Elder Care Record

Texas › Dallas County › Irving

Ashford Hall

2021 Shoaf Dr, Irving, TX 75061

CCN 455748 · For-profit, corporation · 206 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Ashford Hall, in Irving, Texas, is certified for 206 beds under for-profit, corporation ownership.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.

Inspectors recorded 35 health deficiencies across the three most recent survey cycles (9, 12, 14 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 17.0 per 100 beds, fewer than the state median of 22.5.

CMS lists 4 penalties in the period covered: fines totalling $301K.

Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Texas median of 3.3; nursing staff turnover is 77.1%.

CMS flags that the facility carries the CMS abuse icon.

35health deficiencies, 3 survey cycles6 at actual harm or worse
$301Kfines listed by CMS4 penalties in period
3.7nurse hours per resident per daystate median 3.3
55%occupancy (residents ÷ beds)114 residents a day

Compared with county, state and nation

MeasureThis facilityDallas Co. medianTexas medianUS average
Overall star rating1233.0
Health citations, 3 cycles35282528.7
Citations per 100 beds17.022.022.526.8
Total nurse hours per resident day3.73.33.33.9
RN hours per resident day0.90.40.40.7
Nursing staff turnover77.1%55.5%52.1%45.8%
Fines listed$301,255$25,390$16,801—

County and state figures are medians across facilities (81 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)9
Cycle 212
Cycle 314

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 24 Jan 2025.

Severity mix: K ×5 G ×1 D ×23 E ×6

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
9 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey10 Apr 2026
9 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Apr 2026
9 Apr 2026F0641Ensure each resident receives an accurate assessment.DStandard survey1 May 2026
9 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey1 May 2026
9 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey1 May 2026
24 Mar 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation25 Mar 2026
24 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation25 Mar 2026
4 Mar 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation5 Mar 2026
17 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EComplaint investigation19 Dec 2025
24 Jan 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey3 Feb 2025
24 Jan 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey3 Feb 2025
24 Jan 2025F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DStandard survey3 Feb 2025
24 Jan 2025F0693Ensure 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.DStandard survey3 Feb 2025
24 Jan 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard survey3 Feb 2025
24 Jan 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey3 Feb 2025
13 Jan 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation22 Jan 2025
13 Jan 2025F0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).DComplaint investigation22 Jan 2025
13 Jan 2025F0761Ensure 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.DComplaint investigation22 Jan 2025
24 Sep 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation27 Sep 2024
10 Aug 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint investigation11 Aug 2024
10 Aug 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation11 Aug 2024
2 Jul 2024F0693Ensure 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.DComplaint investigation3 Jul 2024
2 Jul 2024F0761Ensure 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.DComplaint investigation3 Jul 2024
2 Jul 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation3 Jul 2024
17 Apr 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation18 Apr 2024
4 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint investigation5 Apr 2024
4 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation5 Apr 2024
22 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation23 Mar 2024
22 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint investigation23 Mar 2024
1 Dec 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation18 Dec 2023
1 Dec 2023F0760Ensure that residents are free from significant medication errors.DComplaint investigation18 Dec 2023
17 Nov 2023F0732Post nurse staffing information every day.DComplaint investigation18 Nov 2023
20 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation21 Sep 2023
15 Aug 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DComplaint investigation7 Sep 2023
15 Aug 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation7 Sep 2023

Penalties

DateTypeAmountDetail
4 Mar 2026Fine$15,935
24 Sep 2024Fine$6,144
10 Aug 2024Fine$22,391
22 Mar 2024Fine$256,785

Staffing

Total nursing3.71 h
Nurse aides2.4 h
LPN0.44 h
RN0.88 h
Weekend total3.42 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 77.1%, RNs 75.9%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay33.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.2%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay23.3%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.8%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Ashford Hall Inc.

OrganisationRole in the CMS recordInterestSince
Lion Health Centers, Inc.5% or greater direct ownership interest100%09/01/2019
Camas Investment Trust5% or greater indirect ownership interestNO PERCENTAGE PROVIDED08/23/2007
Lion Group of Companies, Inc5% or greater indirect ownership interestNO PERCENTAGE PROVIDED05/01/2000
Preferred Property Investments, LLC5% or greater indirect ownership interestNO PERCENTAGE PROVIDED12/01/1995
Forvis Mazars LLPAdp of the snfNOT APPLICABLE02/01/2016
Karan Associates Two, LLCAdp of the snfNOT APPLICABLE02/15/1994
Lion Health Centers, Inc.Adp of the snfNOT APPLICABLE04/11/2025
Nutritious Lifestyles, Inc.Adp of the snfNOT APPLICABLE01/20/2020
Pharmacy Corporation of AmericaAdp of the snfNOT APPLICABLE09/29/2015

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Dallas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At IrvingIrving845421821.4—26 Feb 2026
Brentwood Place OneDallas1205511512.5—9 Apr 2026
C C Young Memorial HomeDallas12955586.2—15 Jan 2026
Cheyenne Medical LodgeMesquite1395422014.4—16 Jun 2026
Crestview CourtCedar Hill1255422116.8$17K14 Jun 2025
Las Brisas Rehabilitation and Wellness CenterIrving128552107.8—8 Jan 2026
Pure Health Transitional Care At Texas Health PresDallas4955448.2—2 Jul 2025
Ventana By BucknerDallas725451419.4—18 Mar 2026

All 81 facilities in Dallas County

Questions and answers

How many deficiencies has Ashford Hall been cited for?

35 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Ashford Hall been fined?

Yes. CMS lists fines totalling $301K in the period covered.

How does staffing at Ashford Hall compare?

Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Ashford Hall?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Lion Health Centers, Inc., Camas Investment Trust and Lion Group of Companies, Inc. Individual owners and managers are not listed on this site.

When was Ashford Hall last inspected?

The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.