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Ashton Medical Lodge
Nursing Home, Memory Care & Skilled Nursing · Midland, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Outdoor space with landscaped pathways and seating areas Front entrance of Ashton Medical Lodge Exterior view of Ashton Medical Lodge with covered entrance Front entrance of Ashton Medical Lodge

Ashton Medical Lodge

Nursing Home, Memory Care & Skilled Nursing · Midland, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
801 S Loop 250 W, Midland, TX 79703 View map
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Ashton Medical Lodge accepts Medicare, Medicaid, and private pay.
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Ashton Medical Lodge accepts Medicare, Medicaid, and private pay.

Overview of Ashton Medical Lodge

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Conveniently situated in Midland, Texas, Ashton Medical Lodge stands as a symbol of compassionate care, providing both long-term care and short-term rehabilitation services to its cherished residents. With a steadfast commitment to enhancing the quality of life for every individual, the community boasts spacious suites, each designed to offer comfort and privacy, while the personal refrigerators in each suite offer convenience and independence. Residents enjoy modern comforts, too, such as Wi-Fi and phone service, allowing them to stay connected with loved ones. Ashton Medical Lodge also offers specialized Alzheimer’s and dementia care, ensuring residents receive the dedicated support they need.

At Ashton Medical Lodge, residents experience a wealth of amenities crafted to provide comfort and joy during their stay. The community’s 24-hour snack bar and tempting meal options cater to culinary desires,  engaging in dynamic social activities and enjoying the serenity of the courtyard with a putting green create moments of joy and connection. this facility also offers practical services, including personal laundry assistance, a barber shop, and beauty salon, ensuring residents can maintain their well-being with ease. Complimentary transportation services further enhance residents’ accessibility to the wider community.

Facility Direct Line (432) 689-2100
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 25.5% Below TX avg. ▼ 25.5% Below TX avg.TX average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 5.9% Above TX avg. ▲ 5.9% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 47.6% Below TX avg. ▼ 47.6% Below TX avg.TX average: 1.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 9.1% Above TX avg. ▲ 9.1% Above TX avg.TX average: 3.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing Info Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).

Total nursing care per resident / day Info This nursing home is ranked 208th out of 234 nursing homes we track in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
↓ 20% · TX 3h 29mThis facility: 2h 48m per resident per day, 20% below the Texas average of 3h 29m (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. Rank #208 / 234Nurse hours — State benchmarked This nursing home is ranked 208th out of 234 nursing homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
2h 48m

5 of 6 metrics below Texas average

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant7407422,55192100%9.5
Licensed Practical Nurse3103110,28592100%9.2
Medication Aide/Technician9093,01892100%8.5
Registered Nurse130132,82592100%7.7
Speech Language Pathologist6062,1957379%8.1
Physical Therapy Aide4041,2076672%7.7
RN Director of Nursing2021,0957582%8.6
Clinical Nurse Specialist1015406571%8.3
Nurse Practitioner10152992100%5.8
Administrator1015126470%8
Other Dietary Services Staff1014956065%8.2
Dietitian1014856267%7.8
Mental Health Service Worker1014655964%7.9
Qualified Social Worker1014465863%7.7
Respiratory Therapy Technician1014465560%8.1
Physical Therapy Assistant1013826065%6.4
74 Certified Nursing Assistant
Coverage 100%
31 Licensed Practical Nurse
Coverage 100%
9 Medication Aide/Technician
Coverage 100%
13 Registered Nurse
Coverage 100%
By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 144 Rank #37 / 258Bed count — State benchmarked This nursing home is ranked 37th out of 258 nursing homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Medium-capacity home · Offers a balance of services and community atmosphere.

