Ashley Healthcare Center
103 West Wallace Street · Ashley, MI · 48806 · 9898472011
63 certified beds For profit - Limited Liability company Chain: Pioneer Healthcare Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $17,345 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 2.82 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 3 · $107,447 |
Inspection citations (31 in the current record)
-
Potential for harm · D February 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.
Corrected April 17, 2026 · Resident Rights
-
Potential for harm · D February 25, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected April 17, 2026 · Resident Rights
-
Potential for harm · D February 25, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 25, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 18, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 25, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D February 25, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D February 25, 2026
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 17, 2026 · Quality of Life and Care
-
Potential for harm · D February 25, 2026
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 17, 2026 · Administration
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Potential for harm · D February 25, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 17, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D February 25, 2026
Provide and implement an infection prevention and control program.
Corrected April 17, 2026 · Infection Control
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Potential for harm · D February 25, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 17, 2026 · Infection Control
-
Potential for harm · D February 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.
Corrected April 17, 2026 · Infection Control
-
Potential for harm · D February 25, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 17, 2026 · Quality of Life and Care
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Potential for harm · D November 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 13, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · D August 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 25, 2025 · Infection Control
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Actual harm · G July 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 21, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · E January 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.
Corrected January 15, 2025 · Pharmacy Service
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Potential for harm · D January 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.
Corrected January 15, 2025 · Administration
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Potential for harm · E January 9, 2025
Provide and implement an infection prevention and control program.
Corrected January 15, 2025 · Infection Control
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Potential for harm · D July 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.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · D July 31, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 16, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E July 31, 2024
Provide and implement an infection prevention and control program.
Corrected August 16, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 13, 2025 | Fine | $17,345 |
| August 13, 2025 | Payment Denial | 15 days |
| February 15, 2024 | Fine | $53,218 |
| February 15, 2024 | Payment Denial | 34 days |
| July 5, 2023 | Fine | $36,884 |
| July 5, 2023 | Payment Denial | 68 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 235532 · certified since December 9, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.