13 health deficiencies
Top issue: Resident Rights (6 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Ashland, OH
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
20 Amberwood Pkwy, Ashland, OH
(419) 289-3859
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
110
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kingston Healthcare
Operator or chain grouping
Approved since
1985-01-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.76
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.36
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.08
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.54
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
88%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,538
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3
Baseline 20.38% · Performance 20.04% · Measure score 3 · Achievement 3 · Improvement 0.50
Healthcare-associated infections
4.71
Baseline 8.07% · Performance 6.47% · Measure score 4.71 · Achievement 4.57 · Improvement 4.71
Total nurse turnover
0.9
Baseline 41.67% · Performance 60.00% · Measure score 0.9 · Achievement 0.9 · Improvement 0
Adjusted total nurse staffing
0.74
Baseline 3.46 hours · Performance 3.29 hours · Measure score 0.74 · Achievement 0.74 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.88% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 318 · Observed rate 9.43% · Lower 95% interval 7.3% |
| Discharge to community | 67.65% |
50.57%
17.1 pts better
|
Better than the National Rate · Eligible stays 285 · Observed rate 63.86% · Lower 95% interval 62.41% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 222 · Denominator 222 |
| Falls with major injury | 0.45% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 222 |
| Discharge self-care score | 55.26% |
53.69%
1.6 pts better
|
Numerator 84 · Denominator 152 |
| Discharge mobility score | 48.03% |
50.94%
2.9 pts worse
|
Numerator 73 · Denominator 152 |
| Pressure ulcers or injuries, new or worsened | 1.8% |
2.29%
0.5 pts better
|
Numerator 4 · Denominator 222 · Adjusted rate 1.71% |
| Healthcare-associated infections requiring hospitalization | 6.47% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 205 · Observed rate 4.88% · Lower 95% interval 4.02% |
| Staff COVID-19 vaccination coverage | 5.6% |
8.2%
2.6 pts worse
|
Numerator 7 · Denominator 125 |
| Staff flu vaccination coverage | 14.02% |
42%
28 pts worse
|
Numerator 30 · Denominator 214 |
| Discharge function score | 63.16% |
56.45%
6.7 pts better
|
Numerator 96 · Denominator 152 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 100 · Denominator 100 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 69 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 16.51% |
25.2%
8.7 pts worse
|
Numerator 18 · Denominator 109 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.4 |
1.8
1.6 pts worse
|
1.8
1.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.7 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
92.4%
3.6 pts better
|
93.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 95.7% · Q3 95.8% · Q4 100.0% · 4Q avg 96.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.5%
4.1 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.3%
0.3 pts worse
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.3% · Q3 2.8% · Q4 1.4% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.5% |
26.1%
3.4 pts worse
|
11.4%
18.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 24.6% · Q3 30.3% · Q4 30.9% · 4Q avg 29.5% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.2%
1.3 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.1% · Q3 13.1% · Q4 5.3% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.3% |
25.4%
2.1 pts better
|
19.6%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 24.6% · Q3 22.6% · Q4 23.7% · 4Q avg 23.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.6% |
11.5%
3.9 pts better
|
16.7%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.8% · Q3 6.1% · Q4 10.4% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.2% |
7.7%
0.5 pts better
|
16.3%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 7.0% · Q4 3.8% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.0% |
6.2%
2.2 pts better
|
14.9%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 7.4% · Q3 3.3% · Q4 1.8% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
0.5%
0.1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.1% |
21.7%
13.4 pts worse
|
19.8%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 46.1% · Q3 36.1% · Q4 28.2% · 4Q avg 35.1% |
| Percentage of long-stay residents with pressure ulcers | 5.2% |
3.7%
1.5 pts worse
|
5.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 8.4% · Q3 3.0% · Q4 4.8% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.8% |
78.1%
12.7 pts better
|
81.7%
9.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 89.0% · Q3 91.0% · Q4 95.8% · 4Q avg 90.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.9% |
12.5%
8.4 pts worse
|
12.0%
8.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.9% · Observed 19.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.2%
0.6 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.9% · Q3 1.1% · Q4 1.2% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.0% |
75.6%
15.4 pts better
|
79.7%
11.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
25.1%
1.9 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 24.9% · Expected 25.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Administration (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-04-01
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2020-04-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-01-04
Fire Safety
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.
Corrected 2019-01-04
Inspection history
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-11-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-17
Health
Provide and implement an infection prevention and control program.
Corrected 2025-11-17
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-04-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-14
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-11
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-03-26
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-10-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-25
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2023-10-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-30
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-06-30
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2023-06-30
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-06-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-30
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-06-30
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2023-06-30
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-04-01
Health
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.
Corrected 2020-04-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-04-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-04-01
Health
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.
Corrected 2020-04-01
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-01
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 2019-01-04
Health
Provide and implement an infection prevention and control program.
Corrected 2019-01-04
Health
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.
Corrected 2019-01-04
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-01-04
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 2019-01-04
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2019-01-04
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2019-01-04
Health
Post nurse staffing information every day.
Corrected 2019-01-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
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4-star overall rating with 4-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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