All citations for Ashley Manor Health & Rehabilitation

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 Ashley Manor Health & Rehabilitation

Last standard health inspection on record

January 15, 2025

Showing 1 to 23 of 23 citations

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

    Provide family notifications of emergency plan.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 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 January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  3. 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 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  4. 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 January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  5. 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 January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 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 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

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

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  8. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Use approved construction type or materials.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  10. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  11. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  12. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  15. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

  17. 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 June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  18. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  19. 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 June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

  20. 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 June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 24, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 22, 2022).

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

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 21, 2025).

  23. 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 November 9, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 15, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.