nursing home in Irving, TX

Ashford Hall

2021 Shoaf Dr, Irving, TX 75061 · (972) 579-1919

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★3
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Ashford Hall at a glance

Ashford Hall is a 206-bed for-profit nursing home in Irving, Texas (Dallas County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.7 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 3.4 hours.

Its most recent standard health inspection (April 9, 2026) found 9 health citations. The Texas average is 9.4.

Federal regulators fined it 4 times in the past three years, totaling $301,255.

Nursing staff turnover is 77.1% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
206
Certified for
Medicare and Medicaid
Medicare-certified since
May 26, 1988
Resident/family council
Resident
County
Dallas County
CMS Certification Number
455748

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 51.9 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 54 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)3 / 53.2 / 53.3 / 5Average

Staffing

This facility3.71 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.71 hrs3.39 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.88 hrs0.43 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.40 hrs2.01 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.42 hrs2.98 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)77.1%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)75.9%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility9Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)999Average
Citations from complaint investigations (latest cycle) (lower is better)443Worse
Weighted health inspection score ⓘ (lower is better)228.310280.6Worse

Penalties

This facility4Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)411Worse
Total fines in the past 3 years (lower is better)$301,255$44,141$30,972Worse
All federal penalties in the past 3 years (lower is better)421Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds206113107
Average residents per day1147686
Occupancy55.3%67.6%80.9%

Long-stay residents

This facility3.1%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.1%3.3%3.2%Average
Long-stay residents with pressure ulcers (lower is better)3.7%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)9.8%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.5%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.2%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)33.8%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)23.3%14%14.1%Worse
Long-stay residents who lose too much weight (lower is better)5.9%3%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)1.9%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)22.4%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)16.9%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)92.9%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)93.7%96.6%93.6%Average

Short-stay residents

This facility3.4%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.4%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)50%88%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)63.7%88.9%82%Worse

Inspection citations

State inspectors cited this home for 33 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 5 rated "immediate jeopardy".

DateCitationSeverityStatus
April 9, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected May 1, 2026
April 9, 2026
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected May 1, 2026
April 9, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected April 30, 2026
April 9, 2026
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected April 10, 2026
April 9, 2026
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected May 1, 2026
April 9, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 10, 2026
April 9, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected April 10, 2026
April 9, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected May 1, 2026
April 9, 2026
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 1, 2026
April 9, 2026
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected May 1, 2026
March 24, 2026
Complaint
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 · Tag F0600
G
Actual harm, isolated
Corrected March 25, 2026
March 24, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected March 25, 2026
March 4, 2026
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected March 5, 2026
December 17, 2025
Complaint
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 · Tag F0600
E
Potential harm, pattern
Corrected December 19, 2025
January 24, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
F
Potential harm, widespread
Corrected February 3, 2025
January 24, 2025
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
F
Potential harm, widespread
Corrected February 3, 2025
January 24, 2025
Fire safety
Establish policies and procedures for medical documentation.
Emergency Preparedness Deficiencies · Tag E0023
F
Potential harm, widespread
Corrected February 3, 2025
January 24, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
F
Potential harm, widespread
Corrected February 3, 2025
January 24, 2025
Fire safety
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies · Tag E0006
F
Potential harm, widespread
Corrected February 3, 2025
January 24, 2025
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected February 3, 2025
January 24, 2025
Fire safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0917
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Fire safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies · Tag K0374
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Fire safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies · Tag K0325
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected February 3, 2025
January 24, 2025
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Standard
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0691
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Standard
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 · Tag F0842
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Standard
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 · Tag F0726
D
Potential harm, isolated
Corrected February 3, 2025
January 24, 2025
Standard
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 · Tag F0693
D
Potential harm, isolated
Corrected February 3, 2025
January 13, 2025
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected January 22, 2025
January 13, 2025
Complaint
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 · Tag F0761
D
Potential harm, isolated
Corrected January 22, 2025
January 13, 2025
Complaint
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603
D
Potential harm, isolated
Corrected January 22, 2025
September 24, 2024
Complaint
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 · Tag F0622
D
Potential harm, isolated
Corrected September 27, 2024
August 10, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
K
Immediate jeopardy, pattern
Corrected August 11, 2024
August 10, 2024
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected August 11, 2024
July 2, 2024
Complaint
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 · Tag F0693
D
Potential harm, isolated
Corrected July 3, 2024
July 2, 2024
Complaint
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 · Tag F0761
D
Potential harm, isolated
Corrected July 3, 2024
July 2, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected July 3, 2024
April 17, 2024
Complaint
Plan the resident's discharge to meet the resident's goals and needs.
Resident Assessment and Care Planning Deficiencies · Tag F0660
D
Potential harm, isolated
Corrected April 18, 2024
April 4, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
K
Immediate jeopardy, pattern
Corrected April 5, 2024
April 4, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
K
Immediate jeopardy, pattern
Corrected April 5, 2024
March 22, 2024
Complaint
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 · Tag F0600
K
Immediate jeopardy, pattern
Corrected March 23, 2024
March 22, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
K
Immediate jeopardy, pattern
Corrected March 23, 2024
December 1, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected December 22, 2023
December 1, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
F
Potential harm, widespread
Corrected December 22, 2023
December 1, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
F
Potential harm, widespread
Corrected December 22, 2023
December 1, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected December 22, 2023
December 1, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected December 22, 2023
December 1, 2023
Fire safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies · Tag K0325
E
Potential harm, pattern
Corrected December 22, 2023
December 1, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
D
Potential harm, isolated
Corrected December 22, 2023
December 1, 2023
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected December 22, 2023
December 1, 2023
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected December 18, 2023
December 1, 2023
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected December 18, 2023
November 17, 2023
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
D
Potential harm, isolated
Corrected November 18, 2023
September 20, 2023
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected September 21, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 4 federal penalties in the past three years, including $301,255 in fines.

