Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ASHLAND POST ACUTE
ASHLAND, OR · 87 certified beds · Last Life Safety survey May 9, 2025
CMS Certification Number 385197 · first certified May 1989
Ownership
Operated by PACS GROUP · For profit - Limited Liability company
- Ownership changed September 1, 2024 (change of ownership)from CARE CENTER (LINDA VISTA), INC.
Position within OR
9 citations — more than 32% of the 128 certified nursing homes in OR. Compared within OR 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 5 citations; 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?
Past the typical window (August 2026 to September 2026). Most OR facilities have been surveyed by October 2026. This facility’s last Life Safety survey was May 2025. Facilities in OR are typically surveyed 15–17 months after the last one (median 16), measured over 188 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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1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.
Emergency preparedness
3 of the 9 citations on file are 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)
4 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 9 Life Safety citations above. The Physical Environment Index
- F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in OR, and nationally. Surveyors differ markedly between states, so the OR figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in OR | 11 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| October 7, 2022 | 3 |
| January 22, 2024 | 1 |
| May 9, 2025 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 2 | 2025-05-09 |
| E-0006 | Conduct risk assessment and an All-Hazards approach. | 1 | 2025-05-09 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2025-05-09 |
| K-0163 | Install noncombustible or limited-combustible interior walls. | 1 | 2022-10-07 |
| E-0007 | Address patient/client population and determine types of services needed. | 1 | 2025-05-09 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2025-05-09 |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 1 | 2022-10-07 |
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | 1 | 2024-01-22 |
What the citations cover
- Miscellaneous Deficiencies 3
- Emergency Preparedness Deficiencies 3
- Egress Deficiencies 1
- Smoke Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Miscellaneous Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 3 |
| Egress Deficiencies | 1 |
| Smoke Deficiencies | 1 |
| Construction Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
May 9, 2025 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0006 | Conduct risk assessment and an All-Hazards approach. | Deficient, Provider has date of correction (June 18, 2025) |
| E-0007 | Address patient/client population and determine types of services needed. | Deficient, Provider has date of correction (June 18, 2025) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (June 18, 2025) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (June 18, 2025) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (June 18, 2025) |
January 22, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0341 | Install a fire alarm system that can be heard throughout the facility. | Deficient, Provider has date of correction (February 9, 2024) |
October 7, 2022 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0163 | Install noncombustible or limited-combustible interior walls. | Deficient, Provider has date of correction (November 8, 2022) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (November 8, 2022) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (November 8, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.