C

ASHBY PONDS INC

21160 MAPLE BRANCH TERRACE, ASHBURN, VA 20147
Score: 64 / 100

Ashby Ponds Inc is an average performer in CMS ratings, earning a C grade with a score of 64/100. Located in Ashburn, Virginia, the facility meets baseline standards across most quality metrics.

Ashby Ponds Inc provides above-average staffing with 4.53 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 17 deficiencies at Ashby Ponds Inc. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.53 3.8 Above Average
Registered Nurses (RN) 1.31 0.7 Above Average
Licensed Practical Nurses (LPN) 0.65 0.7 Average
Certified Nursing Assistants (CNA) 2.56 2.4 Average
Weekend Total Nursing 4.05 3.8 Average
Weekend RN Hours 0.77 0.7 Above Average

🔍 Inspection & Deficiency History

17
Total Deficiencies
Feb 21, 2024
Most Recent Inspection
🟠 17 Moderate
View recent deficiencies (5 shown)
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Feb 21, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0697 Severity E
    Provide safe, appropriate pain management for a resident who requires such services.
    Feb 21, 2024 · Quality of Life and Care Deficiencies
  • Tag 0698 Severity E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    Feb 21, 2024 · Quality of Life and Care Deficiencies
  • Tag 0758 Severity E
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psy
    Feb 21, 2024 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 21, 2024 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.3% 4.5% Worse
Falls with major injury 3.4% 3.0% Worse
On antipsychotic medication 18.4% 14.5% Worse
Urinary tract infections 2.7% 2.5% Average
ADL decline (daily activities) 12.4% 14.0% Better
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 23.2% 45.0% Better

⚠️ Penalties & Fines

4 penalties recorded by CMS

Total fines: $9,438

How This Grade Was Calculated

This facility's grade of C is based on a score of 64 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -0 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
44
Provider Type
Medicare
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 21, 2024
Deficiencies (Cycle 1)
7