DatePenaltyAmount / length
March 4, 2026Fine$15,935
September 24, 2024Fine$6,144
August 10, 2024Fine$22,391
March 22, 2024Fine$256,785

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
LION HEALTH CENTERS, INC.
Organization
5% or greater direct ownership interest100%09/01/2019
CAMAS INVESTMENT TRUST
Organization
5% or greater indirect ownership interest—08/23/2007
LEE, DARREN
Individual
5% or greater indirect ownership interest—09/01/2019
LEE, MICHAEL
Individual
5% or greater indirect ownership interest—09/01/2019
LEHI INVESTMENTS TRUST
Organization
5% or greater indirect ownership interest—08/23/2007
LION GROUP OF COMPANIES, INC
Organization
5% or greater indirect ownership interest—05/01/2000
PREFERRED PROPERTY INVESTMENTS, LLC
Organization
5% or greater indirect ownership interest—12/01/1995
BARRIENTOS, BRENDA
Individual
adp of the snfNOT APPLICABLE10/09/2017
BENENATE, JOSEPH
Individual
adp of the snfNOT APPLICABLE01/03/2000
FORVIS MAZARS LLP
Organization
adp of the snfNOT APPLICABLE02/01/2016
KARAN ASSOCIATES TWO, LLC
Organization
adp of the snfNOT APPLICABLE02/15/1994
LEE, DARREN
Individual
adp of the snfNOT APPLICABLE09/01/2019
LEE, NATHAN
Individual
adp of the snfNOT APPLICABLE09/01/2019
LION HEALTH CENTERS, INC.
Organization
adp of the snfNOT APPLICABLE04/11/2025
MOFFITT, ROZINA
Individual
adp of the snfNOT APPLICABLE03/03/2025
NUTRITIOUS LIFESTYLES, INC.
Organization
adp of the snfNOT APPLICABLE01/20/2020
PHARMACY CORPORATION OF AMERICA
Organization
adp of the snfNOT APPLICABLE09/29/2015
LEE, DARREN
Individual
corporate directorNOT APPLICABLE09/01/2019
LEE, NATHAN
Individual
corporate directorNOT APPLICABLE09/01/2019
OLLILA, PATRICK
Individual
corporate directorNOT APPLICABLE09/01/2019
LEE, DARREN
Individual
corporate officerNOT APPLICABLE09/01/2019
LEE, NATHAN
Individual
corporate officerNOT APPLICABLE09/01/2019
SORRELL, ANNA
Individual
corporate officerNOT APPLICABLE03/14/2014
JENSEN, CHRISTIAN
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/11/2025
LEE, CHRISTOPHER
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/04/2025
LEE, MIRIAM
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/04/2025
BARRIENTOS, BRENDA
Individual
operational/managerial controlNOT APPLICABLE10/09/2017
LEE, NATHAN
Individual
operational/managerial controlNOT APPLICABLE09/01/2019

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    • Abuse citation
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  5. Las Brisas Rehabilitation and Wellness Center

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Frequently asked questions

What is Ashford Hall's rating?

Ashford Hall has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Ashford Hall receive?

Its most recent standard health inspection found 9 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Ashford Hall accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Ashford Hall?

It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.

Where is Ashford Hall and how do I contact it?

Ashford Hall is at 2021 Shoaf Dr, Irving, TX 75061. Phone: (972) 579-1919.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.