| Ashley Healthcare Center | |
| 103 West Wallace Street, Ashley, Michigan 48806 | |
| (989) 847-2011 | |
| Name | Ashley Healthcare Center |
|---|---|
| Location | 103 West Wallace Street, Ashley, Michigan |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 63 |
| Occupancy Rate | 83.97% |
| Medicare ID (CCN) | 235532 |
| Legal Business Name | Ashley Healthcare Center LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Pioneer Healthcare Management (9 nursing homes) |
| Chain Average Overall Rating | 2.3 out of 5 |
| NPI Number | 1215505946 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ashley Healthcare Center LLC |
| Address | 103 E Wallace St, Ashley, MI 48806 |
| Phone Number | 989-847-2011 |
| NPI Number | 1194727388 |
| Match | Possible same name, address or phone number |
| Organization Name | Orchard Lake Investments Associates, LLC |
| Doing Business As | Ashley Care Center |
| Address | 103 West Wallace, Ashley, MI 48806 |
| Phone Number | 989-847-2011 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.25 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.82 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.3 | 0.86 |
| Nurse aide hours per resident per day | 2.13 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.81 | 3.42 |
| RN hours per resident per day on the weekend | 0.54 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 50.9% | 45.8% |
| Registered nurse turnover | 53.8% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $70,904 |
| Number of Payment Denials | 2 |
| Total Number of Penalties | 4 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 25, 2026 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 18, 2026 |
| Feb 25, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Feb 25, 2026 | 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. F0887, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Apr 17, 2026 |
| Nov 13, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 13, 2025 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Aug 13, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Aug 14, 2025 |
| Aug 13, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Sep 25, 2025 |
| Jul 2, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Jul 21, 2025 |
| Jan 9, 2025 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 15, 2025 |
| Jan 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 15, 2025 |
| Jan 9, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 15, 2025 |
| Jan 9, 2025 | 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. F0849, Administration, Standard inspection | Potential for harm, isolated | Corrected by Jan 15, 2025 |
| Jul 31, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Aug 16, 2024 |
| Jul 31, 2024 | 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Jul 31, 2024 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Aug 16, 2024 |
| Feb 15, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Mar 11, 2024 |
| Feb 15, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Mar 11, 2024 |
| Feb 15, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Mar 11, 2024 |
| Feb 15, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Apr 19, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.13 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 6.59 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.29 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.52 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 8.48 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.14 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.19 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.61 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.13 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.17 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.02 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 82 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.93 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.67 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.88 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 54.81 | 15.38 |