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

Ashley Healthcare Center

103 West Wallace Street, Ashley, MI · (989) 847-2011

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
63
Residents per day
55
Ownership
For-Profit
Chain
Pioneer Healthcare Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
December 9, 1992

1

How this home got 1 star

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 Michigan.

  2. Staffing

    no change

    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

    −1 star

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

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Michigan homes

Ashley Healthcare Center carries 91.5 inspection points. That is fewer than 34% of Michigan's 420 rated homes.

5★4★3★2★1★+13 homes above 286.7505102550100200inspection points → fewer is better on the leftThis home · 91.5 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Michigan: 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★ 0–18 pts
  • 4★ 18–46 pts
  • 3★ 46–78 pts
  • 2★ 78–123 pts
  • 1★ over 123 pts

Bars show every rated home in Michigan 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

29 health citations on record since 2024. 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 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 6 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.

Harm and immediate-jeopardy citations (2)

  1. G

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

    August 13, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 14, 2025

  2. G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    July 2, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected July 21, 2025

Everything else, by area of care

Infection Control7E
  1. D

    Provide and implement an infection prevention and control program.

    February 25, 2026 · Standard · F880 · Corrected April 17, 2026

  2. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    February 25, 2026 · Standard · F883 · Corrected April 17, 2026

  3. D

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    February 25, 2026 · Standard · F887 · Corrected April 17, 2026

  4. D

    Provide and implement an infection prevention and control program.

    August 13, 2025 · Complaint · F880 · Corrected September 25, 2025

  5. E

    Provide and implement an infection prevention and control program.

    January 9, 2025 · Standard · F880 · Corrected January 15, 2025

  6. E

    Provide and implement an infection prevention and control program.

    July 31, 2024 · Standard · F880 · Corrected August 16, 2024

  7. E

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    February 15, 2024 · Complaint · F882 · Corrected March 11, 2024

Quality of Life and Care5D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    February 25, 2026 · Complaint · F684 · Corrected April 17, 2026

  2. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    February 25, 2026 · Standard · F686 · Corrected April 17, 2026

  3. D

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

    February 25, 2026 · Standard · F695 · Corrected April 17, 2026

  4. D

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

    February 25, 2026 · Standard · F697 · Corrected April 17, 2026

  5. D

    Provide enough food/fluids to maintain a resident's health.

    January 9, 2025 · Standard · F692 · Corrected January 15, 2025

Resident Rights4E
  1. D

    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.

    February 25, 2026 · Standard · F578 · Corrected April 17, 2026

  2. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    February 25, 2026 · Standard · F627 · Corrected April 17, 2026

  3. D

    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.

    July 31, 2024 · Standard · F584 · Corrected August 16, 2024

  4. E

    Reasonably accommodate the needs and preferences of each resident.

    February 15, 2024 · Complaint · F558 · Corrected March 11, 2024

Resident Assessment and Care Planning4D
  1. D

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

    February 25, 2026 · Standard · F656 · Corrected April 17, 2026

  2. D

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

    February 25, 2026 · Standard · F658 · Corrected May 18, 2026

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    February 25, 2026 · Standard · F842 · Corrected April 17, 2026

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    July 31, 2024 · Standard · F842 · Corrected August 16, 2024

Freedom from Abuse, Neglect, and Exploitation4E
  1. D

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

    November 13, 2025 · Complaint · F600 · Corrected December 1, 2025

  2. D

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

    November 13, 2025 · Complaint · F607 · Corrected December 1, 2025

  3. E

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 15, 2024 · Complaint · F609 · Corrected March 11, 2024

  4. D

    Respond appropriately to all alleged violations.

    February 15, 2024 · Complaint · F610 · Corrected April 19, 2024

Administration2D
  1. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    February 25, 2026 · Standard · F770 · Corrected April 17, 2026

  2. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    January 9, 2025 · Standard · F849 · Corrected January 15, 2025

Pharmacy Service1E
  1. E

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    January 9, 2025 · Standard · F761 · Corrected January 15, 2025

Inspection history

  1. 2026-02-25

    15 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2025-01-09

    7 health deficiencies · 4 fire-safety deficiencies

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

  3. 2024-07-31

    7 health deficiencies · 4 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 18 min of nursing staff time a day, 41 min of it from a registered nurse.

This home

3 h 18 min

Michigan average

4 h 2 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.

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

5

Fines and payment denials

$70,904 in federal fines on record over the past three years.

DatePenaltyAmount
2025-08-13Fine$17,686
2025-08-13Payment Denial · 15 day denial$0
2024-02-15Fine$53,218
2024-02-15Payment Denial · 34 day denial$0

6

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 days0.6 pts worse2.31.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.8 pts worse3.41.61.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine17.2 pts worse78.2%95.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine21.8 pts worse73.7%95.5%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury7.9 pts worse10.9%3.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.6 pts worse6.1%4.5%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts worse6.9%5.5%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse20.8%19.4%19.5%
Percentage of long-stay residents who received an antipsychotic medication30.8 pts worse45.5%14.7%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 worsened1.5 pts worse12.6%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts worse19.5%10.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.3 pts worse3.0%0.7%0.7%
Percentage of long-stay residents with a urinary tract infectionAbout the same1.5%1.5%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts worse28.0%19.4%18.3%
Percentage of long-stay residents with pressure ulcers2.6 pts worse7.6%5.0%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine50.4 pts worse33.0%83.4%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication2.5 pts worse3.6%1.1%1.5%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Uddin, Fahim5% Or Greater Direct Ownership Interest · Individual100%9 facilities
Anderson, RussellOperational/Managerial Control · Individual0%2 facilities
Anderson, RussellAdp Of The SNF · Individual0%2 facilities
Stewart, AmyOperational/Managerial Control · Individual0%1 facilities
Stewart, AmyAdp Of The SNF · Individual0%1 facilities

·

Fire safety

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

Smoke6F
  1. F

    Provide properly protected cooking facilities.

    February 25, 2026 · K324 · Corrected April 17, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 25, 2026 · K353 · Corrected April 17, 2026

  3. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    January 9, 2025 · K346 · Corrected January 15, 2025

  4. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    January 9, 2025 · K354 · Corrected January 15, 2025

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    July 31, 2024 · K345 · Corrected August 16, 2024

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    July 31, 2024 · K353 · Corrected August 16, 2024

Egress3E
  1. E

    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 25, 2026 · K222 · Corrected April 17, 2026

  2. E

    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.

    January 9, 2025 · K222 · Corrected January 15, 2025

  3. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    July 31, 2024 · K232 · Corrected August 16, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Have power receptacles that are properly grounded.

    January 9, 2025 · K912 · Corrected January 15, 2025

Miscellaneous1E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    July 31, 2024 · K741 · Corrected August 16, 2024

·

Other homes nearby

  1. The Laurels of Fulton

    Perrinton, MI · Ciena Healthcare/Laurel Health Care

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 35 min
    Fines
    $51,943
  2. Ovid Healthcare Center

    Ovid, MI · Ciena Healthcare/Laurel Health Care

    Worst citation, 3 yrs
    H
    Nursing / resident / day
    3 h 40 min
    Fines
    $79,950
  3. Worst citation, 3 yrs
    F
    Nursing / resident / day
    4 h 25 min
    Fines
    $0