I feel genuinely cared for here - the staff are compassionate and the place has a warm, small-town clinic vibe. ER access is excellent with short wait times and the care in every area has been top notch; I'm very satisfied with a bit of room for improvement.
Current/former resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Small library
Community services
Move-in coordination
Activities
Community-sponsored activities
Resident-run activities
Scheduled daily activities
Reviews
3.56·(9)
Overall rating
5
4
3
2
1
Care
3.0
Staff
3.0
Meals
3.6
Amenities
3.6
Value
3.6
Pros
Short emergency-department wait times
Accessible local clinic with ER availability
Compassionate nursing and support staff
Warm, welcoming atmosphere
Perceived high-quality care across service areas
Cons
Variability in physician clinical expertise
Inconsistent clinical decision-making and diagnostic processes
Gaps in communication with patients and families during critical events
Limited specialist availability typical of smaller community clinics
Summary of reviews
The reviews for Ashley Medical Center present a mixed picture: several accounts praise the accessibility of local services and the compassionate, warm staff, while a subset of experiences describe significant concerns about clinical assessment and physician expertise. The juxtaposition of strong emergency access and positive staff interactions with reports of inconsistent medical decision-making suggests variability in the facility's clinical performance rather than uniformly poor or excellent care.
Care quality appears uneven. Emergency services and ER throughput are noted strengths — reviewers emphasize short wait times and easy access to urgent care. Conversely, other comments point to variability in physician competence and diagnostic consistency, which families should interpret as potential inconsistency in day-to-day clinical decision-making. Prospective patients should verify physician credentials, on-call coverage, and transfer protocols for higher-acuity needs or specialty consultations.
Staff interactions are a clear positive in the available feedback: nursing and support teams are described as compassionate and the overall atmosphere as warm and small‑town. Those aspects support resident comfort and a supportive environment. That said, some narratives highlight gaps in communication and responsiveness during critical moments; this indicates a need to confirm how the facility manages family communication, care escalation, and handoffs between providers.
There is little specific information in the summaries about dining, activities, or the physical plant. Reviews do not provide substantive detail on meal quality, activity programming, or facility maintenance, so these areas remain undetermined from the available feedback. An in-person visit and direct questions about menus, activity schedules, room condition, and sanitation procedures are recommended to assess those domains.
Management- and system-level patterns inferred from the reviews include resource constraints common to smaller community facilities (for example, limited specialist availability) and variability in clinical leadership or provider skill mix. Families and decision-makers should ask management about staffing ratios, physician coverage (including specialty backup), quality metrics, incident-response processes, and family communication protocols to clarify operational consistency.
In summary, Ashley Medical Center shows strengths in emergency access and in the bedside manner of many staff members, coupled with notable variability in physician expertise and clinical decision processes. For prospective residents and families, targeted questions about physician availability, escalation pathways, and communication practices — plus an on-site assessment of dining, activities, and facilities — will help determine whether the center’s services align with clinical and personal needs.
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Medicare Ratings
5·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Ashley Medical Center is located at Ashley Medical Ctr, 612 Center Ave N, Ashley, ND, 58413.
