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Complaint Investigation

Ashley Healthcare Center

November 13, 2025 · Ashley, MI · 103 West Wallace Street
Citations 2
CMS Rating 2/5
Beds 63
Provider ID 235532
Healthcare Facility
Ashley Healthcare Center
Ashley, MI  ·  View full profile →
Inspection Summary

Ashley Healthcare Center in Ashley, MI — inspection on November 13, 2025.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Review of the facility policy Abuse, Neglect and Exploitation implemented 11/1/22 (no review/revision date) revealed: Verbal Abuse means the use of oral, written or gestured communication or sounds that willfully includes disparaging and derogatory terms to residents or their families, or within their hearing distance regardless of their age, ability to comprehend, or disability.

Physical Abuse includes, but is not limited to hitting, slapping, punching, biting, and kicking. It also includes controlling behavior through corporal punishment.B.

Prospective residents will be screened to determine whether the facility has the capability and capacity to provide the necessary care and services for each resident admitted to the facility. 1. An assessment of the individual's functional and mood/behavioral status, medical acuity, and special needs will be reviewed prior to admission. 2.

The facility will make individual determinations in consideration of current staffing patterns, staff qualifications, competency and knowledge, clinical resources, physical environment, and equipment.D.

The identification, ongoing assessment, care planning for appropriate interventions, and monitoring of residents with needs and behaviors which might lead to conflict or neglect. G.

Addressing features of the physical environment that may make abuse, neglect, exploitation, and misappropriation of resident property more likely to occur.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/13/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Ashley Healthcare Center

103 West Wallace Street Ashley, MI 48806

SUMMARY STATEMENT OF DEFICIENCIES

spending time together and playing.

When asked why she did not put this information in the chart (RN J) stated she thought that would be too much information.

Review of the facility policy Abuse, Neglect and Exploitation implemented 11/1/22 (no review/revision date) revealed: Physical Abuse includes, but is not limited to hitting, slapping, punching, biting, and kicking. It also includes controlling behavior through corporal punishment.

Alleged Violation is a situation or occurrence that is observed or reported by staff, resident, relative, visitor or others but has not yet been investigated and, if verified, could be indication of noncompliance with the Federal requirements related to mistreatment, exploitation, neglect, or abuse, including injuries of unknown source, and misappropriation of resident property.Policy Explanation and Compliance Guidelines: 1.

The facility will develop and implement written policies and procedures that: a.

Prohibit and prevent abuse.b.

Establish policies and procedures to investigate any such allegations; and c.

Include training for new and existing staff on activities that constitute abuse.and resident abuse prevention.3.

The facility will provide ongoing oversight and supervision of staff in order to assure that its policies are implemented as written.VII.

Reporting/Response A.

The facility will have written procedures that include: 1.

Reporting of all alleged violations to the Administrator.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Ashley, MI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Ashley Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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