About Ashford Hall
Ashford Hall, located in Irving, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Ashford Hall
Key Performance Indicators
- CMS Overall Rating 1 Stars
- Nursing Hours 3.86 hrs
- Safety Record Issues
Chain Affiliations & Network
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Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Mixed Staffing Levels
Ashford Hall provides more care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 1 |
|
| Health Inspection | 1 |
|
| Quality Measures | 1 |
|
| Staffing | 3 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 68 | Jan 24, 2025 |
| Weighted Average | 225 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 15.9% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 6.4% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 3.1% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 1.7% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 42.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 5.2% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.2% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.8% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 2.7% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 3.7% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 91.9% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 56.0% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 2.4% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 32.3% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 24.5% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 92.9% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 50.0% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 3.2% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 20.8% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | N/A |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 7 complaints
- 2024: 11 complaints
- 2025: 4 complaints
- 2026: 3 complaints
- Total: 25 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| Mar 25, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| Mar 25, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Mar 05, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Dec 19, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Jan 22, 2025 | 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. |
| Jan 22, 2025 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). |
| Jan 22, 2025 | Keep residents' personal and medical records private and confidential. |
| Sep 27, 2024 | 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. |
| Aug 11, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Aug 11, 2024 | Keep residents' personal and medical records private and confidential. |
| Jul 03, 2024 | Provide and implement an infection prevention and control program. |
| Jul 03, 2024 | 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. |
| Jul 03, 2024 | 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. |
| Apr 18, 2024 | Plan the resident's discharge to meet the resident's goals and needs. |
| Apr 05, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| Apr 05, 2024 | Provide appropriate treatment and care according to orders, resident?s preferences and goals. |
| Mar 23, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| Mar 23, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Dec 18, 2023 | Ensure that residents are free from significant medication errors. |
| Dec 18, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| Nov 18, 2023 | Post nurse staffing information every day. |
| Sep 21, 2023 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Sep 07, 2023 | Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. |
| Sep 07, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| Jun 07, 2023 | 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. |
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Owner & Operator Information
Business Entity
ASHFORD HALL INC
Ownership Structure
- CAMAS INVESTMENT TRUST Indirect
- DARREN LEE Indirect
- MICHAEL LEE Indirect
- LEHI INVESTMENTS TRUST Indirect
- LION GROUP OF COMPANIES INC Indirect
- LION HEALTH CENTERS INC. Direct: 100%
- PREFERRED PROPERTY INVESTMENTS LLC Indirect
Management & Direction
- BRENDA BARRIENTOS ADP OF THE SNF
- BRENDA BARRIENTOS OPERATIONAL/MANAGERIAL CONTROL
- JOSEPH BENENATE ADP OF THE SNF
- FORVIS MAZARS LLP ADP OF THE SNF
- CHRISTIAN JENSEN INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- KARAN ASSOCIATES TWO LLC ADP OF THE SNF
- CHRISTOPHER LEE INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- DARREN LEE ADP OF THE SNF
- DARREN LEE CORPORATE DIRECTOR
- DARREN LEE CORPORATE OFFICER
- MIRIAM LEE INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
- NATHAN LEE OPERATIONAL/MANAGERIAL CONTROL
- NATHAN LEE ADP OF THE SNF
- NATHAN LEE CORPORATE OFFICER
- NATHAN LEE CORPORATE DIRECTOR
- LION HEALTH CENTERS INC. ADP OF THE SNF
- ROZINA MOFFITT ADP OF THE SNF
- NUTRITIOUS LIFESTYLES INC. ADP OF THE SNF
- PATRICK OLLILA CORPORATE DIRECTOR
- PHARMACY CORPORATION OF AMERICA ADP OF THE SNF
- ANNA SORRELL CORPORATE OFFICER
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Midtowne Meadows Health and Rehab | N/A | 4 |
| The Legacy Midtown Park | N/A | 5 |
| Pure Health Transitional Care at Texas Health Pres | N/A | 5 |
| Trinity Terrace | N/A | 5 |
| Princeton Medical Lodge | N/A | 4 |
| C C Young Memorial Home | N/A | 5 |
| La Dora Nursing and Rehabilitation Center | N/A | 5 |
| Allegiant Wellness and Rehab | N/A | 5 |
| Hurst Plaza Nursing and Rehab | N/A | 4 |
| Parkwood Village | N/A | 5 |
Related Analysis
Best Nursing Homes in Irving, TX
Compare Ashford Hall to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Ashford Hall directly at 9725791919. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.