20 Amberwood Pkwy, Ashland, OH 44805 · Ashland County · (419) 289-3859
110 certified beds, about 88 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365646 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 18, 2023, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 36 health citations since December 2018, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.21 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
58.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Trilogy Health Services, an affiliated group of 127 nursing homes.
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.
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 36 health citations on file.
Inspectors wroteBased on medical record review, resident representative interview, staff interview, and policy review, the facility failed to notify the physician of a resident fall. This affected one resident (#91) of three residents reviewed for falls. The facility census was 90. Findings Include: Review of the medical record for Resident #91 revealed an admission date of 10/06/25 and a discharge date of 10/11/25. Diagnoses included metabolic encephalopathy, osteomyelitis of the left radius and ulna, endocarditis, type two diabetes mellitus, chronic pulmonary edema, pneumonia, hypertensive heart disease with heart failure, cardiomegaly, cellulitis of the left upper limb, iron deficiency anemia, congestive heart failure, benign prostatic hyperplasia, urinary retention, anxiety, depression, and peripheral vascular disease. [...]
Inspectors wroteBased on medical record review, resident representative interview, and staff interview, the facility failed to ensure a complete and accurate medical record for residents regarding documentation of fall incidents. This affected one (#91) of three residents reviewed for falls. The facility census was 90. Findings Include: Review of the medical record for Resident #91 revealed an admission date of 10/06/25 and a discharge date of 10/11/25. Diagnoses included metabolic encephalopathy, osteomyelitis of the left radius and ulna, endocarditis, type two diabetes mellitus, chronic pulmonary edema, pneumonia, hypertensive heart disease with heart failure, cardiomegaly, cellulitis of the left upper limb, iron deficiency anemia, congestive heart failure, benign prostatic hyperplasia, urinary retention, anxiety, depression, and peripheral vascular disease. [...]
Inspectors wroteBased on observation, staff interview, medical record review, and facility policy review, the facility failed to ensure indwelling urinary catheter drainage bags were maintained in a manner to prevent infections. This affected two (#23 and #69) of three residents reviewed for urinary catheters. The facility census was 90.
Inspectors wroteBased on medical record review, interviews with staff, and facility policy review, the facility failed to ensure a comprehensive post-surgical pain management program was maintained to achieve adequate pain control for Resident 93. This resulted in Actual Harm on [DATE] at 1:38 A.M. when Resident #93, who had a surgical amputation of the left leg (below the knee) on [DATE] and had an order for Oxycodone 10 milligrams (mg) immediate release every four hours for moderate pain, complained of severe post-operative pain rated at a 10 out of 10 (on a 0-10 pain scale with 0 representing no pain and 10 representing the worst pain the resident had ever experienced); however, the resident's Oxycodone had not been reordered timely, resulting in no narcotic pain medication available for administration and the resident had to be transferred to the emergency room to receive pain medication. [...]
Inspectors wroteBased on review of medical records, interviews with staff and residents, facility policy review, and medication manufacturer guidelines review, the facility failed to ensure residents were free of significant medication errors. This resulted in actual harm for one resident on 02/16/25 at 7:23 P.M. when Resident #111, who received long-acting insulin and blood glucose monitoring for the management of Type II diabetes, was administered insulin despite a physician order to hold the insulin when the blood glucose level was below 200 milligrams per deciliter (mg/dL) of blood. The resident's blood glucose level was 109 mg/dL (normal range is 70-100 mg/dL). The resident experienced hypoglycemia (low blood glucose level) with a blood glucose level of 44 mg/dL at 1:30 A.M. and was unresponsive. [...]
Inspectors wroteBased on medical record review, interview and facility policy review the facility failed to maintain accurate medical records by not transcribing physician orders correctly. This deficient practice affected one resident (Resident #348) out of five residents reviewed for medication errors. The facility census was 92. Findings Include: Review of the medical record for Resident #348 revealed admission date on 02/22/25 with diagnoses including but not limited to high blood pressure, type two diabetes, Congestive Heart Failure (CHF), and osteoporosis. Review of the hospital discharge orders dated 02/22/25 for Resident #348 revealed an order for Ergocalciferol oral capsule 1.25 milligrams (mg) (50,000 units) give one capsule orally in the morning every Monday for supplemental use. [...]
