Ashley Healthcare Center MI: Quality of Care Report (Updated 2026)

Ashley Healthcare Center has a problematic record among Michigan nursing homes. Its monthly cost of $5,051 is below the state average, but quality concerns outweigh any savings. The facility has received 30 fines totaling $284,136 and has a 1-star rating, well below Michigan's 3.47-star average. State surveyors documented 40 instances of harm to residents and designated it a Special Focus Facility. Staffing levels of 2.74 hours of daily care per resident fall short of the recommended 4.1 hours.

• Ashley Healthcare Center overview
• Quality metrics
  • CMS star ratings
  • Staffing levels
  • Health inspection results
• Resident care
  • Medical services
  • Safety and incident reports
  • Rehabilitation programs
• Performance trends
  • Historical quality metrics
  • Recent changes
  • Areas needing improvement
• Conclusion
• FAQs

Ashley Healthcare Center overview

Ashley Healthcare Center is a 63-bed skilled nursing facility at 103 East Wallace Street in Ashley, Michigan. As of November 2024, 19 beds were available.

The facility is for-profit and owned by Fahim Uddin (100% since August 2021). Pioneer Healthcare Management operates it. A management team oversees daily operations and resident care.

The center accepts Medicare and Medicaid. It has a resident council for advocacy and operates as a non-CCRC (continuing care retirement community) facility.

• Resident council for advocacy
• For-profit structure
• Medicare and Medicaid certified
• Non-CCRC facility

As a Medicare and Medicaid provider, the facility can bill these programs for skilled nursing and post-acute care services.

Quality metrics

Recent quality assessments reveal serious problems at Ashley Healthcare Center. Performance data shows operational and care quality concerns.

CMS star ratings

The Centers for Medicare & Medicaid Services rates the facility poorly in critical areas. Staffing ratings are especially weak, with direct care minutes falling well below national standards.

Staffing levels

Residents receive 116 minutes daily from Certified Nursing Assistants, 35 minutes from Licensed Practical Nurses, and 44 minutes from Registered Nurses—totaling about 3.25 hours of direct care per resident. The recommended amount is 4.1 hours. In 2022, the facility fell below safe staffing levels for 54 days.

Health inspection results

State inspections found 47 total deficiencies, including 4 related to infection control. The most serious findings included:

• Citations for immediate jeopardy in medication management and resident safety
• 40 separate instances of actual harm to residents

• Violations in pressure ulcer care and accident prevention

The facility paid $322,000 in fines and faced 4 Medicare payment suspensions. These penalties stem from repeated failures in care standards and safety. Inspectors noted ongoing problems with infection control and resident safety compliance.

Resident care

Ashley Healthcare Center provides 24-hour nursing supervision and has a medical director on-site. Services include wound care, IV therapy, feeding tube management, and medication administration.

Medical services

The center offers:

• Specialized care including wound management and memory care services
• On-site services from nutritionists, optometrists, and podiatrists
• Psychiatric and social work support
• Medication management and administration

Safety and incident reports

Safety records show significant problems. 19.3% of short-term residents required emergency room visits during their stay. The facility documented 18 incidents and failed to report suspected abuse and neglect promptly. Inspectors also found inadequate supervision to prevent accidents and hazardous conditions in the environment.

Rehabilitation programs

The facility offers physical, occupational, and speech therapy. 88% of residents maintained independence in daily activities. However, the center received a "below average" rating for short-term rehabilitation outcomes, suggesting the program may not be as effective as it should be.

Staff work to help residents maintain self-care abilities, but documentation shows instances where the facility failed to provide treatment aligned with residents' preferences and goals. The facility achieved 93.9% compliance with annual flu vaccinations.

Performance trends

Over five years, Ashley Healthcare Center's care hours have declined. Daily care per resident dropped from 4.99 hours in 2017 to 4.12 hours in 2022. Direct patient care hours fell most sharply, with CNA hours declining to 2.74 hours per resident daily by 2022.

Historical quality metrics

Between 2017 and 2022, the facility experienced unsafe staffing levels for 54 days annually. 88.5% of residents needed help with toileting and transferring. The resident population remained stable, with 59.6% requiring dementia care.

Recent changes

The facility has made some adjustments. It maintained above-average weekend staffing and achieved 93.9% flu vaccination compliance, matching the Michigan state average. Despite these steps, the center received 47 deficiencies and paid $322,464 in penalties.

Areas needing improvement

Priority issues include:

• Infection prevention, with 4 documented deficiencies
• Pressure ulcer prevention and care
• Emergency response procedures (19.3% of short-stay residents needed ER care)
• Adequate staffing—hours remain below the recommended 4.1 hours per resident daily

The state designated this facility as a Special Focus Facility due to these challenges. Surveyors documented 40 instances of actual harm, requiring increased oversight and mandatory improvements to maintain Medicare and Medicaid certification.

Conclusion

Ashley Healthcare Center's metrics show serious problems with resident care quality. While the $5,051 monthly cost is below Michigan averages, 40 documented instances of harm and 47 deficiencies point to significant operational issues that should concern families.

Staffing is understaffed. The facility provides only 2.74 hours of daily care per resident versus the recommended 4.1 hours. Combined with a 1-star rating and $284,136 in fines, these numbers reflect real problems with care standards.

Families should carefully weigh these factors before choosing this facility. Performance is consistently weak in infection control and resident safety. While some improvements have been made—like better flu vaccination rates—the ongoing deficiencies and safety violations suggest structural problems affecting care quality.

FAQs

Q1. What is the overall quality rating of Ashley Healthcare Center? The facility has a 1-star CMS rating, significantly below Michigan's 3.47-star average. This reflects serious concerns about care quality and performance.

Q2. How does staffing at Ashley Healthcare Center compare to recommended standards? The facility provides about 2.74 hours of daily care per resident, below the recommended 4.1 hours.

Q3. Has Ashley Healthcare Center faced regulatory actions or fines? Yes. The facility has received 30 fines totaling $284,136 and was designated a Special Focus Facility due to persistent quality issues.

Q4. What rehabilitation services does Ashley Healthcare Center offer? The facility offers physical, occupational, and speech therapy but received a "below average" rating for short-term rehabilitation outcomes.

Q5. Are there any positive aspects of care at Ashley Healthcare Center? The facility maintains 93.9% compliance with annual flu vaccinations and provides specialized services including wound care, IV therapy, and feeding tube management. These do not offset the significant quality concerns.