Cycle 1
Health 2025-07-02 · Fire 2025-07-02
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Ashley, ND
Ashley Medical Center Nursing Home
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
612 Center Ave N, Ashley, ND
(701) 288-3433
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
31
Certified beds
Average residents
28
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1985-03-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.24
Registered nurse staffing · state 0.93 · national 0.68
LPN hours / resident day
0.55
Licensed practical nurse staffing · state 0.50 · national 0.87
Aide hours / resident day
3.60
Nurse aide staffing · state 2.99 · national 2.35
Total nurse hours
5.39
All reported nurse hours · state 4.41 · national 3.89
Licensed hours
1.79
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.75 · national 3.43
Weekend RN hours
0.75
Weekend registered nurse coverage · state 0.59 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
1.53
CMS adjusted RN staffing hours
Adjusted total hours
6.64
CMS adjusted total nurse staffing hours
Case-mix index
1.11
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 3 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure. |
| Staff COVID-19 vaccination coverage | 0.94% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 106 |
| Staff flu vaccination coverage | 21.62% |
42%
20.4 pts worse
|
Numerator 24 · Denominator 111 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
98.3%
1.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
98.8%
1.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 13.7% |
5.1%
8.6 pts worse
|
3.3%
10.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 16.0% · Q3 20.8% · Q4 10.3% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.2% |
4.4%
1.8 pts worse
|
11.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 8.7% · Q3 13.0% · Q4 3.6% · 4Q avg 6.2% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
5.5%
0.5 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 0.0% · Q3 8.3% · Q4 3.6% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
17.4%
2.2 pts worse
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 16.0% · Q3 16.7% · Q4 24.1% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.7% |
23.4%
1.3 pts worse
|
16.7%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 27.3% · Q3 27.3% · Q4 20.8% · 4Q avg 24.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 2.9% |
0.2%
2.7 pts worse
|
0.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 4.2% · Q4 3.4% · 4Q avg 2.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.8% |
19.0%
11.2 pts better
|
16.3%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.1% |
20.1%
1 pts better
|
14.9%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 8.7% · Q3 21.7% · Q4 19.2% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.8% |
1.8%
3 pts worse
|
1.0%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 0.0% · Q3 4.8% · Q4 4.1% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.0% |
3.1%
2.9 pts worse
|
1.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 4.0% · Q3 4.2% · Q4 0.0% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% |
25.2%
1.4 pts better
|
19.8%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 27.3% · Q3 25.0% · Q4 23.3% · 4Q avg 23.8% |
| Percentage of long-stay residents with pressure ulcers | 8.1% |
5.3%
2.8 pts worse
|
5.1%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 0.0% · Q3 7.3% · Q4 14.7% · 4Q avg 8.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-05 · Fire 2024-06-05
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-05-10 · Fire 2023-05-10
1 health deficiencies
Top issue: Infection Control (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-07-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-04
F · Potential for more than minimal harm
2023-05-10
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-06-01
F · Potential for more than minimal harm
2023-05-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-01
F · Potential for more than minimal harm
2023-05-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-07-01
D · Potential for more than minimal harm
2023-05-10
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-02
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-08-06
D · Potential for more than minimal harm
2025-07-02
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-06
D · Potential for more than minimal harm
2025-07-02
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-06
D · Potential for more than minimal harm
2024-06-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-06-05
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-07-10
D · Potential for more than minimal harm
2024-06-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-10
D · Potential for more than minimal harm
2023-05-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-01
Penalties and ownership
What sits behind the stars
Ownership
Bertsch, Angela
Corporate Director · Individual
Heupel, Eric
Operational/Managerial Control · Individual
Heupel, Eric
Corporate Director · Individual
Heupel, Eric
Corporate Officer · Individual
Heupel, Eric
W-2 Managing Employee · Individual
Inglish, Steve
Operational/Managerial Control · Individual
Inglish, Steve
Contracted Managing Employee · Individual
Meyer, Brenda
Corporate Director · Individual
Morrison, Kristie
Corporate Director · Individual
Neu, Anthony
Corporate Director · Individual
Schumacher, Gwyn
Corporate Director · Individual
Stugelmayer, Joanne
Corporate Director · Individual
Thomas, Megan
Corporate Director · Individual
Ulmer, Brent
Corporate Director · Individual
Ulmer, Corey
Operational/Managerial Control · Individual
Ulmer, Corey
Corporate Director · Individual
Ulmer, Corey
Corporate Officer · Individual
Ulmer, Corey
W-2 Managing Employee · Individual
Wishek, Adam
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Wishek Living Center
Wishek, ND
4-star overall rating with 4-star inspections with $26,272 in total fines with 2 recent health deficiencies
#2
Avera Eureka Health Care Center
Eureka, SD
3-star overall rating with 2-star inspections with $12,253 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Wentz Living Center
Napoleon, ND
4-star overall rating with 4-star inspections with $13,627 in total fines
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