Inspectors wroteBased on interviews and record review, the facility failed to complete the medical record and accurately document the clinical status for one resident (Resident #105) of four resident's sampled. The census was 101. Findings Include: Review of the medical record for Resident #105 revealed an admission date of [DATE] with diagnoses including anemia, type two diabetes, paroxysmal atrial fibrillation, congestive heart failure, protein calorie malnutrition, macular degeneration, spinal stenosis, presence of cardiac pacemaker, chronic kidney disease stage three, and cardiomyopathy. Resident #105 expired on [DATE]. Review of the vital sign record on [DATE] revealed Resident #105's vital signs were documented as blood pressure 122/84; temperature was 97.4; pulse was 66; respirations 18; oxygen saturation 95% on room air. No vital signs were documented on [DATE]. [...]
Inspectors wroteBased on observation, record review and interview, the facility failed to provide timely toileting assistance to Resident #1 who required staff assistance for activities of daily living (ADL). This affected one resident (#1) of three residents reviewed for assistance with ADLs. The facility census was 91.
Inspectors wroteBased on record review and interview the facility failed to ensure daily weights and laboratory tests were obtained and/or reported as ordered for Resident #110. This affected one resident (#110) of four residents reviewed for quality of care. The facility census was 91.
Inspectors wroteBased on review of the medical record and interview with staff the facility failed to complete a thorough and timely post-fall assessment and notify the family of a fall for Resident #109. This affected one resident ( Resident #109) of three reviewed for falls. The facility census was 91.
Inspectors wroteBased on record review and interview the facility failed to ensure medication was obtained timely from the pharmacy for Resident #20. This affected one resident (#20) of four residents reviewed for pharmacy services. The facility census was 91.
Inspectors wroteBased on review of the resident council meeting minutes, resident and staff interviews, the facility failed to provide the group with responses, action regarding their concerns of call light response times. This affected seven (#22, #24, #30, #47, #48, #52 and #70) of seven residents who regularly attend council meetings. The facility census was 97.
Inspectors wroteBased on policy review, staff interview, and record review the facility facility failed to transcribe and implement physician ordered laboratory testing for Resident #90. This affected one (Resident #90) of three residents reviewed for laboratory services. The facility census was 88.
Inspectors wroteBased on observations, medical record review, resident interview, family interview and staff interviews, the facility failed to ensure a resident was provided with assistance of removing facial hair. This affected one (#64) of three residents reviewed for assistance with activities of daily living. The facility census was 93.
Inspectors wroteBased on medical record reviews, urinary drainage bag instructions, policy review, resident interview, family interview and staff interviews, the facility failed to obtain a urine specimen from urinary catheter and failed to ensure staff was knowledgeable of the procedure. This affected one (#55) of three residents reviewed with urinary catheters. The facility identified nine current residents utilizing urinary catheters. The facility census was 93.
Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure the kitchen was clean and sanitary. This had the potential to affect all 76 residents who received food from the kitchen. The facility identified three (#17, #21 and #284) residents who received nothing by mouth. The facility census was 79.
Inspectors wroteBased on observation, medical records review, resident and staff interview, and facility policy review, the facility failed to ensure residents were not administered antibiotics without an appropriate indication for use or a stop date per facility policy. This affected three (#17, #18 and #31) of seven sampled residents reviewed for antibiotic use. The facility identified 16 residents were currently receiving antibiotics. The facility census was 79.
