F51

ASHFORD HALL

Grade F 51/100 composite score

For profit - CorporationAbuse Citation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
1/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

206

Ownership

For profit - Corporation

Total Fines

$285,320

Last Survey

N/A

2021 SHOAF DR, IRVING, TX 75061
9725791919

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.79h
LPN
0.76h
CNA
2.71h
Total
4.26h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

LION HEALTH CENTERS, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2019

100%

CAMAS INVESTMENT TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2007

LEHI INVESTMENTS TRUST

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Aug 2007

LION GROUP OF COMPANIES, INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince May 2000

PREFERRED PROPERTY INVESTMENTS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 1995

LEE, DARREN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

LEE, MICHAEL

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

BARRIENTOS, BRENDA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2017

LEE, NATHAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2019

LEE, DARREN

IndividualCORPORATE DIRECTORSince Sep 2019

LEE, NATHAN

IndividualCORPORATE DIRECTORSince Sep 2019

OLLILA, PATRICK

IndividualCORPORATE DIRECTORSince Sep 2019

LEE, DARREN

IndividualCORPORATE OFFICERSince Sep 2019

LEE, NATHAN

IndividualCORPORATE OFFICERSince Sep 2019

SORRELL, ANNA

IndividualCORPORATE OFFICERSince Mar 2014

Penalties & Fines (3)

$285,320total fines
DateTypeDescriptionAmount
Sep 24, 2024Fine$6,144
Aug 10, 2024Fine$22,391
Mar 22, 2024Fine$256,785

Health Inspection Deficiencies (29)

January 24, 2025Health6 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Feb 3, 2025
0691DMinimal harm, Isolated

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Feb 3, 2025
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Feb 3, 2025
0726DMinimal harm, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Feb 3, 2025
0755EMinimal harm, Pattern

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Feb 3, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 3, 2025
January 13, 2025Health3 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jan 22, 2025
0603DMinimal harm, Isolated

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 22, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jan 22, 2025
September 24, 2024Health1 deficiency
0622DMinimal harm, Isolated

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Resident Rights Deficiencies

Corrected Sep 27, 2024
August 10, 2024Health2 deficiencies1 severe
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Aug 11, 2024
0684KImmediate jeopardy, Pattern

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

Quality of Life and Care Deficiencies

Corrected Aug 11, 2024
July 2, 2024Health3 deficiencies
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jul 3, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jul 3, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 3, 2024
April 17, 2024Health1 deficiency
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 18, 2024
April 4, 2024Health2 deficiencies2 severe
0684KImmediate jeopardy, Pattern

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

Quality of Life and Care Deficiencies

Corrected Apr 5, 2024
0689KImmediate jeopardy, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 5, 2024
March 22, 2024Health2 deficiencies2 severe
0600KImmediate jeopardy, Pattern

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 23, 2024
0686KImmediate jeopardy, Pattern

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

Quality of Life and Care Deficiencies

Corrected Mar 23, 2024
December 1, 2023Health2 deficiencies
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Dec 18, 2023
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Dec 18, 2023
November 17, 2023Health1 deficiency
0732DMinimal harm, Isolated

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Nov 18, 2023
September 20, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 21, 2023
August 15, 2023Health2 deficiencies
0640DMinimal harm, Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 7, 2023
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 7, 2023
June 6, 2023Health1 deficiency
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Jun 7, 2023
January 4, 2023Health2 deficiencies
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 27, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 27, 2023

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Frequently Asked Questions

What is the CareGrader rating for ASHFORD HALL?

ASHFORD HALL in IRVING, Texas has a CareGrader grade of F (Poor), with a composite score of 50.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for ASHFORD HALL?

ASHFORD HALL has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does ASHFORD HALL have?

ASHFORD HALL has 29 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has ASHFORD HALL been fined?

Yes. ASHFORD HALL has $285,320 in total fines from CMS enforcement actions across 3 penalties.

How many beds does ASHFORD HALL have?

ASHFORD HALL has 206 certified beds with approximately 117 current residents (57% occupancy). The facility is located at 2021 SHOAF DR, IRVING, Texas 75061. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.