Nursing homeActive

Ashford Hall

2021 Shoaf Dr, Irving, TX 750619725791919206 certified beds · 114 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
16
since 2023
Deficiencies
35
0296
Penalties · 3 yrs
$301,255
4 fines
Last survey
2026-04-09
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-09Standard050CMS-2567 (Care Compare)
2026-03-24Complaint011CMS-2567 (Care Compare)
2026-03-04Complaint010CMS-2567 (Care Compare)
2025-12-17Complaint010CMS-2567 (Care Compare)
2025-01-24Standard060CMS-2567 (Care Compare)
2025-01-13Complaint030CMS-2567 (Care Compare)
2024-09-24Complaint010CMS-2567 (Care Compare)
2024-08-10Complaint011CMS-2567 (Care Compare)
2024-07-02Complaint030CMS-2567 (Care Compare)
2024-04-17Complaint010CMS-2567 (Care Compare)
2024-04-04Complaint002CMS-2567 (Care Compare)
2024-03-22Complaint002CMS-2567 (Care Compare)
2023-12-01Standard020CMS-2567 (Care Compare)
2023-11-17Complaint010CMS-2567 (Care Compare)
2023-09-20Complaint010CMS-2567 (Care Compare)
2023-08-15Complaint020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-09Standard survey · 5 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 455748-20260409-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 455748-20260409-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-01Record 455748-20260409-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 455748-20260409-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-10Record 455748-20260409-F812
2026-03-24Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-25Record 455748-20260324-F600
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-25Record 455748-20260324-F656
2026-03-04Complaint survey · 1 deficiencyOfficial report
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-05Record 455748-20260304-F607
2025-12-17Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 455748-20251217-F600
2025-01-24Standard survey · 6 deficienciesOfficial report
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 455748-20250124-F582
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 455748-20250124-F691
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 455748-20250124-F693
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 455748-20250124-F726
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 455748-20250124-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-03Record 455748-20250124-F842
2025-01-13Complaint survey · 3 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-22Record 455748-20250113-F583
F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-22Record 455748-20250113-F603
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-22Record 455748-20250113-F761
2024-09-24Complaint survey · 1 deficiencyOfficial report
F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-27Record 455748-20240924-F622
2024-08-10Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-11Record 455748-20240810-F684
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-11Record 455748-20240810-F583
2024-07-02Complaint survey · 3 deficienciesOfficial report
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 455748-20240702-F693
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 455748-20240702-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 455748-20240702-F880
2024-04-17Complaint survey · 1 deficiencyOfficial report
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 455748-20240417-F660
2024-04-04Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-05Record 455748-20240404-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-05Record 455748-20240404-F689
2024-03-22Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-03-23Record 455748-20240322-F600
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-03-23Record 455748-20240322-F686
2023-12-01Standard survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-18Record 455748-20231201-F677
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-18Record 455748-20231201-F760
2023-11-17Complaint survey · 1 deficiencyOfficial report
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 455748-20231117-F732
2023-09-20Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-21Record 455748-20230920-F609
2023-08-15Complaint survey · 2 deficienciesOfficial report
F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-07Record 455748-20230815-F640
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-07Record 455748-20230815-F657

Penalties & enforcement

DateActionAmountSource
2026-03-04Civil money penalty$15,935CMS · Penalties
2024-09-24Civil money penalty$6,144CMS · Penalties
2024-08-10Civil money penalty$22,391CMS · Penalties
2024-03-22Civil money penalty$256,785CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.88
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.71
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours3.42
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover77%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover76%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.7%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.1%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
9.8%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
33.8%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.9%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
22.4%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Lion Health Centers, Inc.
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Camas Investment Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lee, Darren
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lee, Michael
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lehi Investments Trust
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Lion Group Of Companies, Inc
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Preferred Property Investments, LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Barrientos, Brenda
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lee, Nathan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Barrientos, Brenda
Individual
ADP OF THE SNFNOT APPLICABLE
Benenate, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
Forvis Mazars LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Jensen, Christian
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Karan Associates Two, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Lee, Christopher
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Lee, Darren
Individual
CORPORATE OFFICERNOT APPLICABLE
Lee, Darren
Individual
ADP OF THE SNFNOT APPLICABLE
Lee, Darren
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lee, Miriam
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Lee, Nathan
Individual
ADP OF THE SNFNOT APPLICABLE
Lee, Nathan
Individual
CORPORATE OFFICERNOT APPLICABLE
Lee, Nathan
Individual
CORPORATE DIRECTORNOT APPLICABLE
Lion Health Centers, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Moffitt, Rozina
Individual
ADP OF THE SNFNOT APPLICABLE
Nutritious Lifestyles, Inc.
Organization
ADP OF THE SNFNOT APPLICABLE
Ollila, Patrick
Individual
CORPORATE DIRECTORNOT APPLICABLE
Pharmacy Corporation Of America
Organization
ADP OF THE SNFNOT APPLICABLE
Sorrell, Anna
Individual
CORPORATE OFFICERNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Dallas.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avir at Irving
Irving
1.1 mi2026-02-260180
Avante Rehabilitation Center
Irving
1.4 mi2026-04-23096
The Villages on MacArthur
Irving
1.4 mi2026-01-020242
Northgate Plaza
Irving
2.1 mi2026-06-030601
Las Brisas Rehabilitation And Wellness Center
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3.6 mi2026-01-08090
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01