All states › Virginia › Ashland › Ashland Nursing and Rehabilitation
906 Thompson Street Ashland, VA 23005 · Hanover County
CMS certification number 495362 · See this home on Medicare Care Compare
Is Ashland Nursing and Rehabilitation 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 Ashland Nursing and Rehabilitation as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Virginia average of 3.1.
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 3.44 hours per resident per day at Ashland Nursing and Rehabilitation, below the Virginia median of 3.57 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 12% below its all-week average. 53.2% of nursing staff left within a year (Virginia median 47.7%). 4 administrators left in the past year.
About this nursing home
Paying for care at Ashland Nursing and Rehabilitation: Medicare and Medicaid
Ashland Nursing and Rehabilitation 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 Virginia'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 February 9, 2024 and found 37 deficiencies, plus 44 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 161 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 161 citations at Ashland Nursing and Rehabilitation across 8 inspection dates, 92 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 18, 2026 (complaint inspection). The most common areas cited were quality of life and care (38) and resident rights (30). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, March 18, 2026). 14 citations were under CMS's abuse, neglect and exploitation rules.
July 2, 2026 · 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DEnsure services provided by the nursing facility meet professional standards of quality.
March 18, 2026 · 13 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
EHonor 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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DEnsure services provided by the nursing facility meet professional standards of quality.
DDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
DEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DProvide behavior health training consistent with the requirements and as determined by a facility assessment.
CPost nurse staffing information every day.
August 21, 2025 · 37 citations · includes complaint inspection
FHonor the resident's right to organize and participate in resident/family groups in the facility.
FEnsure the activities program is directed by a qualified professional.
FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
FEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FProvide and implement an infection prevention and control program.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
ERespond appropriately to all alleged violations.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide appropriate foot care.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DObserve each nurse aide's job performance and give regular training.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
DEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
DProvide training in compliance and ethics.
DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DProvide behavior health training consistent with the requirements and as determined by a facility assessment.
April 11, 2024 · 8 citations · includes complaint inspection
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide safe and appropriate respiratory care for a resident when needed.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DObserve each nurse aide's job performance and give regular training.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
February 9, 2024 · 65 citations · includes complaint inspection
FEnsure the activities program is directed by a qualified professional.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ERespond appropriately to all alleged violations.
ENot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
ENotify 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.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
EProvide safe, appropriate pain management for a resident who requires such services.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EObserve each nurse aide's job performance and give regular training.
EImplement 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
EGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DPASARR screening for Mental disorders or Intellectual Disabilities
DHonor each resident's preferences, choices, values and beliefs.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate foot care.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DEnsure that the resident and his/her doctor meet face-to-face at all required visits.
DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure that residents are free from significant medication errors.
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
DProvide or obtain dental services for each resident.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide special eating equipment and utensils for residents who need them and appropriate assistance.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DEducate 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.
DRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
DEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DProvide training in compliance and ethics.
DProvide behavior health training consistent with the requirements and as determined by a facility assessment.
November 20, 2023 · 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.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
June 7, 2022 · 13 citations
EHonor 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DEnsure medication error rates are not 5 percent or greater.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
DEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
February 6, 2020 · 19 citations
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
EEnsure that residents are free from significant medication errors.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
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.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe, appropriate pain management for a resident who requires such services.
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.
DEnsure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
Questions to ask on a tour of Ashland Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on March 18, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 2, 2026. How are staff trained, and how are concerns reported?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The last standard inspection was more than two years ago. Can I see any recent complaint inspection results?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
2 penalties in the last three years, including $36,491 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Mar 18, 2026 | Fine | $36,491 |
| Mar 18, 2026 | Payment Denial | 28 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 3/5 | 1/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 2/5 |
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Location
Hospitals near Ashland Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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11.3 mi
Bon Secours - Memorial Regional Medical MechanicsvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 22m for patients treated and sent home
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11.5 mi
Henrico Doctors' Hospital RichmondEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 28m for patients treated and sent home
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12.7 mi
Bon Secours - St Marys Hospital of Richmond RichmondEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 34m 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
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Other Avardis Health nursing homes in Virginia
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- Grayson Health and Rehabilitation · Independence · 4 stars
- Skyline Nursing & Rehabilitation · Floyd · 3 stars
- Windsor Grove Health and Rehabilitation · Windsor · 2 stars
- Pheasant Ridge Nursing and Rehabilitation · Roanoke · 1 stars
- Ghent Health and Rehabilitation · Norfolk · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 38 Avardis Health 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.