Nursing homes › Texas › Ashford Hall
2021 Shoaf Dr, Irving, TX 75061 · 9725791919 · 206 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
Total nurse staffing: 3.71 (Texas median: 3.27). RN hours: 0.88. Weekend total: 3.42. Nursing staff turnover: 77%.
All-time on record: 35 deficiency citations, including 5 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | 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. | E | Health | corrected 2026-04-10 |
| 2026-04-09 | Ensure each resident receives an accurate assessment. | D | Health | 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. | D | Health | corrected 2026-05-01 |
| 2026-04-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | 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. | G | complaint | 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. | E | complaint | corrected 2026-03-25 |
| 2026-03-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | 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. | E | complaint | 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. | E | Health | corrected 2025-02-03 |
| 2025-01-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-02-03 |
| 2025-01-24 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2025-02-03 |
| 2025-01-13 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-01-22 |
| 2025-01-13 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2024-09-27 |
| 2024-08-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | corrected 2024-08-11 |
| 2024-08-10 | Keep residents' personal and medical records private and confidential. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2024-07-03 |
| 2024-07-02 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-07-03 |
| 2024-04-17 | Plan the resident's discharge to meet the resident's goals and needs. | D | complaint | corrected 2024-04-18 |
| 2024-04-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | complaint | 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. | K | complaint | 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. | K | complaint | corrected 2024-03-23 |
| 2024-03-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | complaint | corrected 2024-03-23 |
| 2023-12-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2023-12-18 |
| 2023-12-01 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2023-12-18 |
| 2023-11-17 | Post nurse staffing information every day. | D | complaint | corrected 2023-11-18 |
| 2023-09-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2023-09-07 |
| 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 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LION HEALTH CENTERS, INC. | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 09/01/2019 |
| CAMAS INVESTMENT TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/23/2007 |
| LEHI INVESTMENTS TRUST | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 08/23/2007 |
| LION GROUP OF COMPANIES, INC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2000 |
| PREFERRED PROPERTY INVESTMENTS, LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/01/1995 |
| LEE, DARREN | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 09/01/2019 |
| LEE, MICHAEL | 5% Or Greater Indirect Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 09/01/2019 |
| LEE, DARREN | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2019 |
| LEE, NATHAN | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2019 |
| OLLILA, PATRICK | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2019 |
| LEE, DARREN | Corporate Officer | Individual | NOT APPLICABLE | since 09/01/2019 |
| LEE, NATHAN | Corporate Officer | Individual | NOT APPLICABLE | since 09/01/2019 |
| SORRELL, ANNA | Corporate Officer | Individual | NOT APPLICABLE | since 03/14/2014 |
| BARRIENTOS, BRENDA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/09/2017 |
| LEE, NATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455748. Corrections: data@carerecords.org.