Ashley Healthcare Center

Name: Ashley Healthcare Center
Address: 103 West Wallace Street, Ashley, MI, 48806, US
Telephone: 9898472011

103 West Wallace Street, Ashley, MI 48806 · Gratiot County · 63 certified beds · avg 53 residents/day · certified since Dec 9, 1992

Part of chain: PIONEER HEALTHCARE MANAGEMENT (9 facilities, chain avg rating 2.3★)

2/5

Health inspection rating (on-site)

Serious findings on record

$70,904

Fines, last 3 years

3.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Aug 13, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 14, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jul 2, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jul 21, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (29)

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
Feb 25, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely.
Feb 25, 2026	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 25, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 25, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 25, 2026	D · Potential for harm, one-off	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.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 25, 2026	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Nov 13, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Nov 13, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Aug 13, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Aug 13, 2025	D · Potential for harm, one-off	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. · from a complaint
Jul 2, 2025	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 9, 2025	E · Potential for harm, repeated	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.
Jan 9, 2025	E · Potential for harm, repeated	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.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 9, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Jul 31, 2024	E · Potential for harm, repeated	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.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 31, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 15, 2024	E · Potential for harm, repeated	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. · from a complaint
Feb 15, 2024	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 15, 2024	E · Potential for harm, repeated	The facility did not designate a qualified infection preventionist — a trained person responsible for running the infection prevention and control program. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 13).

Year	Citations	Serious (G–L)	Worst severity that year
2024	7	0	E
2025	9	2	G ▲
2026	13	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)

2 fines totaling $70,904, plus 2 Medicare payment denial periods.

Date	Type	Amount / length
Aug 13, 2025	Fine	$17,686
Aug 13, 2025	Payment Denial	15 days from Sep 10, 2025
Feb 15, 2024	Fine	$53,218
Feb 15, 2024	Payment Denial	34 days from Mar 16, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Michigan avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.98	4.32	3.95	bottom 42% in Michigan; top 40% in the U.S.
Registered Nurse hours	1.00	0.84	0.69	top 26% in Michigan; top 16% in the U.S.
Weekend total nurse staffing	3.44	3.79	3.50	bottom 36% in Michigan; top 45% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.54	0.49	0.48	top 33% in Michigan; top 29% in the U.S.
Total nursing staff turnover (%)	50.9	44.1	45.8	bottom 29% in Michigan; bottom 35% in the U.S.
RN turnover (%)	53.8	39.2	42.9	bottom 23% in Michigan; bottom 30% 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 3.25, RN 0.82, weekend 2.81. Staffing rating: 4/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Uddin, Fahim	Individual	5% or Greater Direct Ownership Interest	100%	08/01/2021
Anderson, Russell	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2026
Anderson, Russell	Individual	ADP of the SNF	NOT APPLICABLE	05/12/2026
Stewart, Amy	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2026
Stewart, Amy	Individual	ADP of the SNF	NOT APPLICABLE	05/12/2026

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
The Laurels of Fulton	11.3 mi	Perrinton, MI	★★★☆☆	2/5
Ovid Healthcare Center	13.5 mi	Ovid, MI	★★★★☆	3/5
Hazel I Findlay Country Manor	13.6 mi	Saint Johns, MI	★★★★★	4/5
Schnepp Senior Care and Rehabilitation Center	16.8 mi	St. Louis, MI	★★★★☆	2/5	abuse
Michigan Masonic Home	17.2 mi	Alma, MI	★★★★★	4/5
Riverside Healthcare Center	17.4 mi	St. Louis, MI	★★★☆☆	3/5
Chesaning Nursing and Rehabilitation Center	18.1 mi	Chesaning, MI	★★☆☆☆	2/5
The Laurels of Carson City	18.5 mi	Carson City, MI	★★★★☆	3/5
Memorial Healthcare Center	19.4 mi	Owosso, MI	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Ashley →

Facility data as of CMS processing date 2026-08-01. CCN 235532.

The Care File

Visit checklist — Ashley Healthcare Center

103 West Wallace Street, Ashley, MI 48806 · 9898472011

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $70,904

Most serious findings on record:

▲ Aug 13, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Jul 2, 2025 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 235532 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)