| Ashford Hall | |
| 2021 Shoaf Dr, Irving, Texas 75061 | |
| (972) 579-1919 | |
| Name | Ashford Hall |
|---|---|
| Location | 2021 Shoaf Dr, Irving, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 206 |
| Occupancy Rate | 55.34% |
| Medicare ID (CCN) | 455748 |
| Legal Business Name | Ashford Hall Inc |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1023014503 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ashford Hall Inc. |
| Doing Business As | Ashford Hall |
| Address | 2021 Shoaf Dr, Irving, TX 75061 |
| Phone Number | 972-579-1919 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.71 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.88 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.44 | 0.86 |
| Nurse aide hours per resident per day | 2.4 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.42 | 3.42 |
| RN hours per resident per day on the weekend | 0.94 | 0.48 |
| Physical therapist hours per resident per day | 0.15 | 0.07 |
| Total nursing staff turnover | 77.1% | 45.8% |
| Registered nurse turnover | 75.9% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 4 |
| Total Amount of Fines in Dollars | $301,255 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 4 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 9, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Apr 10, 2026 |
| Apr 9, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Apr 10, 2026 |
| Apr 9, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Apr 9, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Apr 9, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 1, 2026 |
| Mar 24, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Mar 25, 2026 |
| Mar 24, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Mar 25, 2026 |
| Mar 4, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Mar 5, 2026 |
| Dec 17, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Dec 19, 2025 |
| Jan 24, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Feb 3, 2025 |
| Jan 24, 2025 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 24, 2025 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 24, 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 24, 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. F0726, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 24, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 3, 2025 |
| Jan 13, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 22, 2025 |
| Jan 13, 2025 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). F0603, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 22, 2025 |
| Jan 13, 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jan 22, 2025 |
| Sep 24, 2024 | 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. F0622, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 27, 2024 |
| Aug 10, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Aug 11, 2024 |
| Aug 10, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Aug 11, 2024 |
| Jul 2, 2024 | 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. F0693, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 3, 2024 |
| Jul 2, 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jul 3, 2024 |
| Jul 2, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jul 3, 2024 |
| Apr 17, 2024 | Plan the resident's discharge to meet the resident's goals and needs. F0660, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 18, 2024 |
| Apr 4, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Apr 5, 2024 |
| Apr 4, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Apr 5, 2024 |
| Mar 22, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, pattern | Corrected by Mar 23, 2024 |
| Mar 22, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Mar 23, 2024 |
| Dec 1, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 18, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.8 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 5.9 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.22 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.52 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.89 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.14 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.72 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.73 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.41 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 23.34 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.44 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.93 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.73 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.94 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 9.77 | 15.38 |
Las Brisas Rehabilitation and Wellness Center Location: 3421 W Story Rd, Irving, Texas 75038 Phone: (469) 957-0216 |