About Ashley Medical Center
Ashley Medical Center sits over at 612 Center Avenue N in Ashley, North Dakota, and folks can find all sorts of healthcare right there, including a critical access hospital with around-the-clock emergency services, a skilled nursing facility, and independent living options that a lot of people depend on, and it's really one of those places where you see everything from outpatient surgeries and family medicine to lab work and specialist visits, so you don't have to leave town if you need checkups or help with ongoing health issues. The place has a total of 50 beds, including swing beds and special skilled nursing beds, and there's a real mix of medical staff-doctors, nurse practitioners, nurse aides, and other people like Dr. Richard Conklin III for oncology and Dr. Steve Inglish for emergencies-plus nurse programs like Dakota Nursing and a certified nursing assistance program, which is good if someone's looking to stay or work local. They do keep an eye on hospital safety, like making sure infection rates are tracked and patient safety is rated, looking out for things like accidents or infections from catheters, and they list patient experience scores for nurse and staff communication, cleaning, quiet at night, and recovery info-which helps folks know what to expect. Clinic staff can help with everything from pain management, colonoscopies, orthopedic surgery, to things like sleep apnea or migraines, and specialists show up for short-term clinics from time to time. The facility holds a Level IV trauma rating but also provides acute stroke ready care, and the emergency department is open 24/7, so you're able to get quick attention in a crisis. If someone needs diagnostic testing, X-rays, therapy, or help managing chronic health troubles, those services are available too, along with online access to your health record through a patient portal. Ashland Medical Center works with hospitals interested in the Women's Choice Award, and also connects with CHI St. Alexius Medical Center in Bismarck for telemedicine, so you can get a remote consult if needed, and there are clinics not just in Ashley but also in Zeeland. Staff can communicate in English, and they're trained to care for people from all backgrounds, focusing on each patient's needs rather than just the condition, and even though formal accreditation info isn't listed now, the staff's supposed to stick to high standards for safety and patient care. The hours aren't specified but the emergency care runs all day and night, and overall, the center serves as a hub for community nursing, recovery, and senior living, all under one roof for Ashley and the surrounding area.
People often ask...
Ashley Medical Center offers assisted living, memory care, and skilled nursing.
There are 1 photos of Ashley Medical Center on Mirador.
The full address for this community is Ashley Medical Ctr, 612 Center Ave N, Ashley, ND 58413.
No, Ashley Medical Center does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
License number
SNF-ashley-medical-center-nursing-home-ashley
Facility type
Skilled Nursing Facility
Inspection Reports
34
Reports
4
Type A Citations
0
Type B Citations
0
Complaints
17
Years
02 Jul 2025Inspection
02 Jul 2025Inspection
Found deficiencies in how resident assessments were conducted and how care plans were updated, leading to mismatches between residents' needs and documented care.
483.20(g)(h)(i)(j)Accuracy of Assessments
483.20(b)(2)(i)-(iii)Care Plan Timing and Revision
17 Jun 2024Life Safety
17 Jun 2024Life Safety
Found no deficiencies cited during the 06/17/2024 survey. Compliance with life safety codes was observed.
05 Jun 2024Inspection
05 Jun 2024Inspection
Investigated deficiencies affecting resident safety during transfers, medication labeling, and infection control. Violations were cited for gait belt use, insulin labeling, and lift disinfection.
CFR 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
CFR 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
01 Nov 2023Inspection
01 Nov 2023Inspection
Found no deficiencies identified during the investigation.
23 May 2023Life Safety
23 May 2023Life Safety
Identified deficiencies in emergency preparedness and life safety, including missing procedures to request 1135 waivers and failures to maintain fire safety systems.
42 CFR 483.73(b)(8)Emergency Preparedness
NFPA 101; NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 25Sprinkler System - Maintenance and Testing
NFPA 70, 210.8 and 210.8(B)Utilities - Gas and Electric
10 May 2023Inspection
10 May 2023Inspection
Identified lapses in infection prevention and control, including improper hand hygiene during resident care.
42 CFR 483.80Infection Prevention & Control
29 Dec 2021Life Safety
29 Dec 2021Life Safety
Concluded that the building met applicable life safety and health care facility code requirements.
15 Dec 2021Inspection
15 Dec 2021Inspection
Investigated multiple deficiencies across resident rights, consent, PASRR coordination, quality of care, medications, nutrition, and COVID-19 testing.
§483.10(a)(1)(2)(b)(1)(2)Resident Rights/Exercise of Rights
§483.10(b)(3)-(7)(i)-(iii)Rights Exercised by Representative
§483.10(c)(6)(8)(g)(12)(i)-(v)Request/Refuse/Dscntnue Trtmnt; Formlte Adv Dir
§483.20(g)Accuracy of Assessments
§483.20(e)(1)(2)Coordination
§483.25Quality of care
§483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
Identified that two residents received antibiotics without proper justification or timely discontinuation after culture results or contaminated tests, exposing them to unnecessary drugs.
