Nursing Care Index

Ashton Medical Lodge

Midland, Midland County, Texas · CCN 676430 · For-profit (LLC) · not part of a chain

CMS rates Ashton Medical Lodge 2 of 5 overall as of August 2026. 144 certified beds, 132 residents a day on average. 25 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $13,397.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / 4 of 5

Staffing

Total nurse staffing3.39069 hours per resident per day
Registered nurses0.38463 hours per resident per day
Weekend total2.99832 hours per resident per day
Nursing staff turnover49.6% (registered nurses 35.7%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-04-10
complaint survey
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.
Pharmacy Service Deficiencies · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-05-11
2026-04-10
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-11
2026-04-10
complaint survey
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 F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-11
2026-04-10
complaint survey
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-11
2026-04-10 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-11
2025-05-16
complaint survey
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 F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-03
2025-05-16
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-03
2025-05-16
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-03
2025-02-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-01
2025-02-06 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-01
2025-02-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 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 F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2025-02-06 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-01
2024-05-30
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-31
2024-01-05
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-01-06
2023-12-21 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-01-06
2023-12-21 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-06
2023-12-21 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-06
2023-12-21 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-06

Fines and payment denials

DatePenaltyAmount
2023-12-21Fine$13,397

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Dwm 5x5 Trust
Organization
adp of the snf2023-03-01
Fairbrook Partners, Lp
Organization
adp of the snf2023-03-01
Foursquare Texas 16 LLC
Organization
adp of the snf2025-04-23
Jem 5x5 Trust
Organization
adp of the snf2023-03-01
Midland Nh Realty Ltd
Organization
adp of the snf2023-03-01
Montague Nh, Lp
Organization
adp of the snf2023-03-01
Rmm 5x5 Trust
Organization
adp of the snf2023-03-01
Rockett, Lp
Organization
adp of the snf2023-03-01
Sdl Gs 5x5 Trust
Organization
adp of the snf2023-03-01
David W Miller Gs Trust
Organization
operational/managerial control2023-03-01
Foursquare Texas 16 LLC
Organization
operational/managerial control2023-03-01
Jec Gs Trust
Organization
operational/managerial control2023-03-01
John E Miller Gs Trust
Organization
operational/managerial control2023-03-01
Kingsbury Capital LLC Series F
Organization
operational/managerial control2023-03-01
Kjc Gs Trust
Organization
operational/managerial control2023-03-01
Lion Plaza Lp
Organization
operational/managerial control2023-03-01
Mnh-Inv Series LLC Series D
Organization
operational/managerial control2023-03-01
Richard M Miller Gs Trust
Organization
operational/managerial control2023-03-01
Atkins, Jeffrey
Individual
adp of the snf2023-03-01
Hampton, Broderick
Individual
adp of the snf2023-03-01
Bowerman, Stephen
Individual
corporate officer2023-03-01
Campbell, John
Individual
individual is an owner, partner or trustee of any adp of the snf2026-05-06
Campbell, Kenneth
Individual
individual is an owner, partner or trustee of any adp of the snf2026-05-06
Miller, David
Individual
individual is an owner, partner or trustee of any adp of the snf2026-05-06
Miller, John
Individual
individual is an owner, partner or trustee of any adp of the snf2026-05-06
Miller, Richard
Individual
individual is an owner, partner or trustee of any adp of the snf2026-05-06
Hampton, Broderick
Individual
operational/managerial control2023-03-01
Lewis, Shane
Individual
operational/managerial control2023-03-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Midland County.