Ashford Hall
Nursing Home · Irving, TX
CMS certification number455748
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2021 Shoaf DrIrving, TX 75061
Dallas County
- Phone
- (972) 579-1919
- ZIP code
- 75061 – all care providers
Facility details
- Certified beds
- 206
- Residents per day
- 114.0 (55% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Ashford Hall INC
- Medicare certified since
- May 26, 1988
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.71 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.88 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.44 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.40 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.42 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 77.1 (state 55.3 · U.S. 45.8)%
- RN turnover
- 75.9 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- April 9, 2026
- Health deficiencies (last cycle)
- 9.0 (state 9.3 · U.S. 9.3)
- From complaints
- 4
- Citations on record (3 years)
- 35 health · 28 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-10 |
| 2026-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-10 |
| 2026-04-09 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-03-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-25 |
| 2026-03-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-25 |
| 2026-03-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-05 |
| 2025-12-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-19 |
| 2025-01-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2025-01-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2025-01-24 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2025-01-24 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2025-01-24 | 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. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2025-01-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-03 |
| 2025-01-13 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-22 |
| 2025-01-13 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-22 |
| 2025-01-13 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-22 |
| 2024-09-24 | 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. F0622 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2024-08-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-08-11 |
| 2024-08-10 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-11 |
| 2024-07-02 | 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. F0693 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-03 |
| 2024-07-02 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-03 |
| 2024-07-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-03 |
| 2024-04-17 | Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-18 |
| 2024-04-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-04-05 |
| 2024-04-04 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-04-05 |
| 2024-03-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-03-23 |
| 2024-03-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-03-23 |
| 2023-12-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-18 |
| 2023-12-01 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-18 |
| 2023-11-17 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-11-18 |
| 2023-09-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-21 |
| 2023-08-15 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-07 |
| 2023-08-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-07 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $301,255 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-04 | Fine | $15,935 |
| 2024-09-24 | Fine | $6,144 |
| 2024-08-10 | Fine | $22,391 |
| 2024-03-22 | Fine | $256,785 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Lion Health Centers, INC. (organization) | 5%+ Direct Ownership Interest · 100% | |
| Camas Investment Trust (organization) | 5%+ Indirect Ownership Interest | |
| Lee, Darren (individual) | 5%+ Indirect Ownership Interest | |
| Lee, Michael (individual) | 5%+ Indirect Ownership Interest | |
| Lehi Investments Trust (organization) | 5%+ Indirect Ownership Interest | |
| Lion Group of Companies, INC (organization) | 5%+ Indirect Ownership Interest | |
| Preferred Property Investments, LLC (organization) | 5%+ Indirect Ownership Interest | |
| Barrientos, Brenda (individual) | Administrator · NOT APPLICABLE | |
| Benenate, Joseph (individual) | Administrator · NOT APPLICABLE | |
| Forvis Mazars LLP (organization) | Administrator · NOT APPLICABLE | |
| Karan Associates Two, LLC (organization) | Administrator · NOT APPLICABLE | |
| Lee, Darren (individual) | Administrator · NOT APPLICABLE | |
| Lee, Nathan (individual) | Administrator · NOT APPLICABLE | |
| Lion Health Centers, INC. (organization) | Administrator · NOT APPLICABLE | |
| Moffitt, Rozina (individual) | Administrator · NOT APPLICABLE | |
| Nutritious Lifestyles, INC. (organization) | Administrator · NOT APPLICABLE | |
| Pharmacy Corporation of America (organization) | Administrator · NOT APPLICABLE | |
| Lee, Darren (individual) | Corporate Director · NOT APPLICABLE | |
| Lee, Nathan (individual) | Corporate Director · NOT APPLICABLE | |
| Ollila, Patrick (individual) | Corporate Director · NOT APPLICABLE | |
| Lee, Darren (individual) | Corporate Officer · NOT APPLICABLE | |
| Lee, Nathan (individual) | Corporate Officer · NOT APPLICABLE | |
| Sorrell, Anna (individual) | Corporate Officer · NOT APPLICABLE | |
| Jensen, Christian (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Lee, Christopher (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Lee, Miriam (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Barrientos, Brenda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lee, Nathan (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Ashford Hall?
Ashford Hall has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Ashford Hall have?
It has 206 certified beds and cares for about 114 residents per day.
Has Ashford Hall been fined?
Yes. CMS lists 4 penalties totaling $301,255 in the last three years.
What is the phone number of Ashford Hall?
(972) 579-1919. The facility is located at 2021 Shoaf Dr, Irving, TX 75061.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.