Elder Care Record

Texas › Midland County › Midland

Ashton Medical Lodge

801 South Loop 250 West, Midland, TX 79703

CCN 676430 · For-profit, limited liability company · 144 certified beds

Located in a hospital
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.

Ashton Medical Lodge, in Midland, Texas, is certified for 144 beds under for-profit, limited liability company ownership.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (5, 14, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 17.4 per 100 beds, fewer than the state median of 22.5.

CMS lists 1 penalty in the period covered: fines totalling $13K.

Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 49.6%.

25health deficiencies, 3 survey cycles1 at actual harm or worse
$13Kfines listed by CMS1 penalty in period
3.4nurse hours per resident per daystate median 3.3
92%occupancy (residents ÷ beds)132 residents a day

Compared with county, state and nation

MeasureThis facilityMidland Co. medianTexas medianUS average
Overall star rating2233.0
Health citations, 3 cycles25252528.7
Citations per 100 beds17.431.822.526.8
Total nurse hours per resident day3.43.13.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover49.6%49.6%52.1%45.8%
Fines listed$13,397$9,110$16,801—

County and state figures are medians across facilities (5 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)5
Cycle 214
Cycle 36

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Apr 2026, 6 Feb 2025.

Severity mix: J ×1 D ×18 E ×5 F ×1

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
10 Apr 2026F0761Ensure 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.EComplaint investigation11 May 2026
10 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation11 May 2026
10 Apr 2026F0693Ensure 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 investigation11 May 2026
10 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation11 May 2026
10 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey11 May 2026
16 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation3 Jun 2025
16 May 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation3 Jun 2025
16 May 2025F0610Respond appropriately to all alleged violations.DComplaint investigation3 Jun 2025
6 Feb 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey1 Mar 2025
6 Feb 2025F0880Provide and implement an infection prevention and control program.EStandard survey1 Mar 2025
6 Feb 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey1 Mar 2025
6 Feb 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey1 Mar 2025
6 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey1 Mar 2025
6 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey1 Mar 2025
6 Feb 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 survey1 Mar 2025
6 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey1 Mar 2025
6 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey1 Mar 2025
6 Feb 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.DStandard survey1 Mar 2025
6 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey1 Mar 2025
30 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation31 May 2024
5 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation6 Jan 2024
21 Dec 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Jan 2024
21 Dec 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey6 Jan 2024
21 Dec 2023F0761Ensure 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.DStandard survey6 Jan 2024
21 Dec 2023F0880Provide and implement an infection prevention and control program.DStandard survey6 Jan 2024

Penalties

DateTypeAmountDetail
21 Dec 2023Fine$13,397

Staffing

Total nursing3.39 h
Nurse aides2.12 h
LPN0.89 h
RN0.38 h
Weekend total3 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 49.6%, RNs 35.7%; 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 Stay11.2%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.9%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay8.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.9%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay16.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.8%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay2.3%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, limited liability company. Legal business name: Midland County Hospital District.

OrganisationRole in the CMS recordInterestSince
Foursquare Texas 16 LLCOperational/managerial controlNOT APPLICABLE03/01/2023
Kingsbury Capital LLC Series FOperational/managerial controlNOT APPLICABLE03/01/2023
Lion Plaza LPOperational/managerial controlNOT APPLICABLE03/01/2023
Mnh-Inv Series LLC Series DOperational/managerial controlNOT APPLICABLE03/01/2023
Fairbrook Partners, LPAdp of the snfNOT APPLICABLE03/01/2023
Foursquare Texas 16 LLCAdp of the snfNOT APPLICABLE04/23/2025
Midland Nh Realty LtdAdp of the snfNOT APPLICABLE03/01/2023
Montague Nh, LPAdp of the snfNOT APPLICABLE03/01/2023
Rockett, LPAdp of the snfNOT APPLICABLE03/01/2023

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 Midland County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Mabee Health Care CenterMidland444321431.8—26 Feb 2026
Midland Medical LodgeMidland1253411713.6—21 Aug 2025
Focused Care At MidlandMidland1062224845.3$9K11 Jun 2026
Focused Care At Hogan ParkMidland1061214542.5$9K27 Feb 2026

All 5 facilities in Midland County

Questions and answers

How many deficiencies has Ashton Medical Lodge been cited for?

25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Ashton Medical Lodge been fined?

Yes. CMS lists fines totalling $13K in the period covered.

How does staffing at Ashton Medical Lodge compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Ashton Medical Lodge?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Foursquare Texas 16 LLC, Kingsbury Capital LLC Series F and Lion Plaza LP. Individual owners and managers are not listed on this site.

When was Ashton Medical Lodge last inspected?

The most recent survey or investigation in the CMS record is dated 10 Apr 2026; the most recent standard health survey was 10 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.