Ashland Nursing and Rehab: Infection Logs Missing - VA
Nobody could find them.
The director of clinical services told inspectors on August 19 that she and the current infection preventionist had only been at the facility since January 2025. She had searched for the November and December logs. They weren't there.
The facility's infection preventionist, a licensed practical nurse who said she had started in the role in mid-December, was interviewed the same afternoon. She remembered a gastrointestinal illness on Wing 2 during that period. Two or three residents had nausea and some vomiting. She said it was not Norovirus, and that no overarching trends were identified. She said there were no concerns about protective equipment availability at the time.
What she could not produce was any documentation of how that illness was monitored, contained, or resolved, because the surveillance logs that should have captured it no longer exist.
The federal inspection, completed August 21, cited the facility for failing to implement a complete infection control program across both months under review. The deficiency affects many residents, according to the citation.
Infection surveillance in a nursing home is not a formality. The nurse who now holds the infection preventionist role explained the purpose herself during her interview with inspectors. She said tracking infections allows staff to identify trends, determine where problems exist in staff practice, and make changes to prevent illnesses from spreading. She now pulls 24-hour reports and new orders every weekday, updating a running log of infections and antibiotic use across the facility.
That system exists today. It did not produce any recoverable record for the two months inspectors examined.
The facility's own surveillance policy states that the infection preventionist is responsible for ongoing tracking of healthcare-associated infections and other communicable diseases, gathering and interpreting that data to guide interventions and prevent future infections. The policy was on file. The records it required were not.
What happened to the November and December logs is not explained in the inspection report. The director of clinical services offered no answer beyond the fact of the search and its result. No additional information was provided before inspectors left the building.
The timing matters. A gastrointestinal illness circulated through Wing 2 during the window when documentation went missing. The infection preventionist who described it had just arrived at the facility. The director of clinical services had just arrived. The logs that would show how the prior team responded, whether they tested for Norovirus, how many residents were ultimately affected, and what interventions were taken, are gone.
Norovirus spreads rapidly in congregate settings. It can cause severe dehydration in elderly residents. The nurse who now manages infection tracking said the illness on Wing 2 was not identified as Norovirus and involved only a few people. That account may be accurate. There is no contemporaneous record to confirm it.
The executive director was present when inspectors first raised the issue on August 18 and was informed of the findings again on August 20. The inspection report does not indicate any explanation was offered at either meeting beyond what the director of clinical services had already said.
For two months, residents at Ashland Nursing and Rehabilitation were in a facility where, if an infection had begun spreading, the system designed to catch it early was either not functioning or not being documented. When inspectors came looking for proof that it had worked, the proof wasn't there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Ashland Nursing and Rehabilitation from 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 3, 2026 · Our methodology
ASHLAND NURSING AND REHABILITATION in ASHLAND, VA was cited for violations during a health inspection on August 21, 2025.
She had searched for the November and December logs.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.