Nursing Home

The Meadows at Ashland

Overview of The Meadows at Ashland
The Meadows at Ashland is a townhome community located in scenic Ashland, Ohio, in the heart of Amish country. It offers attractive amenities of condominium living. The community is known for its friendly atmosphere and is situated near various attractions.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
1/5
Nebraska average: 2.8/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Nebraska average: 2.8/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Nebraska average: 3.1/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
1/5
Nebraska average: 2.8/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
3h 56m per day

This home provides 9% less nursing time per resident than the Nebraska average.

Nebraska average: 4h 19m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 97

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Nebraska average
Occupancy rate 7.2%
Residents per day 7
Occupancy rate
7.2%
Residents per day
7

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

31% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

46% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$6.1M
Profit
$780.4K
Privately-owned community Operated by a business corporation.
Home revenue
$6,093,912.00
Profit
$780,354.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
35.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.1M
Total costs $5.3M
Bed community size
97-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
7%
In line with Nebraska average
Occupied beds
7 / 97
Average residents 54 per day

License details

Facility type
Nursing Home
County: SAUNDERS

Additional licensing details

CMS Certification Number: 285140
Certification type: Certification

Ownership & operating entity

The Meadows at Ashland is administrated by Jeffrey Baker, Administrator.

Owner name: THE MEADOWS AT ASHLAND LLC

Contact Information

Fax: (402) 944-3674

Inspection History

In Nebraska, the Department of Health and Human Services, Division of Public Health conducts regular inspections to ensure nursing and assisted living facilities meet state and federal standards.

26 visits/inspections

13 visits/inspections triggered by complaints

3 routine inspections

Results

15 with issues

11 without issues

Latest inspection

Date:May 14, 2025

102 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Health Inspection History

Inspections
Total health inspections 8

Nebraska average 4.3


Last Health inspection on Jul 2025

Total health citations 19
Citations per inspection
2.38

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

11 of 19 citations resulted from standard inspections; 6 of 19 resulted from complaint investigations; and 2 of 19 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Nebraska average

Nebraska average: 0.2


Serious Health citations More info 3
500% worse than Nebraska average

Nebraska average: 0.5

0 critical citations More info Nebraska average: 0.2

3 serious citations More info Nebraska average: 0.5

16 moderate citations More info Nebraska average: 17.2

0 minor citations More info Nebraska average: 0.2
Citations history (last 3 years)
Pharmacy moderate citation Jul 22, 2025
Corrected

Quality of Care moderate citation Jul 22, 2025
Corrected

Quality of Care moderate citation Jul 22, 2025
Corrected

Quality of Care moderate citation Jul 22, 2025
Corrected

Compare Nursing Homes around Nebraska

The information below is reported by the Nebraska Department of Health and Human Services, Division of Public Health.
Accura HealthCare of Hartington
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

NE 68739
67
-
KLAASMEYER, KENNETH
63.6%
$3,668,324.00
$2,124,349.00
57.9%
31.40
4/5
4.1342
4/5
4/5
3/5
7
-
-7%
-7%
-10%
Accura HealthCare of Tekamah
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

NE 68061
46
-
GEIS, HEATHER
72.0%
$3,111,496.00
$2,065,549.00
66.4%
30.00
3/5
3.8342
4/5
1/5
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12
-
+19%
-14%
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Arbor Care Center-Valhaven, LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

NE 68064
66
A+
-
72.4%
$5,043,043.00
$3,225,812.00
64%
49.50
3/5
4.0787
3/5
3/5
4/5
18
1
-2%
-8%
+3%
Arbor Care Centers – Ord, LLC
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

NE 68862
60
-
LUTH, KURT
51.8%
$2,881,257.00
$1,523,175.00
52.9%
35.20
2/5
3.7604
2/5
2/5
2/5
29
1
+15%
-16%
-26%
The Meadows at Ashland
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

