Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ASHLEY MEDICAL CENTER NURSING HOME
ASHLEY, ND · 31 certified beds · Last Life Safety survey July 2, 2025
CMS Certification Number 355091 · first certified March 1985
Ownership
Independently operated (no chain recorded by CMS) · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within ND
5 citations — more than 70% of the 72 certified nursing homes in ND. Compared within ND rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (July 2026 to September 2026), and past the point by which nine in ten ND facilities have been surveyed. This facility’s last Life Safety survey was July 2025. Facilities in ND are typically surveyed 12–14 months after the last one (median 13), measured over 116 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
1 of the 5 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 5 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in ND, and nationally. Surveyors differ markedly between states, so the ND figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 5 |
| Median facility in ND | 2 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| May 10, 2023 | 4 |
| June 5, 2024 | 0 |
| July 2, 2025 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2023-05-10 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-07-02 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2023-05-10 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2023-05-10 |
| E-0026 | Establish roles under a Waiver declared by secretary. | 1 | 2023-05-10 |
What the citations cover
- Smoke Deficiencies 2
- Services Deficiencies 1
- Emergency Preparedness Deficiencies 1
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 2 |
| Services Deficiencies | 1 |
| Emergency Preparedness Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 2, 2025 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (August 4, 2025) |
May 10, 2023 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0026 | Establish roles under a Waiver declared by secretary. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (June 1, 2023) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (July 1, 2023) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has date of correction (June 15, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.