The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Ashley Care Center
Registered name: Ashley Healthcare Center
Ashley, MI · Medicare-certified · 63 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Ashley Care Center in Ashley, MI has an overall rating of 1 out of 5 stars, with 1-star health inspection and quality measures ratings but 4-star staffing. It reports 3.25 nurse hours per resident per day versus the 4.1 federal benchmark, and it has had $17,345 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2493 hrs/resident/day
Quality measures
Last inspection: February 25, 2026Penalties, last 24 months: $17,345recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2493.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.30
- Nurse aides
- 2.13
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 54%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
68%37%Improving
Residents with a fall causing major injury
2.2%12%Worsening
Residents with pressure ulcers (bedsores)
9.1%8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.9%4.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.8%17.9%Worsening
Residents whose ability to walk got worse
4.8%13.4%Worsening
Long-stay residents on antianxiety or sleep medication
17.9%20%Worsening
Short-stay residents newly given an antipsychotic
—5.1%—
Residents with a long-term catheter
1.7%2.7%Worsening
Residents with new or worsening incontinence
31.4%24.2%Improving
Residents with depressive symptoms
12.2%3.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—82%—
Long-stay residents given the pneumonia vaccine
87%74%Worsening
Short-stay residents given the seasonal flu vaccine
—25.9%—
Short-stay residents given the pneumonia vaccine
25%16.2%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $17,345 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $26,685 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $70,563 in total fines · 2 payment denials.
- 15 days
Medicare/Medicaid payment denial
Aug 13, 2025
- $17,345
Federal fine
Aug 13, 2025
- 34 days
Medicare/Medicaid payment denial
Feb 15, 2024
- $53,218
Federal fine
Feb 15, 2024
Operator & ownership
Recent ownership change · Aug 1, 2021
Now operated by Ashley Healthcare Center LLC, previously Orchard Lake Investments Associates, LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of PIONEER HEALTHCARE MANAGEMENT · 9 homes · 2.4 stars avg
- Occupancy
- 52.9 residents on an average day (84% of 63 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.