All citations for Ashby Care 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 Ashby Care Center

Last standard health inspection on record

May 22, 2025

Showing 1 to 25 of 31 citations

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Properly provide smoke detection systems in areas open to corridors.

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

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

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

    Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

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

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 12, 2025).

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

    Install emergency lighting that can last at least 1 1/2 hours.

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

    Fire safety citation K-0291, Egress Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of October 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 4, 2023).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of June 16, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 12, 2021).

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.