Ashford Hall
Nursing Home · 2021 Shoaf Dr, Irving, TX 75061 · 9725791919
D
graded on 75% of our rubric
Public records for this provider include abuse or neglect findings. Review the underlying records before deciding.
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 0.0 / 5 | high |
| Staffing | 2.7 / 5 | high |
| Clinical outcomes | 2.1 / 5 | high |
| Enforcement | 0.3 / 5 | high |
| Financial stability | 3.8 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 206 |
| Ownership | For Profit - Corporation |
| Operator | Ashford Hall Inc |
| Certified since | 1988-05-26 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$ of 5 · ~$353/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 5 immediate jeopardy · 1 actual harm · 25 potential for harm · 0 minor
- Federal fines: $301,255 · payment denials: 0 · penalty actions: 4
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-03-24 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0600) | 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. (Resident Assessment and Care Planning Deficiencies, tag 0656) | E | corrected 2026-03-25 |
| 2026-03-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0607) | D | 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. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0600) | E | corrected 2025-12-19 |
| 2025-01-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Resident Rights Deficiencies, tag 0582) | D | corrected 2025-02-03 |
| 2025-01-24 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Quality of Life and Care Deficiencies, tag 0691) | D | 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. (Quality of Life and Care Deficiencies, tag 0693) | D | 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. (Nursing and Physician Services Deficiencies, tag 0726) | D | corrected 2025-02-03 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.86 hrs/resident/day (expected 3.67 for this facility's resident acuity — at or above expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.74 hrs/resident/day (expected 0.64 for this facility's resident acuity — at or above expected) (US median 0.58)
- Breakdown: nurse aide 2.54 · LPN 0.58 hrs/resident/day
- Weekend total staffing: 3.54 hrs/resident/day (expected 3.26 for this facility's resident acuity — at or above expected)
- Annual nursing-staff turnover: 78.8% · RN turnover 82.1% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.32 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 7 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 42.4% | 52.5 → 41 → 47.1 → 31.1 | worse than 100% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 32.3% | 38.7 → 14.9 → 42.9 → 31.4 | worse than 94% of US homes · TX median 13% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 2.4% | · → · → 3.7 → 4 | worse than 79% of US homes · TX median 0.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 3.7% | 5.2 → 5.4 → 3.7 → 0.9 | worse than 64% of US homes · TX median 3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.8% | 1.1 → 0 → 1 → 0.9 | better than 54% of US homes · TX median 0.3% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0.2% | 0 → 0 → 0.9 → 0 | better than 57% of US homes · TX median 0% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3.2% | 3.7 → 2.3 → 2.7 → 4 | better than 68% of US homes · TX median 3.4% |
What this costs
- This facility's reported avg daily charge: $353/day · $$$$ (price tier 4 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 81% Medicaid · 11% Medicare · 8% other/private · 47% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Dallas County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Baylor Scott & White Heart & Vascular Hospital - Dallas | Dallas | Yes | 5★ | Acute care |
| Baylor Scott & White Medical Center at Irving | Irving | Yes | 5★ | Acute care |
| Baylor Scott and White Medical Center Lake Pointe | Rowlett | Yes | 4★ | Acute care |
| Baylor University Medical Center | Dallas | Yes | 4★ | Acute care |
| Medical City Las Colinas | Irving | Yes | 4★ | Acute care |
| Methodist Hospital for Surgery | Addison | Yes | 4★ | Acute care |
Compare nearby
- A C C Young Memorial Home · Dallas
- A Pure Health Transitional Care At Texas Health Pres · Dallas
- A- Ventana By Buckner · Dallas
- B+ San Remo · Richardson
- B+ Remington Transitional Care Of Richardson · Richardson
- B+ Presbyterian Village North Special Care Ctr · Dallas
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Dallas County nursing homes coverage. Spot an error? Tell us.