1 Report
Inspection Report — May 18, 2025
Annual Inspection
Date: May 18, 2025
Visit Reason
The report covers 16 inspections of Ashley Manor, INC between March 17, 2014 and May 18, 2025, including standard and initial licensure visits.
Findings
Across the inspection history, 28 deficiencies were recorded with 1 serious deficiency. The state took 5 legal actions with fines totaling $4,500.
Citations (28)
Medication - Records — cited March 17, 2025, corrected May 18, 2025
Medication - Labeling and Orders — cited March 17, 2025, corrected May 18, 2025
Staffing Standards - Administrators — cited February 5, 2021, corrected March 5, 2021
Training - Staff In-service — cited February 5, 2021, corrected March 5, 2021
Training - Hiv/aids — cited February 5, 2021, corrected March 5, 2021
Records - Resident — cited February 5, 2021, corrected March 5, 2021
Background Screening-compliance Attestation — cited February 5, 2021, corrected March 5, 2021
Training - Do Not Resuscitate Orders — cited October 1, 2020, corrected November 23, 2020
Emergency Environmental Control — cited October 1, 2020, corrected November 23, 2020
Admissions - Health Assessment — cited March 6, 2018, corrected April 27, 2018
Resident Care - Social & Leisure Activities — cited March 6, 2018, corrected April 27, 2018
Medication - Assistance With Self-admin — cited March 6, 2018, corrected April 27, 2018
Staffing Standards - Administrators — cited March 6, 2018, corrected April 27, 2018
Training - First Aid and Cpr — cited March 6, 2018, corrected April 27, 2018
Food Service - Dietary Standards — cited March 6, 2018, corrected April 27, 2018
Records - Staff — cited March 6, 2018, corrected April 27, 2018
Emergency Plan Approval — cited March 6, 2018, corrected February 15, 2019
Background Screening Clearinghouse — cited March 6, 2018, corrected April 27, 2018
Background Screening; Prohibited Offenses — cited March 6, 2018, corrected April 27, 2018
Admissions - Criteria — cited March 25, 2016, corrected June 8, 2016
Medication - Assistance With Self-admin — cited March 25, 2016, corrected June 8, 2016
Medication - Records — cited March 25, 2016, corrected June 8, 2016
Staffing Standards - Administrators — cited March 25, 2016, corrected June 8, 2016
Training - Staff In-service — cited March 25, 2016, corrected June 8, 2016
Background Screening; Prohibited Offenses — cited March 25, 2016, corrected June 8, 2016
Training - Staff In-service — cited March 17, 2014, corrected April 28, 2014
Training - First Aid and Cpr — cited March 17, 2014, corrected April 28, 2014
Training - Assis Self-admin Meds & Med Mgmt — cited March 17, 2014, corrected April 28, 2014
Report Facts
Inspections: 16
Visits with deficiencies: 9
Clean visits: 1
Deficiencies: 28
Serious deficiencies: 1
Legal actions: 5
Total fines: 4500
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