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Ashby Ponds Inc

21160 Maple Branch Terrace, Ashburn, VA 20147 · Loudoun County · (571) 291-6200

44 certified beds, about 42 residents a day · Non profit - Corporation · Medicare since 2014

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495416 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 22, 2024, inspectors cited 7 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 17 health citations since March 2021 was rated as actual harm or immediate jeopardy.

CMS lists 3 fines totaling $6,293 in the last three years; the largest was $2,447, and the latest is dated October 10, 2023.

Nurses and nurse aides worked 4.82 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.44 of those hours.

39.0% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Erickson Senior Living, an affiliated group of 17 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
7E
0F
Potential for minimal harm
0A
0B
0C
February 22, 2024Standard inspection · 7 citations
  1. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to implement the comprehensive care plan for one of 16 residents in the survey sample, Resident #93.
  2. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to implement a complete pain management program for two of 16 residents in the survey sample, Residents #1 and #8.
  3. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide care and service for a complete dialysis (1) program for one of one dialysis residents in the survey sample, Resident #93.
  4. E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a resident was free from an unnecessary psychotropic medication, for one of 16 residents in the survey sample, Resident #26.
  5. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on observation, staff interview, and facility document review, it was determined facility staff failed to store and serve food in a sanitary manner in one of one facility kitchens.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to promote dignity for one of 16 residents in the survey sample, Resident #18.
  7. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 5, 2024
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow infection control practices for one of 16 residents in the survey sample, Resident #35.
April 28, 2022Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 31, 2022
    Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain the kitchen in a sanitary manner. The facility staff failed to date and dispose of expired or opened food during the facility task kitchen observation on 4/26/22 at 4:17 PM in one of three kitchen areas.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2022
    Inspectors wroteBased on observations and staff interview the facility staff failed to follow infection control practices for one of seven residents in the medication administration observation, Resident # 34 (R34). The facility staff placed their ungloved finger on the inside of the medication cup while administering medications to (R34).
March 26, 2021Standard inspection · 8 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store food in a sanitary manner. In the walk in refrigerator, a bottle of zesty orange sauce without an open or use by date and a ten pound container of sweet-and-sour duck sauce, was observed available for use past the labeled use by date of 2/21/21 on the container.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to implement or develop a comprehensive care plan for three of 24 residents in the survey sample, Residents # 16, # 8 and # 12. 1. The facility staff failed to implement Resident # 16's comprehensive care plan for the use of non-pharmacological interventions prior to the administration of the physician prescribed as needed pain medication, Tylenol [1]. 2. The facility staff failed to develop a comprehensive care plan for the use of an incentive spirometer [1] for Resident # 8. 3. The facility staff failed to develop a comprehensive care plan to address Resident #12's use of a sling and a surgical wound dressing present on readmission.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 24 residents in the survey sample, Resident #6. The facility failed to update Resident #6's comprehensive care plan to address a UTI (urinary tract infection) and treatment with an antibiotic.
  4. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the the facility staff failed to follow professional standards of practice for transcribing physician orders into the clinical record for one of 24 residents in the survey sample, Resident #12. The facility staff failed to transcribe and Resident #12's hospital physician's orders for non-weight bearing status of her right arm, sling and surgical wound at the time of her readmission.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to provided respiratory care, consistent with professional standards of practice and the plan of care for one of 24 residents in the survey sample, Resident #8. The facility staff failed to store Resident #8's incentive spirometer in a sanitary manner when not in use.
  6. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to implement a complete pain management program consistent with professional standards of practice, and the comprehensive person-centered care plan for one of 24 residents in the survey sample, Resident # 16. The facility staff failed to conduct a pain assessments and failed to attempt/provide non-pharmacological interventions prior to the administration of physician prescribed as needed pain medication Tylenol to Resident #16 on multiple occasions.
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to implement a comprehensive program for dialysis services for one of 24 residents in the survey sample, Resident #6. The facility staff failed to obtain physicians' orders for Resident #6's dialysis services and for assessment of the resident's dialysis access site, and failed to maintain regular communication with the dialysis provider.
  8. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 10, 2021
    Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to ensure the medication regimen was free from unnecessary medications for one of 24 residents in the survey sample, Resident # 16. The facility staff failed to conduct a pain assessment and failed to attempt / provide non-pharmacological interventions prior to the administering as needed pain medication Tylenol, to Resident #16.

Fire safety inspections

5 fire safety citations on file: 1 on February 22, 2024, 2 on April 28, 2022, 2 on March 26, 2021.

