Ashland Nursing and Rehabilitation: CNA Eval Lapse - VA
The reason: a recent sale of the facility had left current staff without access to old personnel records.
The inspection, completed August 21, 2025, was triggered by a complaint. Surveyors reviewed five certified nursing assistant files. One of them, identified in inspection records as CNA #5, had no documented annual performance evaluation in the past 12 months. That was the violation.
What followed the request was a two-day sequence of explanations that never produced the record.
On the evening of August 20, at 5:13 p.m., inspectors requested CNA #5's most recent evaluation. The executive director and the director of clinical services were both in the room. The executive director said the facility "may not be able to provide" the information because of the ownership transition and the current staff's lack of access to prior personnel files. No evaluation was produced.
The next morning, at 9:04 a.m., the assistant director of clinical services was interviewed separately. She described herself as very new to the role and said she would be taking over staff performance evaluations going forward. She said she could not explain why the evaluation had not been completed on time. She said she would handle them in the future.
At 11:10 a.m. that same morning, the executive director and director of clinical services were formally notified of the deficiency. Inspectors noted that no additional information was provided before they left the building.
The violation was cited under federal tag F0730, which requires facilities to observe nurse aide job performance and provide regular training. CMS rated the level of harm as minimal harm or potential for actual harm, with few residents affected.
Performance evaluations are not paperwork for their own sake. They are the mechanism by which a facility is supposed to catch problems with direct care staff before those problems reach residents. A CNA who has never been formally evaluated in the past year is a CNA whose work habits, technique, and conduct have gone without any documented supervisory review. In a facility where aides provide the majority of hands-on care, that gap is a gap in oversight.
The ownership transition framing offered by the executive director raises a question the inspection record doesn't answer: how long had this particular aide been without an evaluation, and what else may have gone unreviewed during the changeover? The inspection covers only one file with a confirmed gap. It reviewed five.
The assistant director's answer, that she is new and will handle it from here, is a forward-looking commitment. It says nothing about what happened before she arrived or how many other records might carry the same gap.
Ashland Nursing and Rehabilitation is located at 906 Thompson Street in Ashland, Virginia.
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 2, 2026 · Our methodology
ASHLAND NURSING AND REHABILITATION in ASHLAND, VA was cited for violations during a health inspection on August 21, 2025.
The reason: a recent sale of the facility had left current staff without access to old personnel records.
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.