Inspection Reports for Ashland Post Acute
135 Maple Street, Ashland, OR 97520, OR, 97520
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
20.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
210% worse than Oregon average
Oregon average: 6.7 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 5
Dec 8, 2025
Visit Reason
Facility failed to notify representatives of hospital transfers and had inappropriate discharges without proper notification or resources. Multiple residents affected with lack of communication and discharge planning.
Findings
Facility failed to notify representatives of hospital transfers and had inappropriate discharges without proper notification or resources. Multiple residents affected with lack of communication and discharge planning.
Deficiencies (5)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0627 - Inappropriate Discharge |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 8
Nov 14, 2025
Visit Reason
Multiple deficiencies including failure to inform residents, respect dignity, notify of changes, quality of care, pressure ulcer treatment, and care planning. All deficiencies were not corrected at revisit.
Findings
Multiple deficiencies including failure to inform residents, respect dignity, notify of changes, quality of care, pressure ulcer treatment, and care planning. All deficiencies were not corrected at revisit.
Deficiencies (8)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0557 - Respect, Dignity/Right to have Prsnl Property |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0684 - Quality of Care |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 21
May 9, 2025
Visit Reason
Numerous deficiencies including failure to obtain consent for medications, reasonable accommodations, advance directives, grievance handling, chemical restraints, PASARR coordination, comprehensive care planning, ADL care, activities, quality of care, accident hazard supervision, nursing staff sufficiency, pharmacy services, dental services, nutritive value of food, and food sanitation. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Numerous deficiencies including failure to obtain consent for medications, reasonable accommodations, advance directives, grievance handling, chemical restraints, PASARR coordination, comprehensive care planning, ADL care, activities, quality of care, accident hazard supervision, nursing staff sufficiency, pharmacy services, dental services, nutritive value of food, and food sanitation. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (21)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0552 - Right to be Informed/Make Treatment Decisions |
| F0558 - Reasonable Accommodations Needs/Preferences |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0585 - Grievances |
| F0605 - Right to be Free from Chemical Restraints |
| F0644 - Coordination of PASARR and Assessments |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0677 - ADL Care Provided for Dependent Residents |
| F0679 - Activities Meet Interest/Needs Each Resident |
| F0684 - Quality of Care |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0725 - Sufficient Nursing Staff |
| F0755 - Pharmacy Srvcs/Procedures/Pharmacist/Records |
| F0791 - Routine/Emergency Dental Srvcs in NFs |
| F0804 - Nutritive Value/Appear, Palatable/Prefer Temp |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| M0000 - Initial Comments |
| M0183 - Nursing Services: Minimum CNA Staffing |
| M0273 - Care Plan Prep, Implementation & Documentatio |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 9
Aug 30, 2024
Visit Reason
Deficiencies included failure to treat residents with dignity, inaccurate assessments, incomplete discharge summaries, failure to provide ADL care, pressure ulcer treatment, accurate resident records, and failure to protect from abuse. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Deficiencies included failure to treat residents with dignity, inaccurate assessments, incomplete discharge summaries, failure to provide ADL care, pressure ulcer treatment, accurate resident records, and failure to protect from abuse. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (9)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0557 - Respect, Dignity/Right to have Prsnl Property |
| F0641 - Accuracy of Assessments |
| F0661 - Discharge Summary |
| F0677 - ADL Care Provided for Dependent Residents |
| F0686 - Treatment/Svcs to Prevent/Heal Pressure Ulcer |
| F0842 - Resident Records - Identifiable Information |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 4
Apr 19, 2024
Visit Reason
Facility failed to ensure residents were free from misappropriation of controlled narcotic and sedative medications. Incident involved staff impairment and theft. Immediate interventions were provided. Deficiencies remained uncorrected at revisit.
Findings
Facility failed to ensure residents were free from misappropriation of controlled narcotic and sedative medications. Incident involved staff impairment and theft. Immediate interventions were provided. Deficiencies remained uncorrected at revisit.
