All citations for Ashbrook Care & Rehabilitation Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Ashbrook Care & Rehabilitation Center

Last standard health inspection on record

May 9, 2025

Showing 1 to 25 of 30 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2025).

    The home is disputing this citation.

  2. Immediate jeopardy to resident health or safety

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2025).

    The home is disputing this citation.

  3. Immediate jeopardy to resident health or safety

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2025).

    The home is disputing this citation.

  4. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0835, Administration Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 10, 2025).

    The home is disputing this citation.

  5. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Widespread (many residents). CMS level F.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  6. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  7. No harm, with potential for more than minimal harm

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Widespread (many residents). CMS level F.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 10, 2024).

  9. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of May 9, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  10. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  11. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  12. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  14. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 15, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  15. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 19, 2024).

  16. No harm, with potential for more than minimal harm

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0728, Nursing and Physician Services Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  17. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 20, 2023).

  18. No harm, with potential for more than minimal harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0849, Administration Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  19. No harm, with potential for more than minimal harm

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Pattern (more than a few residents). CMS level E.

    Health citation F-0868, Administration Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 2024).

  20. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of May 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 23, 2025).

  21. No harm, with potential for more than minimal harm

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0557, Resident Rights Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 15, 2024).

  22. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 16, 2023).

  23. No harm, with potential for more than minimal harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Isolated (one or a few residents). CMS level D.

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  24. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

  25. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.