The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Ashton Health and Rehabilitation
McLeansville, NC · Medicare-certified · 134 beds
Needs attention
For-profitChain member
5 of 5 overall
Ashton Health and Rehabilitation has a 5-star overall rating, with strong quality measures and a 4-star health inspection rating, but weaker staffing at 2 stars and 3.66 nurse hours per resident per day versus the 4.1 federal benchmark. It also had $8,788 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.6576 hrs/resident/day
Quality measures
Last inspection: July 3, 2025Penalties, last 24 months: $8,788recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6576.
Staffing detail
- Registered nurses
- 0.17
- Licensed practical nurses
- 1.01
- Nurse aides
- 2.48
- Weekend nursing
- 3.26
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 53%
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
8.6%9.4%Worsening
Residents with a fall causing major injury
3.5%4.8%Worsening
Residents with pressure ulcers (bedsores)
1.9%2.7%Worsening
Residents with a urinary tract infection
1.2%0%Improving
Residents who lost too much weight
5.5%4.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.9%3.2%Improving
Residents whose ability to walk got worse
—8.6%—
Long-stay residents on antianxiety or sleep medication
16.2%13.8%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
33.5%12.1%Improving
Residents with depressive symptoms
6%2.7%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
—95.7%—
Long-stay residents given the pneumonia vaccine
96.5%89.3%Worsening
Short-stay residents given the seasonal flu vaccine
—93.2%—
Short-stay residents given the pneumonia vaccine
92.1%88%Worsening
What the inspectors found
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited May 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: D
The home failed to support and respect residents’ choices and self-determination. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 561 — 42 CFR §483.10 — S/S: D
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $8,788 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,788 in total fines.
- $8,788
Federal fine
Apr 30, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SANSTONE HEALTH & REHABILITATION · 18 homes · 4.1 stars avg
- Occupancy
- 120.6 residents on an average day (90% of 134 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 16 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.