All citations for Ashford Hall

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 Ashford Hall

Last standard health inspection on record

April 9, 2026

Showing 1 to 25 of 25 citations

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

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Have proper medical gas storage and administration areas.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

  7. 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 January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, Egress Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Ensure electrical receptacles or cover plates have distinctive color or marking.

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

    Fire safety citation K-0917, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

    Health citation F-0691, Quality of Life and Care Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Have properly installed hallway dispensers for alcohol-based hand rub.

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

    Fire safety citation K-0325, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

  21. 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 January 24, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 3, 2025).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2025).

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

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2025).

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

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of January 13, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 22, 2025).

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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, Resident Rights Deficiencies. Inspection of September 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 27, 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.