facebook tracking Kingston of Ashland, Ashland OH: CMS Ratings & Inspections
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Kingston of Ashland

All states › Ohio › Ashland › Kingston of Ashland

20 Amberwood Pkwy Ashland, OH 44805 · Ashland County

(419) 289-3859

All 4 nursing homes in Ashland, OH (4 take Medicaid)

Accepts Medicare Accepts Medicaid 110 certified beds For profit

CMS certification number 365646 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Kingston of Ashland a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Kingston of Ashland as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Ohio average of 3.2. Inspectors issued 34 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 4.14 hours per resident per day at Kingston of Ashland, above the Ohio median of 3.58 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 3.67 hours, 11% below its all-week average. 64% of nursing staff left within a year (Ohio median 48.9%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 4.14 hours
Above the Ohio median of 3.58 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.63 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.67 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 64% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 75% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds110
Residents per day 83 About 76% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1985
Part of a chainTrilogy Health Services
Legal business nameTRILOGY HEALTHCARE OF ASHLAND, LLC

Paying for care at Kingston of Ashland: Medicare and Medicaid

Kingston of Ashland is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 18, 2023 and found 7 deficiencies, plus 3 from complaint inspections in the same period. CMS notes that this home's most recent inspection was more than two years ago. In total, inspectors issued 34 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 34 citations at Kingston of Ashland across 9 inspection dates, 13 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on April 4, 2025. The most common areas cited were resident rights (10) and quality of life and care (6). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level G, April 4, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

October 30, 2025 · 3 citations · includes complaint inspection

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Nov 17, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Nov 17, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Nov 17, 2025)

April 4, 2025 · 3 citations, includes actual harm · includes complaint inspection

GProvide safe, appropriate pain management for a resident who requires such services.

Actual harm · Quality of Life and Care Deficiencies · Tag F0697 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2025)

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2025)

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Apr 17, 2025)

January 31, 2025 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Feb 14, 2025)

September 13, 2024 · 4 citations · includes complaint inspection

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Oct 11, 2024)

March 7, 2024 · 1 citation · includes complaint inspection

EHonor the resident's right to organize and participate in resident/family groups in the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0565 · Complaint inspection · Deficient, Provider has date of correction (Mar 26, 2024)

October 5, 2023 · 1 citation · includes complaint inspection

DProvide timely, quality laboratory services/tests to meet the needs of residents.

Potential for more than minimal harm · Administration Deficiencies · Tag F0770 · Complaint inspection · Deficient, Provider has date of correction (Oct 25, 2023)

May 18, 2023 · 7 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 30, 2023)

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Jun 30, 2023)

DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Jun 30, 2023)

DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0622 · Deficient, Provider has date of correction (Jun 30, 2023)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jun 30, 2023)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Jun 30, 2023)

DPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0626 · Deficient, Provider has date of correction (Jun 30, 2023)

February 27, 2020 · 6 citations

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Apr 1, 2020)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 1, 2020)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 1, 2020)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 1, 2020)

DImplement 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0758 · Deficient, Provider has date of correction (Apr 1, 2020)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 1, 2020)

December 13, 2018 · 8 citations

EEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 4, 2019)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 4, 2019)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jan 4, 2019)

DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Deficient, Provider has date of correction (Jan 4, 2019)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jan 4, 2019)

DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Potential for more than minimal harm · Administration Deficiencies · Tag F0773 · Deficient, Provider has date of correction (Jan 4, 2019)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jan 4, 2019)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has plan of correction (Jan 4, 2019)

Questions to ask on a tour of Kingston of Ashland

  1. Inspectors cited the home at the actual-harm level on April 4, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on December 13, 2018. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 64% a year. How many of the staff come from agencies?
  5. The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 2/5 4/5
August 2026 3/5 2/5 2/5 5/5
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Location

Hospitals near Kingston of Ashland

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.7 mi
    Samaritan Hospital - Peoples Hospital Ashland
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 22m for patients treated and sent home
  • 15.1 mi
    Ohiohealth Mansfield Hospital Mansfield
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 10m for patients treated and sent home
  • 17.7 mi
    Avita Ontario Ontario
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 28m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Crystal Care Center of Ashland Ashland · 0.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 72 beds · Medicaid
Brethren Care Village Health Care Center Ashland · 1.5 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 79 beds · Medicaid
The Good Shepherd Health and Rehabilitation Center Ashland · 1.9 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 125 beds · Medicaid
Country Pointe Wooster · 9.5 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 42 beds · Medicaid
Arbors at Mifflin Mansfield · 10.6 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 99 beds · Medicaid

More nursing homes near Kingston of Ashland ›   All nursing homes in Ashland ›

Compare Kingston of Ashland with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Trilogy Health Services nursing homes in Ohio

Affiliation comes from CMS's affiliated-entity data, October 2026. All 127 Trilogy Health Services nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/ohio/ashland/kingston-of-ashland/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.