Every fire safety citation5 citations
  1. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 22, 2024 · Waiver
  2. D
    Provide properly protected cooking facilities.
    K 324 · April 28, 2022 · Corrected (the home has a date of correction)
  3. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · April 28, 2022 · Corrected (the home has a date of correction)
  4. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · March 26, 2021 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 26, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 10, 2023Fine $2,447
October 2, 2023Fine $2,098
September 25, 2023Fine $1,748

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)4.823.763.86
Registered nurses1.440.690.69
All nursing staff on weekends4.313.293.42
Nurse aides2.62
Licensed practical nurses0.75
Nursing staff turnover (share who left in a year)39.0%48.1%45.8%
Registered nurse turnover35.3%48.2%42.9%
Administrators who left0

CMS expects 3.72 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.02 on weekdays and 4.31 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.59 in April to June 2025 to 4.82 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.821.445.024.31 2.6%0 of 9042
Oct to Dec 20254.921.445.134.39 0.0%0 of 9241
Jul to Sep 20254.531.314.714.05 0.0%0 of 9243
Apr to Jun 20254.591.384.883.88 0.0%0 of 9143
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.214.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.71.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.63.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
19.915.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.74.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.114.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.422.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.511.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Ashby Ponds Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.2% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 111 eligible stays.

Potentially preventable readmissions

9.3% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 118 eligible stays.

Infections that led to a hospital stay

6.3% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 72 eligible stays.

Self-care and mobility at discharge

26.1% this home

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 46 residents counted.

Falls with major injury

1.6% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 63 residents counted.

New or worsened pressure ulcers

6.1% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 63 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 22 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ASHBY PONDS INC. CMS links this home to Erickson Senior Living, a group of 17 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
National Senior Communities, Inc5% or greater direct ownership interestOrganization100%01/14/2021
Brown, IanCorporate directorIndividual04/01/2023
Brown, PatriciaCorporate directorIndividual04/01/2022
Clupper, KatherineCorporate directorIndividual04/01/2024
Colins, MaryCorporate directorIndividual04/01/2018
Erstad, EileenCorporate directorIndividual01/25/2008
Jacque, ZinaCorporate directorIndividual04/01/2018
Leonard, MontyCorporate directorIndividual04/01/2022
Moscato, MaryCorporate directorIndividual04/01/2024
Paulk, PamelaCorporate directorIndividual04/01/2022
Pomeranz, WilliamCorporate directorIndividual04/01/2025
Reel, StephanieCorporate directorIndividual04/25/2013
Roskiewicz, MichaelCorporate directorIndividual04/01/2019
Sharp, RusselCorporate directorIndividual04/01/2023
Wallick, DanielCorporate directorIndividual04/01/2025
Colins, MaryCorporate officerIndividual04/01/2019
Embley, MarkCorporate officerIndividual10/27/2021
Erstad, EileenCorporate officerIndividual04/01/2018
Hall, JohnCorporate officerIndividual04/30/2010
Jacque, ZinaCorporate officerIndividual03/26/2026
Leonard, MontyCorporate officerIndividual04/01/2023
Merkert, RobertCorporate officerIndividual03/26/2026
Sawicki, ScottCorporate officerIndividual04/01/2024
Stiner, PamelaCorporate officerIndividual04/01/2024
Tyler, DanielCorporate officerIndividual04/01/2025
Erickson Senior Living LLCOperational/managerial controlOrganization11/23/2020
National Senior Communities, IncOperational/managerial controlOrganization01/14/2021
Butler, RichardOperational/managerial controlIndividual01/01/2014
Embley, MarkOperational/managerial controlIndividual10/27/2021
Hall, JohnOperational/managerial controlIndividual04/30/2010
Kotwal, ShavetaOperational/managerial controlIndividual07/12/2021
Merkert, RobertOperational/managerial controlIndividual03/26/2026
Rebholtz, CarlaOperational/managerial controlIndividual01/01/2021
Stiner, PamelaOperational/managerial controlIndividual04/01/2024
Sweetser, ChristianOperational/managerial controlIndividual03/01/2022
Bison, MichaelIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/17/2025
Ridley, FredIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/17/2025
Sones, RandallIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/17/2025
Erickson Senior Living LLCAdp of the SNFOrganization06/18/2025
Oak Investment TrustAdp of the SNFOrganization01/01/2025
Oak Investment Trust IIAdp of the SNFOrganization01/01/2026
Embley, MarkAdp of the SNFIndividual10/27/2021
Hall, JohnAdp of the SNFIndividual04/30/2010
Kotwal, ShavetaAdp of the SNFIndividual03/21/2025
Merkert, RobertAdp of the SNFIndividual03/26/2026
Rebholtz, CarlaAdp of the SNFIndividual01/01/2021
Stiner, PamelaAdp of the SNFIndividual04/01/2024
Sweetser, ChristianAdp of the SNFIndividual03/01/2022

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on February 22, 2024: "Provide safe, appropriate pain management for a resident who requires such services."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 22, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on February 22, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 22, 2024: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Ashby Ponds Inc's Medicare star rating?
CMS rates Ashby Ponds Inc 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ashby Ponds Inc get at its last inspection?
7 health deficiencies at the standard inspection on February 22, 2024. The Virginia average is 14.3.
Has Ashby Ponds Inc been fined?
Yes. CMS lists 3 fines totaling $6,293 in the last three years.
Does Ashby Ponds Inc accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Ashby Ponds Inc?
CMS lists 48 owners and managers, and links the home to Erickson Senior Living. Legal business name: ASHBY PONDS INC.

Sources

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