Home / North Dakota / Ashley
Ashley Medical Center Nursing Home
612 Center Ave N, Ashley, ND 58413 · McIntosh County · (701) 288-3433
31 certified beds, about 29 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355091 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 2, 2025, inspectors cited 3 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
None of its 7 health citations since May 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.22 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.96 of those hours.
41.0% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
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.
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 7 health citations on file.
July 2, 2025Standard inspection · 3 citations
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation and staff interview, the facility failed to provide access to a personal phone for 1 of 1 sampled resident (Resident #13). Failure to place a resident's personal phone within reach limits the residents' ability to communicate with friends and family and may result in loneliness.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.19.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 2 of 12 sampled residents (Resident #11 and #13). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan, and the care provided to the residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, review of facility policy, and staff interview, the facility failed to review and revise care plans to reflect the resident's current status for 1 of 2 sampled residents (Resident #3) reviewed for anticoagulation (blood thinner) therapy. Failure to update care plans limited the staff's ability to communicate needs and ensure continuity of care.
June 5, 2024Standard inspection · 3 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, review of the facility policies, and staff interview, the facility failed to properly utilize assistive devices necessary to prevent accidents and/or injury for 1 of 3 sampled residents (Resident #12) observed during gait belt transfer and 1 of 4 sampled residents (Resident #19) observed during a mechanical stand lift transfer. Failure to use a gait belt or ensure proper use of a stand lift during transfers placed residents at risk for injury.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, review of resident record, review of facility policy, and staff interview, the facility failed to ensure accurate labeling of medications for 1 of 1 sampled resident (Resident #26) observed during insulin administration. Failure to obtain a new medication label from the pharmacy for an insulin pen or affix a label noting change in the directions, may result in residents receiving an incorrect dose of insulin.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to ensure staff followed enhanced barrier precautions for 1 of 2 sampled resident (Resident #20) observed during cares. Failure to follow infection control practices related to enhanced barrier precautions may result in the spread of infections within the facility.
May 10, 2023Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 2 of 2 supplemental residents (Resident #9 and #10) observed during personal cares. Failure to follow infection control practices regarding hand hygiene has the potential for transmission of communicable diseases and infections to residents, staff, and visitors.
Fire safety inspections
5 fire safety citations on file: 1 on July 2, 2025, 4 on May 10, 2023.
Every fire safety citation5 citations
- D Have simulated fire drills held at unexpected times.
- F Establish roles under a Waiver declared by secretary.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.22 | 4.42 | 3.86 |
| Registered nurses | 0.96 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.89 | 3.80 | 3.42 |
| Nurse aides | 3.87 | ||
| Licensed practical nurses | 0.39 | ||
| Nursing staff turnover (share who left in a year) | 41.0% | 48.8% | 45.8% |
| Registered nurse turnover | 50.0% | 40.3% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.80 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 5.76 on weekdays and 3.89 on weekends, 32% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.00 in April to June 2025 to 5.22 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.22 | 0.96 | 5.76 | 3.89 | 15.4% | 0 of 90 | 29 |
| Oct to Dec 2025 | 4.94 | 1.04 | 5.45 | 3.63 | 16.3% | 0 of 92 | 29 |
| Jul to Sep 2025 | 5.39 | 1.24 | 6.04 | 3.73 | 12.4% | 0 of 92 | 28 |
| Apr to Jun 2025 | 6.00 | 1.28 | 6.71 | 4.21 | 11.9% | 0 of 91 | 28 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 19.8 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 6.2 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.8 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 12.6 | 5.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.1 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.7 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.6 | 22.7 | 15.4 |
Owners and operators
Legal business name: ASHLEY MEDICAL CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Inglish, Steve | Contracted managing employee | Individual | 11/06/2023 | |
| Heupel, Eric | W-2 managing employee | Individual | 04/15/2019 | |
| Ulmer, Corey | W-2 managing employee | Individual | 07/01/2023 | |
| Bertsch, Angela | Corporate director | Individual | 10/16/2023 | |
| Heupel, Eric | Corporate director | Individual | 04/15/2019 | |
| Meyer, Brenda | Corporate director | Individual | 10/17/2016 | |
| Morrison, Kristie | Corporate director | Individual | 02/21/2022 | |
| Neu, Anthony | Corporate director | Individual | 10/15/2017 | |
| Schumacher, Gwyn | Corporate director | Individual | 10/23/2024 | |
| Stugelmayer, Joanne | Corporate director | Individual | 05/20/2019 | |
| Thomas, Megan | Corporate director | Individual | 10/19/2020 | |
| Ulmer, Brent | Corporate director | Individual | 10/23/2024 | |
| Ulmer, Corey | Corporate director | Individual | 07/01/2023 | |
| Wishek, Adam | Corporate director | Individual | 10/18/2022 | |
| Heupel, Eric | Corporate officer | Individual | 04/15/2019 | |
| Ulmer, Corey | Corporate officer | Individual | 07/01/2023 | |
| Heupel, Eric | Operational/managerial control | Individual | 01/02/2025 | |
| Inglish, Steve | Operational/managerial control | Individual | 01/02/2025 | |
| Ulmer, Corey | Operational/managerial control | Individual | 01/02/2025 | |
| Heupel, Eric | Adp of the SNF | Individual | 01/20/2025 | |
| Inglish, Steve | Adp of the SNF | Individual | 01/20/2025 | |
| Ulmer, Corey | Adp of the SNF | Individual | 01/20/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 2, 2025: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 5, 2024: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on July 2, 2025: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 5, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Other nursing homes nearby
- Wishek Living Center Wishek, 17.4 mi · 4 of 5 stars · 8 citations
- Avera Eureka Health Care Center Eureka, 22.1 mi · 4 of 5 stars · 10 citations
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Ashley Medical Center Nursing Home's Medicare star rating?
- CMS rates Ashley Medical Center Nursing Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ashley Medical Center Nursing Home get at its last inspection?
- 3 health deficiencies at the standard inspection on July 2, 2025. The North Dakota average is 5.6.
- Has Ashley Medical Center Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Ashley Medical Center Nursing Home accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Ashley Medical Center Nursing Home?
- CMS lists 22 owners and managers. Legal business name: ASHLEY MEDICAL CENTER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.