NE 68003
97
-
-
87.9%
$6,088,246.00
$2,183,612.00
35.9%
81.10
1/5
3.9360
2/5
2/5
1/5
19
3
-31%
-12%
+25%

Places of interest near The Meadows at Ashland

Address 0.0 miles from city center

Address ASHLAND, NE 68003

Calculate Travel Distance to The Meadows at Ashland

Add your location

Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

120
Total Staff
111
Employees
9
Contractors
36,371
Total Hours (Quarter)
47
Avg Staff/Day
8.5
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse89.4 Yes
Licensed Practical Nurse1210.2 Yes
Certified Nursing Assistant548.5 Yes
Staff by Category
Administration
1 staff
8hs shift avg
Nursing Staff
93 staff
8.8hs shift avg
Physicians & Practitioners
4 staff
7.9hs shift avg
Therapy Services
8 staff
6.9hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
4 staff
7.3hs shift avg
Dietary Services
6 staff
6.9hs shift avg
Other Services
4 staff
7.7hs shift avg
Contractor Analysis
6.2%
of total hours from contractors
2,246 contractor hours this quarter
Certified Nursing Assistant: 5 Licensed Practical Nurse: 2 Registered Nurse: 1 Clinical Nurse Specialist: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4955416,95191100%8.5
Medication Aide/Technician150155,78591100%9.3
Licensed Practical Nurse102123,98191100%10.2
Registered Nurse7181,5759099%9.4
RN Director of Nursing4041,2966774%7.8
Mental Health Service Worker4041,0317279%7.7
Other Dietary Services Staff4049616673%6.6
Qualified Social Worker4047127077%7.3
Speech Language Pathologist2026916571%5.7
Administrator1014966268%8
Physical Therapy Assistant2024876470%7.6
Physical Therapist1014806066%8
Dietitian2024786167%7.7
Respiratory Therapist1014586167%7.5
Respiratory Therapy Technician2023965763%6.8
Nurse Practitioner2022963741%8
Clinical Nurse Specialist1122963741%7.8

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
77 residents
Residents by payment source
Medicare
7 residents (9.1%)
Medicaid
61 residents (79.2%)
Private pay or other
9 residents (11.7%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 15.2
35% worse than Nebraska average

Nebraska average: 11.3

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 32.4
39% worse than Nebraska average

Nebraska average: 23.3

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 32.5%
56% worse than Nebraska average

Nebraska average: 20.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 30.6%
38% worse than Nebraska average

Nebraska average: 22.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 34.0%
26% worse than Nebraska average

Nebraska average: 26.9%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.8%
37% better than Nebraska average

Nebraska average: 4.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.9%
37% worse than Nebraska average

Nebraska average: 4.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Nebraska average

Nebraska average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.4%
20% better than Nebraska average

Nebraska average: 5.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 10.2%
130% worse than Nebraska average

Nebraska average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 28.1%
42% worse than Nebraska average

Nebraska average: 19.8%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.1%
7% worse than Nebraska average

Nebraska average: 93.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.9%
6% worse than Nebraska average

Nebraska average: 96.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 30.2%
63% worse than Nebraska average

Nebraska average: 80.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.2%
6% better than Nebraska average

Nebraska average: 2.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 14.8%
80% worse than Nebraska average

Nebraska average: 75.9%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $0
100% lower than Nebraska average

Nebraska average: $33K

Number of fines 0
100% fewer fines than Nebraska average

Nebraska average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 2
176% more payment denials than Nebraska average

Nebraska average: 0.7

Fines amount comparison
Fines amount comparison
This facility $0
Nebraska average $33K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Mar 5, 2025
64 days
Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Sep 12, 2023
3 days

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Nebraska Seniors

Get financial aid guidance

Aged and Disabled Waiver

Nebraska Medicaid A&D Waiver

Age 65+ or disabled, Nebraska resident, Medicaid- eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$4,000 (individual, higher than most states).

Higher asset limit; rural access focus.

Nebraska Respite Network

NE Respite Network

Caregiver of someone 60+, Nebraska resident.

No strict limit; prioritizes low-income.

Not applicable.

Lifespan respite focus; limited funding.

Personal Assistance Services (PAS)

Nebraska Personal Assistance Services

Age 19+ (65+ for seniors focus), Nebraska resident, Medicaid-eligible, needs help with 1+ ADL (e.g., bathing, dressing).

~$1,255/month (100% FPL, individual); spenddown allowed.

$4,000 (individual), $6,000 (couple) (excludes home up to $688,000, car).

Family can be paid caregivers; statewide via DHHS.

Program of All-Inclusive Care for the Elderly (PACE)

Nebraska PACE (Immanuel Pathways)

Age 55+, Nebraska resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$4,000 (individual), $6,000 (couple).

Only in Douglas, Sarpy, parts of Cass/Pottawattamie/Washington Counties.

Medicare Savings Program (MSP)

Nebraska Medicare Savings Program

Age 65+ or disabled, Nebraska resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist; includes Extra Help for Part D.

Senior Community Service Employment Program (SCSEP)

Nebraska SCSEP

Age 55+, unemployed, low-income, Nebraska resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Nebraska VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Nebraska resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

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