For profit - Corporation · 206 certified beds · CMS number 455748
Ashford Hall, Irving, TX
CMS records 33 health deficiencies at Ashford Hall in Irving, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 9, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 5 citations were at the immediate jeopardy level. CMS lists 4 fines totaling $301,255 in the last three years.
- 33deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $301,255fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Ashford Hall as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Ashford Hall may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Apr 9, 2026. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.
Apr 9, 2026 · Standard inspection
5 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 10, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 10, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 1, 2026
Mar 24, 2026 · Complaint inspection
2 deficiencies, highest G
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 25, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Mar 25, 2026
Mar 4, 2026 · Complaint inspection
1 deficiency, highest D
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 5, 2026
Dec 17, 2025 · Complaint inspection
1 deficiency, highest E
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 19, 2025
Previous cycle: 10 deficiencies (standard inspection Jan 24, 2025)
Standard inspection Jan 24, 2025. CMS counts 10 health deficiencies and 15 fire safety deficiencies in this cycle.
Jan 24, 2025 · Standard inspection
6 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 3, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 3, 2025
F726 · Competent nurses and nurse aides
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 3, 2025
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 3, 2025
F691 · Ostomy care
Requirement cited (CMS): Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 3, 2025
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 3, 2025
Jan 13, 2025 · Complaint inspection
3 deficiencies, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 22, 2025
F603 · Freedom from involuntary seclusion
Requirement cited (CMS): Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 22, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 22, 2025
Sep 24, 2024 · Complaint inspection
1 deficiency, highest D
F622 · Permitted reasons for transfer or discharge
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 27, 2024
Earlier cycle: 14 deficiencies (standard inspection Dec 1, 2023)
Standard inspection Dec 1, 2023. CMS counts 14 health deficiencies and 8 fire safety deficiencies in this cycle.
Aug 10, 2024 · Complaint inspection
2 deficiencies, highest K
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 11, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 11, 2024
Jul 2, 2024 · Complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2024
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2024
Apr 17, 2024 · Complaint inspection
1 deficiency, highest D
F660 · Discharge planning process
Requirement cited (CMS): Plan the resident's discharge to meet the resident's goals and needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 18, 2024
Apr 4, 2024 · Complaint inspection
2 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 5, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 5, 2024
Mar 22, 2024 · Complaint inspection
2 deficiencies, highest K
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 23, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 23, 2024
Dec 1, 2023 · Standard + complaint inspection
2 deficiencies, highest E
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 18, 2023
Nov 17, 2023 · Complaint inspection
1 deficiency, highest D
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 18, 2023
Sep 20, 2023 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 21, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Ashford Hall; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F600 Freedom from abuse and neglect | 3 | Mar 24, 2026; Dec 17, 2025; Mar 22, 2024 |
| F684 Quality of care | 3 | Apr 9, 2026; Aug 10, 2024; Apr 4, 2024 |
| F583 Personal privacy and confidential records | 2 | Jan 13, 2025; Aug 10, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Apr 9, 2026; Mar 24, 2026 |
| F689 Accident prevention and supervision | 2 | Apr 9, 2026; Apr 4, 2024 |
| F693 Feeding tube use and care | 2 | Jan 24, 2025; Jul 2, 2024 |
| F761 Drug labeling and secure storage | 2 | Jan 13, 2025; Jul 2, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Mar 4, 2026 | Fine | $15,935 |
| Sep 24, 2024 | Fine | $6,144 |
| Aug 10, 2024 | Fine | $22,391 |
| Mar 22, 2024 | Fine | $256,785 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.71 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.88 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.42 h
- Nursing staff turnover
- 77.1% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 3 of 5
CMS figures for Ashford Hall, copied as published; Texas medians are ours.
Facility details
- Address
- 2021 Shoaf Dr, Irving, TX 75061
- Phone
- (972) 579-1919
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 206
- Average residents per day
- 114
- In Medicare/Medicaid since
- May 26, 1988
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 3 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 3 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
Other nursing homes in Irving
- The Eden of Las Colinas
Irving · 65 deficiencies - The Villages on MacArthur
Irving · 30 deficiencies - Avante Rehabilitation Center
Irving · 19 deficiencies - Avir at Irving
Irving · 18 deficiencies - Las Brisas Rehabilitation and Wellness Center
Irving · 9 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.