Inspectors wroteBased on review of resident personal needs accounts (PNA), staff interview, and review of a facility policy, the facility failed to notify residents or resident representatives when resident accounts reached $200 less than the Social Security Income (SSI) resource limit. This affected two (#2 and #12) of five resident PNAs reviewed. The facility census was 79.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure the appropriate documentation was contained in the medical record for residents who were discharged . This affected one (#281) of five residents reviewed for hospitalization. The facility census was 79.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure residents and resident resident representatives received notice of transfer as soon as practicable upon discharge to the hospital. This affected one (#281) of five residents reviewed for hospitalization. The facility census was 79.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to provide a resident with the option to hold a bed at the facility following a transfer and failed to ensure an accurate amount of bed hold days were conveyed to a resident. This affected two (#10 and #281) of five residents reviewed for hospitalization. The facility census was 79.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to allow a resident to return to the facility following hospitalization. This affected one (#281) of five residents reviewed for hospitalization. The facility census was 79.
Inspectors wroteBased on medical record review, observation, staff and resident interview and policy review, the facility failed to accommodate resident's need by ensuring resident call lights were within reach. This affected four (#68, #40, #55, #67) of 24 sampled residents. The facility census was 99.
Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to clarify and accurately reflect a resident's advanced directive choices throughout the medical record. This affected one (#38) of one resident reviewed for advanced directives. The facility census was 99.
Inspectors wroteBased on medical record review, observation, staff interview and review of the facility policy, the facility failed to ensure a wound treatment was dated, timed and initialed in accordance with the facility policy. This affected for one (#26) reviewed for skin conditions. The facility census was 99.
Inspectors wroteBased on medical record review, observation, staff interview and review of the facility policy, the facility failed to follow a physician order for placement/function of a wanderguard. This affected one (#55) of one reviewed for wanderguard placement and function. The facility census was 99.
Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to attempt a gradual dose reduction (GDR) for a resident on an antipsychotic medication. This affected one (#29) of five residents reviewed for unnecessary medications. The facility identified 14 residents receiving antipsychotic medications. The facility census was 99.
Inspectors wroteBased on medical record review, observation, staff interviews, and policy review, the facility failed to ensure a urinary catheter drainage bag was properly maintained in a sanitary manner. This affected one (#68) of two residents reviewed for urinary catheters. Additionally, the facility failed to ensure staff wore personal protective equipment while caring for a resident on reverse isolation. This affected one (#67) of one resident reviewed for transmission-based precautions. The facility census was 99.
Inspectors wroteBased on observation, policy review and staff interviews, the facility failed to ensure all drugs were maintained in locked compartments to ensure unauthorized access. The facility identified seven Residents (#8, #18, #55, #66, #83, #151 and #156), whom resided in close proximity to the unsecured medication and that could potentially be affected. Facility census was 98.
Inspectors wroteBased on medical record review, observation, staff interview and review of facility policy, the facility failed to ensure bed pans, and bath basins were properly stored in resident rooms. Additionally, the facility failed to ensure proper placement of a urinary catheter collection bag. This affected nine (#3, #16, #45, #80, #82, #95, #248, #348 and #349) of 32 sampled resident rooms. The facility census was 98.
Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to clarify and accurately reflect a resident's advanced directives choices throughout the medical record. This affected one (#82) of 32 residents reviewed for advanced directives. The facility census was 98.
Inspectors wroteBased on observation, medical record review, review of a seat belt manufactures instructions and staff interviews, the facility failed to ensure an alarming seat belt was correctly applied to one (#83) out of 32 sampled residents. The facility identified no residents who use restraints. Facility census was 98.
Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to update a resident's advanced directives choices in the plan of care. This affected one (#82) out of 32 residents reviewed for care plans. The facility census was 98.
Inspectors wroteBased on medical record review, policy review and staff interviews, the facility failed to ensure a physician was immediately notified of a critical laboratory result. This affected one (#32) out of five residents reviewed for medications. Facility census was 98.
Inspectors wroteBased on review of the pneumococcal immunizations tracking records, review of medical/vaccine records, policy review and staff interviews, the facility failed to ensure policies and procedures were developed and residents were able to chose the newest form of pneumonia vaccine available. This affected two (#20 and #151) out of five residents reviewed for vaccines. The facility identified 50 residents who received the pneumococcal vaccine. Facility census was 98.
