Ashland Health and Rehabilitation
16056 Boundry Drive, Ashland, MS 38603 · Benton County · 60 certified beds · avg 54 residents/day · certified since Jun 11, 1991
Part of chain: VANGUARD HEALTHCARE (6 facilities, chain avg rating 3.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 7, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 7, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Nov 21, 2023 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 21, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Nov 21, 2023 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Nov 21, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2025 | 4 | 0 | D |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Mississippi avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.88 | 4.88 | 3.95 | top 40% in Mississippi; top 15% in the U.S. |
| Registered Nurse hours | 0.94 | 0.74 | 0.69 | top 17% in Mississippi; top 18% in the U.S. |
| Weekend total nurse staffing | 4.03 | 4.09 | 3.50 | top 43% in Mississippi; top 22% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.38 | 0.48 | top 16% in Mississippi; top 34% in the U.S. |
| Total nursing staff turnover (%) | 31.7 | 45.7 | 45.8 | top 13% in Mississippi; top 17% in the U.S. |
| RN turnover (%) | 18.2 | 38.4 | 42.9 | top 20% in Mississippi; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.42, RN 0.85, weekend 3.65. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ervin General Partnership | Organization | 5% or Greater Indirect Ownership Interest | — | 12/19/2007 |
| Jere Suzanne Ervin Irrv Tr | Organization | 5% or Greater Indirect Ownership Interest | — | 12/19/2007 |
| Orand LP | Organization | 5% or Greater Indirect Ownership Interest | — | 12/19/2007 |
| Orand, William | Individual | 5% or Greater Indirect Ownership Interest | — | 12/19/2007 |
| Vanguard Healthcare, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/19/2007 |
| William Jeffrey Ervin Irrv Tr | Organization | 5% or Greater Indirect Ownership Interest | — | 12/19/2007 |
| Fick, John | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2014 |
| Harrison, Nicola | Individual | ADP of the SNF | NOT APPLICABLE | 08/11/2014 |
| Moore, Rhonda | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/05/2024 |
| Moore, Rhonda | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
| North Mississippi Management Associates, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/19/2007 |
| North Mississippi Management Associates, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
| Orand, William | Individual | Corporate Director | NOT APPLICABLE | 12/19/2007 |
| Orand, William | Individual | Corporate Officer | NOT APPLICABLE | 12/19/2007 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you learn about each resident's background and history, and how does that shape their care?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Holly Springs Rehabilitation and Healthcare Center | 8.3 mi | Holly Springs, MS | ★☆☆☆☆ | 1/5 | |
| Diversicare of Ripley | 13.9 mi | Ripley, MS | ★☆☆☆☆ | 1/5 | |
| Rest Haven Health and Rehabilitation | 13.9 mi | Ripley, MS | ★★☆☆☆ | 2/5 | |
| Tippah County Nursing Home | 14.1 mi | Ripley, MS | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 255138.