Ashland Nursing and Rehabilitation: Urine Odor Violations - VA
Federal inspectors visiting Ashland Nursing and Rehabilitation on August 18 and 19, 2025 documented the odor on four separate occasions, at 11:35 a.m. and again at 2:14 p.m. and 4:00 p.m. on the first day, and once more the following morning at 8:52 a.m. Each time, the finding was the same: a strong stale urine odor concentrated at the far end of the memory care unit's main hallway, in the stretch between the day room and the exit door.
The unit is locked. The residents living there have dementia. They cannot simply leave.
The housekeeping director, identified in the inspection report only as OSM #1, described the cleaning regimen in detail during an interview on August 19. Staff scrubbed bathrooms. They used a degreaser on the floors. A scrubbing machine circled the unit to lift set-in stains. Two rooms from that unit were deep cleaned every day, she said, and floors were stripped and waxed depending on how they looked. The goal was to run the full scrubbing process once a week, she said, and they tried to do it twice.
She acknowledged that the lingering urine odors were "not homelike."
She also said that when she walked the hallways of the memory care unit during that same interview, all she could smell were the cleaning products from the floor technician working that day.
Inspectors had smelled something different four times in the previous 25 hours.
The inspection report also cited a broader environmental maintenance failure. Housekeeping surfaces, including floors and tabletops, were not being cleaned consistently or when visibly soiled, according to inspectors' findings. The deficiency covered one of the facility's three units.
An activities assistant, identified as OSM #2, was interviewed on August 20. She said odors on the memory care unit were controlled by keeping residents as clean and dry as possible and having housekeeping do their part.
The executive director and director of clinical services were notified of the findings on August 19. The executive director and director of nursing were notified again on August 20. The inspection report notes that no further information was provided before inspectors left the building.
CMS classified the violations at the level of minimal harm or potential for actual harm, affecting a small number of residents. The deficiency was filed under F0584, which covers the requirement that nursing homes maintain a safe, clean, comfortable and homelike environment.
For the residents of the memory care unit, most of whom cannot advocate for themselves or describe what they experience, the smell was simply part of the air they breathed, in the hallway they walked, on the days inspectors happened to visit, and on all the days they did not.
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.
Federal inspectors visiting Ashland Nursing and Rehabilitation on August 18 and 19, 2025 documented the odor on four separate occasions, at 11:35 a.m.
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.