Inspectors wroteBased on observations and staff interview, the facility failed to ensure staffing was accurately posted in a prominent location for residents/visitors to review. This had the potentially to affect all 98 residents residing in the facility at the time of the annual survey. Facility census was 98.
14 fire safety citations on file: 9 on May 18, 2023, 3 on February 27, 2020, 2 on December 13, 2018.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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 | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.21 | 3.69 | 3.86 |
| Registered nurses | 0.67 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.77 | 3.28 | 3.42 |
| Nurse aides | 2.47 | ||
| Licensed practical nurses | 1.08 | ||
| Nursing staff turnover (share who left in a year) | 58.6% | 48.7% | 45.8% |
| Registered nurse turnover | 63.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.53 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.39 on weekdays and 3.77 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.10 in April to June 2025 to 4.21 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 | 4.21 | 0.67 | 4.39 | 3.77 | 15.3% | 0 of 90 | 88 |
| Oct to Dec 2025 | 4.08 | 0.67 | 4.26 | 3.62 | 22.4% | 0 of 92 | 91 |
| Jul to Sep 2025 | 4.08 | 0.76 | 4.29 | 3.54 | 20.8% | 0 of 92 | 88 |
| Apr to Jun 2025 | 4.10 | 0.81 | 4.33 | 3.51 | 26.3% | 0 of 91 | 92 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.5 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Kingston of Ashland's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
67.7% this home
Better than the national rate
US median of homes 51.5% · Ohio: 147 better, 20 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. 285 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 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. 318 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Ohio: 1 better, 4 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. 205 eligible stays.
69.5% this home
Median of homes: Ohio55.6% · 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. 128 residents counted.
0.0% this home
Median of homes: Ohio0.0% · 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. 205 residents counted.
3.9% this home
Median of homes: Ohio1.4% · 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. 205 residents counted.
100.0% this home
Median of homes: Ohio100.0% · 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. 37 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.
Legal business name: TRILOGY HEALTHCARE OF ASHLAND, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | Organization | 26% | 12/16/2025 |
| Barney, Leigh | Managing control - governing body | Individual | 11/01/2019 | |
| Conner, Gregory | Managing control - governing body | Individual | 06/03/2021 | |
| Davis, David | Managing control - governing body | Individual | 08/21/2017 | |
| McNamara, Donald | Managing control - governing body | Individual | 08/01/2024 | |
| Mehaffey, Todd | Managing control - governing body | Individual | 01/31/2022 | |
| Pietrowski, Cristina | Managing control - governing body | Individual | 01/31/2022 | |
| Prosky, Danny | Managing control - governing body | Individual | 12/01/2015 | |
| Willhite, Gabriel | Managing control - governing body | Individual | 08/15/2023 | |
| Trilogy Management Services LLC | Operational/managerial control | Organization | 12/16/2025 | |
| Corbin, Kathy | Operational/managerial control | Individual | 12/16/2025 | |
| Eckert, Heather | Operational/managerial control | Individual | 12/16/2025 | |
| Pietrowski, Cristina | Operational/managerial control | Individual | 01/31/2022 | |
| American Healthcare Reit Holdings LP | Adp of the SNF | Organization | 12/16/2025 | |
| American Healthcare Reit Inc | Adp of the SNF | Organization | 12/16/2025 | |
| Continental Merger Sub LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Gahc3 Trilogy Jv LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Gahc4 Trilogy Jv LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Trilogy Investors LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Trilogy Real Estate Investment Trust | Adp of the SNF | Organization | 12/16/2025 | |
| Trilogy Reit Holdings LLC | Adp of the SNF | Organization | 12/16/2025 | |
| Eckert, Heather | Adp of the SNF | Individual | 02/17/2026 | |
| Eren, Itri | Adp of the SNF | Individual | 12/16/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.