Deficiencies (4)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0602 - Free from Misappropriation/Exploitation |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 2
Mar 5, 2024
Visit Reason
No deficiencies identified during this survey.
Findings
No deficiencies identified during this survey.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 19
Jan 22, 2024
Visit Reason
Deficiencies included failure to accommodate resident needs, prevent abuse, accurate assessments, comprehensive care planning, ADL care, restorative care, smoking safety, pain management, trauma informed care, nurse aide performance reviews, drug regimen review, psychotropic medication monitoring, menu compliance, and food palatability. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Deficiencies included failure to accommodate resident needs, prevent abuse, accurate assessments, comprehensive care planning, ADL care, restorative care, smoking safety, pain management, trauma informed care, nurse aide performance reviews, drug regimen review, psychotropic medication monitoring, menu compliance, and food palatability. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (19)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0558 - Reasonable Accommodations Needs/Preferences |
| F0600 - Free from Abuse and Neglect |
| F0641 - Accuracy of Assessments |
| F0656 - Develop/Implement Comprehensive Care Plan |
| F0657 - Care Plan Timing and Revision |
| F0677 - ADL Care Provided for Dependent Residents |
| F0688 - Increase/Prevent Decrease in ROM/Mobility |
| F0689 - Free of Accident Hazards/Supervision/Devices |
| F0697 - Pain Management |
| F0699 - Trauma Informed Care |
| F0730 - Nurse Aide Peform Review-12 hr/yr In-Service |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0803 - Menus Meet Resident Nds/Prep in Adv/Followed |
| F0804 - Nutritive Value/Appear, Palatable/Prefer Temp |
| F0947 - Required In-Service Training for Nurse Aides |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
Inspection Report
Complaint Investigation
Capacity: 87
Deficiencies: 2
Dec 6, 2023
Visit Reason
No deficiencies identified during this survey.
Findings
No deficiencies identified during this survey.
Deficiencies (2)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| M0000 - Initial Comments |
Inspection Report
Capacity: 87
Deficiencies: 1
Jun 12, 2023
Visit Reason
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Findings
Facility failed to report complete COVID-19 information to CDC's NHSN during a required seven-day period. This failure had potential to cause more than minimal harm to all residents.
Deficiencies (1)
| Description |
|---|
| F0884 - Reporting - National Health Safety Network |
Inspection Report
Re-licensure
Capacity: 87
Deficiencies: 12
Oct 7, 2022
Visit Reason
Multiple deficiencies including failure to follow up on advance directives, notify physicians of blood sugar issues, maintain safe environment, follow physician orders, provide dialysis services, address pharmacy recommendations, monitor psychotropic medications, and maintain sanitary kitchen. Some deficiencies were corrected at revisit, others remained uncorrected.
Findings
Multiple deficiencies including failure to follow up on advance directives, notify physicians of blood sugar issues, maintain safe environment, follow physician orders, provide dialysis services, address pharmacy recommendations, monitor psychotropic medications, and maintain sanitary kitchen. Some deficiencies were corrected at revisit, others remained uncorrected.
Deficiencies (12)
| Description |
|---|
| F0000 - INITIAL COMMENTS |
| F0578 - Request/Refuse/Dscntnue Trmnt;Formlte Adv Dir |
| F0580 - Notify of Changes (Injury/Decline/Room, etc.) |
| F0584 - Safe/Clean/Comfortable/Homelike Environment |
| F0684 - Quality of Care |
| F0695 - Respiratory/Tracheostomy Care and Suctioning |
| F0698 - Dialysis |
| F0756 - Drug Regimen Review, Report Irregular, Act On |
| F0758 - Free from Unnec Psychotropic Meds/PRN Use |
| F0812 - Food Procurement,Store/Prepare/Serve-Sanitary |
| M0000 - Initial Comments |
| M9999 - STATE OF OREGON ADMINISTRATIVE RULES |
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