Hearth Record

Ashford Hall

A nursing home in Irving, Texas 75061

2021 Shoaf Dr, Irving, Texas 75061. (972) 579-1919.

  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 31 citations in 10 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (K). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

9 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Apr 9, 2026.

Most serious in three years: immediate jeopardy to health or safety (K), at a complaint inspection on Aug 10, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

31 citations in 10 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.

31 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 32 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 21 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Apr 9, 2026: standard inspection5 citations
  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 1, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2026.

Mar 24, 2026: complaint inspection2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

Mar 4, 2026: complaint inspection1 citation
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 5, 2026.

Dec 17, 2025: complaint inspection1 citation
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 19, 2025.

Jan 24, 2025: standard inspection6 citations
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 3, 2025.

  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Rule F0691. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 3, 2025.

  • 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.

    Rule F0693. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 3, 2025.

  • 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.

    Rule F0726. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 3, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 3, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 3, 2025.

Jan 13, 2025: complaint inspection3 citations
  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 22, 2025.

  • Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Rule F0603. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 22, 2025.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 22, 2025.

Sep 24, 2024: complaint inspection1 citation
  • 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.

    Rule F0622. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 27, 2024.

Aug 10, 2024: complaint inspection2 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 11, 2024.

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 11, 2024.

Jul 2, 2024: complaint inspection3 citations
  • 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.

    Rule F0693. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 3, 2024.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 3, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 3, 2024.

Apr 17, 2024: complaint inspection1 citation
  • Plan the resident’s discharge to meet the resident’s goals and needs.

    Rule F0660. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2024.

Apr 4, 2024: complaint inspection2 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Apr 5, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Apr 5, 2024.

Mar 22, 2024: complaint inspection2 citations
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Mar 23, 2024.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Mar 23, 2024.

Dec 1, 2023: standard and complaint inspection1 citation
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2023.

Dec 1, 2023: complaint inspection1 citation
  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 18, 2023.

Nov 17, 2023: complaint inspection1 citation
  • Post nurse staffing information every day.

    Rule F0732. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 18, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since May 26, 1988.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 206 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 4 fines in the last three years, $295,678 in all.
  • No Medicare payment denials in the last three years.
  • 21 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Mar 4, 2026Fine$10,358
Sep 24, 2024Fine$6,144
Aug 10, 2024Fine$22,391
Mar 22, 2024Fine$256,785

Who does the caring?

3.99 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per day3.993.42
Of which registered nurses0.940.44
At weekends3.592.99
Nursing staff turnover78.2%50.8%
Registered nurse turnover75.9%49.8%
Administrators who left1Not given

Who owns it?

  • Lion Health Centers, Inc. owns 100% directly since Sep 1, 2019.
  • 15 owners or officers are people: Rozina Moffitt (additional disclosable party (controls, leases property to, or provides services to the home)); Joseph Frank Benenate (additional disclosable party (controls, leases property to, or provides services to the home)); Brenda Barrientos (runs it (operational or managerial control)); Brenda Barrientos (additional disclosable party (controls, leases property to, or provides services to the home)); Nathan Lee (corporate officer); Nathan Lee (corporate director); Nathan Lee (runs it (operational or managerial control)); Nathan Lee (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Edward Lee (owns 5% or more through other companies); Darren Lee (owns 5% or more through other companies); Darren Lee (corporate officer); Darren Lee (corporate director); Darren Lee (additional disclosable party (controls, leases property to, or provides services to the home)); Patrick Jon Ollila (corporate director); Anna Sorrell (corporate officer).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Preferred Property Investments, LLCOwns 5% or more through other companies100%Dec 1, 1995
Lion Health Centers, Inc.Owns 5% or more directly100%Sep 1, 2019
LION Group of Companies, Inc.Owns 5% or more through other companies100%May 1, 2000
Camas Investment TrustOwns 5% or more through other companies50%Aug 23, 2007
Lehi Investments TrustOwns 5% or more through other companies50%Aug 23, 2007
Karan Associates Two, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 15, 1994
Pharmacy Corporation of AmericaAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 29, 2015
Nutritious Lifestyles, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Jan 20, 2020
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2016
Lion Health Centers, Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Apr 11, 2025

How do residents fare?

  • CMS rates its quality measures 3 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing3 of 5
Quality measures3 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 6.8 miles, this one had the 8th most health citations at the latest inspection cycle (9; the middle value was 11).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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