Ashland Nursing and Rehabilitation: Training Gap Found - VA
The inspection, completed August 21, 2025, flagged one deficiency, a failure to document required communications training for one of ten staff records reviewed. The certified nursing assistant identified in the report as CNA #5 had no record showing the training had ever been completed.
The explanation came the evening before the inspection closed. At 5:13 p.m. on August 20, when inspectors requested CNA #5's education records, the executive director and the director of clinical services were both in the room. The executive director, identified as ASM #1, told the survey team the facility may not be able to provide the requested information because of the recent sale and the current staff's lack of access to old personnel records.
May not be able to provide. Not that the training had happened and the records were simply misplaced. Not that they were working to locate them.
The next morning, at 9:04 a.m., inspectors interviewed the assistant director of clinical services, identified as ASM #5. She described herself as very new to the role and said she would be taking over staff training going forward. She said she could not speak to why the required trainings were not done in the past, but that in the future she would be taking care of them. She said she would be keeping up with required training content and tracking each staff member's completion.
She added that staff training is one way to meet residents' needs, and that managers are responsible for making sure staff are trained in order to provide the highest level of care possible.
Those are the right answers. Whether the facility acts on them is a different question.
The deficiency was rated at the lowest level of harm, minimal harm or potential for actual harm, and affected few residents. It is a single finding from a complaint inspection, not a pattern of widespread failure documented across dozens of residents. That matters. But so does what the missing record represents.
Communications training for direct care staff is not a bureaucratic checkbox. CNAs are the people in the room when a resident cannot articulate what they need, when a family member is asking a question in the hallway, when something looks wrong and someone has to decide whether to escalate it. Training on how to communicate in those moments is the foundation of what happens next.
The facility's own policy states that employees will be provided training on required topics on an annual basis, and that each center is responsible for ensuring required regulations are followed. The policy also says additional training may be provided based on areas of deficiency identified. The deficiency identified here is the training itself.
At 11:10 a.m. on August 21, the executive director and director of clinical services were informed of the findings. No additional information was provided before the inspection closed.
The ownership transition that administrators cited as the reason for the records gap is not an uncommon situation in the nursing home industry. Facilities change hands, files get siloed, institutional memory walks out the door with departing staff. What changes hands more slowly, or sometimes not at all, is accountability for what happened before the sale.
CNA #5 is still working at the facility. Whether that person ever received communications training, whether it happened and simply wasn't recorded, or whether it never happened at all, the inspection report cannot say. The records weren't there.
The assistant director of clinical services, new to her role, said she would fix it going forward. The executive director and clinical director, who were present when inspectors first asked, offered an explanation for why the records were missing. Neither offered evidence that the gap had been closed.
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.
The certified nursing assistant identified in the report as CNA #5 had no record showing the training had ever been completed.
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.