A+
97/100

BRETHREN CARE VILLAGE HEALTH CARE CENTER Inspection Report, Violations & Safety Grade (ASHLAND, Ohio)

2000 CENTER ST, ASHLAND, Ohio 44805

Phone: 4192891585

CMS Overall:5/5

Overview & Bed Count

Certified Beds
79
Avg Residents/Day
70.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Ashland
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityOhio AvgDifference
RN Hours per Resident per Day0.720.64+0.07
Total Nurse Hours per Resident per Day4.753.71+1.03
CMS Staffing Rating4/52.4/5-
Nursing Staff Turnover40.0%49%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-06-25Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-06-25Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2026-06-25Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D – Moderate Harm Potential
2022-09-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2022-09-26Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2019-09-26Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2019-09-26Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.D – Moderate Harm Potential
2019-09-26Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D – Moderate Harm Potential
2019-09-26Administration DeficienciesProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D – Moderate Harm Potential
2019-09-26Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2019-09-26Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2019-09-26Infection Control DeficienciesImplement a program that monitors antibiotic use.D – Moderate Harm Potential
2019-09-26Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-25Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2026-06-25Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2022-09-26Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2022-09-26Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-09-26Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-09-26Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use and maintenance of medical gas equipment.E – Moderate Harm Potential
2019-09-26Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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