Ashland Nursing and Rehabilitation: Care Plan Failures - VA
The care plan on file for the resident, identified in inspection records only as R25, was dated August 14, 2023....
Latest reports, citations, and penalties from CMS data
The care plan on file for the resident, identified in inspection records only as R25, was dated August 14, 2023....
Hospitality aides at the facility pass water, deliver meal trays, change and remake beds, restock supplies, and answer call lights....
On August 11, 2025, a resident identified in inspection records as Resident 4, or R4, became upset after lunch....
Two grievances, one filed on August 6 and another on August 15, were marked resolved....
The incident happened on April 27, 2025....
The resident described the sequence themselves during an interview with inspectors on August 21, 2025....
That finding, rated by federal inspectors as causing actual harm, was documented during a complaint inspection completed August 21, 2025....
The nurse, identified in the report only as Staff E, was hired on June 9, 2025....
What they found was not a single oversight or a missed cleaning....
The lift bar dislodged mid-transfer....
Nearly three months later, inspectors were still looking at paperwork from July 2024....
The facility is Mission Point Nursing and Physical Rehabilitation Center on Clintonville Road, operating under the Villa at Pine Place name....
The resident had a history of falling....
The pattern began in the summer of 2024....
She had not tried to order one....
The inspection was triggered by a complaint....
That is what federal inspectors found when they visited Faith Haven Senior Care Centre at 6531 W Michigan Avenue in Jackson on August 21, 2025....
She did not know why a narcotic had been destroyed without a second nurse present to witness it and sign off....
The level of harm was listed as minimal harm or potential for actual harm, and the violation affected some residents....
Inspectors from the Centers for Medicare and Medicaid Services visited The Venetian Care & Rehabilitation Center on August 21, 2025, following a complaint....