CFR 483.45(d)Unnecessary Drugs
27 Jul 2020Inspection
27 Jul 2020Inspection
Verified compliance with infection control requirements during a COVID-19 focused survey; no deficiencies were cited.
18 Mar 2020Inspection
18 Mar 2020Inspection
Found no deficiencies. Compliance with infection-control regulations was confirmed.
04 Mar 2020Inspection
04 Mar 2020Inspection
Identified failure to resubmit a CMS-required MDS after a fatal error for a resident, resulting in data submission noncompliance.
§483.20(f)(4)Data format
14 Jan 2020Life Safety
14 Jan 2020Life Safety
Cited several life-safety deficiencies, including obstructed means of egress from mirrors, improper smoke detector placement, and incomplete maintenance/testing of kitchen fire suppression and sprinkler systems.
NFPA 101; ADA Protruding Objects (2010 Standards for Accessible Design)Aisle, Corridor or Ramp Width; Protruding Objects
NFPA 25; 4.1.4.1; 19.7.6; 9.7.5; 9.7.7; 9.7.8Sprinkler System - Maintenance and Testing
12 Feb 2019Inspection
12 Feb 2019Inspection
Identified multiple deficiencies including failure to provide bed-hold notices on transfer, inadequate nutrition monitoring with weight loss, failure to publicly post nurse staffing data, and improper management of psychotropic meds.
§483.15(d)Notice of Bed Hold Policy
§483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
§483.35(g)Nurse Staffing Data Posted
§483.45(c)(3)-(e)(1)-(5)Psychotropic Medications—Unnecessary Meds/PRN Use
05 Feb 2019Life Safety
05 Feb 2019Life Safety
Found no deficiencies. The evaluation determined compliance with the 2012 Life Safety Code and Health Care Facilities Code.
15 Mar 2018Inspection
15 Mar 2018Inspection
Found multiple deficiencies related to inaccuracies in assessments, care planning, medication handling, oxygen use, medication refrigeration, infection prevention, and glucometer disinfection.
CFR 483.20(g)Accuracy of Assessments
CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
CFR 483.25(i)Respiratory care and suctioning
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
CFR 483.80(a)(1)-(4)(e)(f)Infection Prevention & Control
19 Dec 2017Life Safety
19 Dec 2017Life Safety
Identified fire-safety deficiencies, including incomplete testing documentation for the fire alarm system and noncompliant sprinkler head coverage in the garage. The findings showed missing device details in alarm testing and a sprinkler not intermediate-temperature-rated near a heater.
NFPA 72; NFPA 101 9.6.1.3; 9.6.1.5Fire Alarm System - Testing and Maintenance
Investigated and found failures to investigate unknown-origin injuries and to timely assess pain, leading to a fracture; behavior monitoring and psychotropic med documentation also deficient.
483.24, 483.25(k)(l)Provide care/services for highest well being
12 Jan 2017Inspection
12 Jan 2017Inspection
Identified multiple deficiencies across discharge notice, abuse policies, MDS accuracy, perineal care, gait safety, chemical storage, and medication handling.
483.15(c)(3)-(6)(8)NOTICE REQUIREMENTS BEFORE TRANSFER/DISCHARGE
483.25(e)(1)-(3)FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES
483.45(g)-(h)LABELING OF DRUGS AND STORAGE/SECURITY OF DRUGS
16 Nov 2016Life Safety
16 Nov 2016Life Safety
Found life-safety deficiencies including obstructed exit access due to unfastened corridor furniture and a protruding water fountain, incomplete sprinkler coverage, and no documented building system risk assessment.
NFPA 101 Means of Egress - General (19.2.3.4)Means of Egress - General
NFPA 25; 8.3.1.1 and 8.3.2.1Sprinkler System - Maintenance and Testing
NFPA 99, 4.1, 4.2Fundamentals - Building System Categories
11 Feb 2016Inspection
11 Feb 2016Inspection
Found deficiencies in medication administration, use of gait belts during transfers, and kitchen sanitation. These findings showed lapses in following professional standards and safety practices.
