Ashley River Healthcare

Charleston, SC · 125 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1-star health inspection rating (lowest possible)
  • 3 citation(s) at the highest severity level — immediate risk to residents
  • $142,640 in fines over 3 years
  • RN hours significantly below state average

Green Flags

  • Below-average deficiency count (1 vs 4 state avg)

Quick Facts

★★☆☆☆
CMS Overall
★☆☆☆☆
Health Inspection
1
0.3x state avg
Deficiencies
$142,640
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

April 9, 2025

1 deficiency
F0657 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

January 9, 2024

8 deficiencyies
F0693 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0759 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure medication error rates are not 5 percent or greater.

F0760 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure that residents are free from significant medication errors.

F0761 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: F

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0925 Immediate Jeopardy Scope/Severity: L

Environmental Deficiencies

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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

April 12, 2023

3 deficiencyies
F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0835 Immediate Jeopardy Scope/Severity: L

Administration Deficiencies

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Administer the facility in a manner that enables it to use its resources effectively and efficiently.

F0837 Immediate Jeopardy Scope/Severity: L

Administration Deficiencies

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Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

March 9, 2023

2 deficiencyies
F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0835 Potential Harm Scope/Severity: F

Administration Deficiencies

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Administer the facility in a manner that enables it to use its resources effectively and efficiently.

February 2, 2022

6 deficiencyies
F0623 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0686 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

See full violation history →

Staffing

0.39
RN hrs/res/day
1.18
LPN hrs/res/day
1.97
CNA hrs/res/day
3.06
Weekend hrs/res/day
47%
Total nurse turnover
60%
RN turnover

A nurse checks on each resident roughly every 6.8 hours on average.

Fines & Penalties

  • Fine Jan 9, 2024
    $46,164
  • Payment Denial Jan 9, 2024
    Payment Denial
  • Fine Mar 9, 2023
    $96,476
Total $142,640

Ownership

For profit - Limited Liability company Chain: THE ENSIGN GROUP
  • HOPEWELL HEALTHCARE, INC.

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 07/26/2023

    100% Organization
  • THE ENSIGN GROUP INC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 07/26/2023

    100% Organization
  • ONSHIFT INC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2023

    Organization
  • NEWLANDS, FRANK

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/05/2024

    Individual
  • PABON, YARIBEY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2023

    Individual
  • PETERSON, FORREST

    CORPORATE DIRECTOR

    Since since 01/01/2024

    Individual
  • BURNAM, SOON

    CORPORATE OFFICER

    Since since 07/26/2023

    Individual
  • KEETCH, CHAD

    CORPORATE OFFICER

    Since since 03/01/2011

    Individual
  • SATO, AMI

    CORPORATE OFFICER

    Since since 09/09/2024

    Individual
  • THATCHER, BRENT

    CORPORATE OFFICER

    Since since 07/26/2023

    Individual

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