01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2022-09-26 | 2 | 2022-09-26 | 4 |
| Cycle 2 | 2019-09-26 | 8 | 2019-09-26 | 1 |
| Cycle 3 | 2018-08-16 | 2 | 2018-08-16 | 1 |
CMS CCN 3661662026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Brethren Care Village Health Care Center
2000 Center St · Ashland, OH 44805 · Ashland County
Certified beds79CMS provider file
Recent citation rows18current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
18 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2022-09-26 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2022-11-062022-09-26 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2022-11-062022-09-26 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2022-11-062022-09-26 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-11-062022-09-26 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2022-11-062022-09-26 · FIREK0922Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Correction field: Deficient, Provider has date of correction · 2022-11-062019-09-26 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement 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.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0773Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0849Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2019-10-182019-09-26 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2019-10-182018-08-16 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2018-08-302018-08-16 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2018-08-302018-08-16 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2018-08-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BRETHREN CARE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/05/2015
- HARPSTER, CARRIEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/05/2015
- MCFARLAND, MATTHEWIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/05/2015
- SCURLOCK, MINDYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/05/2015
- SNYDER, TROYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/05/2015
- BUSH, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- HICKEY, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- HINKEL, NEILIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- HUBER, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- JONES, JULIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- LYBARGER, CRYSTALIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- MARTIN, GAYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- ROWSEY, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/05/2015
- MCFARLAND, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/2015
- SCURLOCK, MINDYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/2015
- SNYDER, TROYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/05/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.78per resident day
RN hours0.76per resident day
Weekend nurse hours4.39per resident day
Staff turnover36.2%CMS reported field
06 / LOCAL RECORDS
Open the Ashland ledger →