483.20(k)(3)(i)SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
483.25(h)FREE OF ACCIDENT HAZARDS/SUPERVISION/DEVICES
Determined compliance with NFPA 101 Life Safety Code; no deficiencies cited.
08 Jan 2015Inspection
08 Jan 2015Inspection
Investigators found deficiencies related to resident rights and safety, including improper disclosure of Medicare/Medicaid coverage and charges and concerns about resident care and monitoring.
Type A—Notice of Medicare/Medicaid coverage and charges
30 Sept 2014Life Safety
30 Sept 2014Life Safety
Investigated deficiencies in maintaining the sprinkler system and in standby generator controls, indicating potential risks from fire and power loss.
NFPA 25; NFPA 99; NFPA 110Maintenance of automatic sprinkler systems and emergency power
NFPA 110; NFPA 25; NFPA 99Emergency power system maintenance and remote shut-off control
09 Jan 2014Inspection
09 Jan 2014Inspection
Investigated alleged lack of meaningful activities and safety concerns; found deficiencies in activity programming and chemical safety.
—Inadequate activities program/not individualized
—Inadequate activity/stimulation and oversight
—Hazardous materials not secured
17 Sept 2013Life Safety
17 Sept 2013Life Safety
Found no deficiencies. The Life Safety Code survey conducted on 2013-09-17 determined compliance with NFPA 101.
19 Dec 2012Inspection
19 Dec 2012Inspection
Found deficiencies involving resident privacy/confidentiality, policies on abuse/neglect, and safety/quality of care.
—Privacy/confidentiality of resident records
24 Sept 2012Life Safety
24 Sept 2012Life Safety
Investigated the life safety code survey. Found no deficiencies and determined compliance with NFPA 101 Life Safety Code.
20 Dec 2011Inspection
20 Dec 2011Inspection
Investigated a complaint and found that the facility failed to determine causative factors of incidents in a timely manner and did not implement corrective actions, risking resident safety.
483.10(g)(1) RIGHT TO SURVEY RESULTS - READILY ACCESSIBLERight to Survey Results
03 Oct 2011Life Safety
03 Oct 2011Life Safety
Determined compliance with Life Safety Code standards.
05 Jan 2011Inspection
05 Jan 2011Inspection
Identified several deficiencies related to residents’ rights, privacy, and care management, including failures to provide required notices, protect confidential information, and maintain bed-hold and care planning procedures.
483.10(b)(5)-(10); 483.10(b)(1)NOTICE OF RIGHTS, RULES, SERVICES, CHARGES
483.75; 483.10(g)(1) (privacy/confidentiality of records)Privacy and Confidentiality of Resident Records
483.15 Bed-Hold PolicyBed-Hold Policy
483.20 Comprehensive Assessment and Care PlanCare Plan
21 Dec 2010Life Safety
21 Dec 2010Life Safety
Investigated deficiencies in egress lighting, smoke detector testing, and generator maintenance. Found inadequate means of egress illumination, failure to conduct required sensitivity testing on smoke detectors, and missing weekly emergency generator inspections.
Type A42 CFR 483.70(a); NDAC 33-07-04.2-09(1)(c); NFPA 101 Life Safety Code, 2000 editionMeans of egress illumination deficiency
Type ANFPA 72; NFPA 101 Life Safety Code, 2000 editionSmoke detector sensitivity testing
Type ANFPA 101 Life Safety Code; NFPA 99Generator maintenance/testing
21 Jan 2010Inspection
21 Jan 2010Inspection
Investigated a complaint alleging issues with resident rights information, social services, care quality, and infection control; multiple deficiencies were found across several areas.
483.10(b)(5)-(10)Notice of rights and services
483.15(g)(1)Social services
483.25Quality of care
—Resident safety and mobility (general care/maintenance)
483.65(a)Infection control
09 Nov 2009Life Safety
09 Nov 2009Life Safety
Found that quarterly fire drills were not conducted on each shift.
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