ASHFORD HALL
2021 SHOAF DR, IRVING, TX 75061 · CCN 455748
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 206
- Avg residents/day
- 117.7
- Phone
- 9725791919
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-24 | 7 | 9.1 | 9.5 | -2.1 better |
| 2 | 2023-12-01 | 15 | 9.4 | 9.8 | +5.6 worse |
| 3 | 2022-09-22 | 6 | 8.1 | 9.3 | -2.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.90 | 83.6% |
| RN staffing (reported) | 0.72 | 76.0% |
| Total nurse staffing (adjusted) | 4.26 | — |
Fines & penalties
- Total fines
- $285,320
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Inspection citations (28)5 immediate jeopardy
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-17 · Health · corrected 2025-12-19
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-01-24 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2025-01-24 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0693Ensure 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.2025-01-24 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-24 · Health · corrected 2025-02-03
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-24 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-24 · Health · corrected 2025-02-03
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-01-13 · Health · corrected 2025-01-22
Potential for more than minimal harm
- DF0603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).2025-01-13 · Health · corrected 2025-01-22
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-13 · Health · corrected 2025-01-22
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-09-24 · Health · corrected 2024-09-27
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-08-10 · Health · corrected 2024-08-11
Potential for more than minimal harm
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-10 · Health · corrected 2024-08-11
Immediate jeopardy
- DF0693Ensure 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.2024-07-02 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0761Ensure 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.2024-07-02 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-07-02 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-04-17 · Health · corrected 2024-04-18
Potential for more than minimal harm
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-04 · Health · corrected 2024-04-05
Immediate jeopardy
- KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-04 · Health · corrected 2024-04-05
Immediate jeopardy
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-22 · Health · corrected 2024-03-23
Immediate jeopardy
- KF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-22 · Health · corrected 2024-03-23
Immediate jeopardy
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-12-01 · Health · corrected 2023-12-18
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-12-01 · Health · corrected 2023-12-18
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2023-11-17 · Health · corrected 2023-11-18
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-20 · Health · corrected 2023-09-21
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-08-15 · Health · corrected 2023-09-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-15 · Health · corrected 2023-09-07
Potential for more than minimal harm
- EF0584Honor 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.2023-06-06 · Health · corrected 2023-06-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LION HEALTH CENTERS, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-09-01 |
| CAMAS INVESTMENT TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-08-23 |
| LEHI INVESTMENTS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2007-08-23 |
| LION GROUP OF COMPANIES, INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2000-05-01 |
| PREFERRED PROPERTY INVESTMENTS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 1995-12-01 |
| LEE, DARREN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| LEE, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-09-01 |
| BARRIENTOS, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-10-09 |
| LEE, NATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| LEE, DARREN | Individual | CORPORATE DIRECTOR | — | 2019-09-01 |
| LEE, NATHAN | Individual | CORPORATE DIRECTOR | — | 2019-09-01 |
| OLLILA, PATRICK | Individual | CORPORATE DIRECTOR | — | 2019-09-01 |
| LEE, DARREN | Individual | CORPORATE OFFICER | — | 2019-09-01 |
| LEE, NATHAN | Individual | CORPORATE OFFICER | — | 2019-09-01 |
| SORRELL, ANNA | Individual | CORPORATE OFFICER | — | 2014-03-14 |
Other facilities in IRVING
| Name | Overall | Beds |
|---|---|---|
| Avir at Irving | ★★★★☆ | 84 |
| AVANTE REHABILITATION CENTER | ★★★☆☆ | 120 |
| LAS BRISAS REHABILITATION AND WELLNESS CENTER | ★★★☆☆ | 128 |
| NORTHGATE PLAZA | ★☆☆☆☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.