Years of operating Info An established community with some operational experience and growing routines. This is the number of years in operation under current management. Rank #133 / 147Years in operation — State benchmarked This nursing home is ranked 133rd out of 147 nursing homes we track in Texas for years in operation. Shows how long this facility has been in operation compared to other Texas facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
9 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #252 / 278Walk Score — State benchmarked This nursing home is ranked 252nd out of 278 nursing homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
14 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #24 / 174Occupancy rate — State benchmarked This nursing home is ranked 24th out of 174 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 174. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
88.9% This home usually has limited availability

Based on 128 residents and 144 beds. Source: state inspection report (Jan 2024)

Higher than the Texas average: 71.6%
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
147 days

About This Community

License Details

Facility TypeNursing
IssuanceJanuary 3, 2023
CountyMidland
License Number311322
Year Opened10/10/2017

Ownership & Operating Entity

Ashton Medical Lodge is administered by John William Himes.

Management CompanyFOURSQUARE TEXAS 16, LLC
OwnerMidland County Hospital District
Ownership TypeHOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
14 units
Medicaid and Medicare
130 units
Total beds
144 units

Therapy & Rehabilitation

10 services
Short-Term Rehab
Short-Term Rehabilitation
Post-Hospital Rehabilitation
Hydrocollator Therapy
Cryotherapy
Wii-Hab and Xbox Kinect Therapy
Short-Wave Diathermy (Tens Unit)
Physical Therapy
Occupational Therapy
Speech Therapy

Staffing & Medical

2 services
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
IV Therapy

Additional Services

3 services
Special Diet Accommodation
Laundry & Linen
TransportationListed as: Transportation to medical appointments · Complimentary transportation

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Wi-Fi
Flat-Screen Tvs
Putting Green
Beauty Salon & Barber Shop
Soft-Serve Ice Cream Machine
Soup Bar
Porch with Gliding Chairs
Private Dining Room

Room Accommodations

Room Types
Private Room Semi-Private / Shared Room Suite
In-Room Features
Adjustable Beds (80") Refrigerator Full Bathrooms In Rooms

Contact Ashton Medical Lodge

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.

Since 2022 · 4 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 25 citations 7 inspections

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2022 vs. Texas state average
Overall vs. TX average 2 Worse Metrics worse than Texas average:
• Total citations (213% above)
• Inspections with citations (600% above) 0 Better No metrics in this bucket.

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 258.0 This facility has 213% more total citations than a typical Texas nursing home (25 vs. TX avg 8).↑ 213% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 71.0 This facility has 600% more inspections with citations than a typical Texas nursing home (7 vs. TX avg 1).↑ 600% worse
Show Inspection Reports

CMS Health Inspection History

Since 2023 · 3 years of data · Last health inspection Apr 2026

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Total health inspections
6 ↓ 24% · TX 7.9This facility: 6, 24% below the Texas average of 7.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
25 Rank #128 / 235Health citations — State benchmarked This nursing home is ranked 128th out of 235 nursing homes we track in Texas for health citations. Shows this facility's total health deficiency citations benchmarked to the Texas State average, with a ranking across all 235 TX facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 10% · TX 27.7This facility: 25, 10% below the Texas average of 27.7 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.17 Rank #194 / 235Citations per inspection — State benchmarked This nursing home is ranked 194th out of 235 nursing homes we track in Texas for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Texas mean across 235 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 14% · TX 3.65This facility: 4.17, 14% above the Texas average of 3.65 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected 25 of 25 citations corrected
Bar = mix of this home's 25 citations, not a state comparison

Lighter shade = corrected

Critical J–L
1 ↓ 47% · TX 1.9This facility: 1, 47% below the Texas average of 1.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious G–I
0 ↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate D–F
24 ↓ 4% · TX 24.9This facility: 24, 4% below the Texas average of 24.9 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor A–C
0 ↓ 100% · TX 0.4This facility: 0, 100% below the Texas average of 0.4 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal risk

Latest inspection: Apr 10, 2026 · 5 citations, all corrected

Most cited category: Quality of Life & Care, 8 of 25 citations · 6 categories in total

Citations history
Most recent first
Apr 10, 2026 5 citations
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
May 16, 2025 3 citations
Abuse/Neglect moderate citation Corrected
Abuse/Neglect moderate citation Corrected
Abuse/Neglect moderate citation Corrected
Feb 06, 2025 11 citations
Infection Control moderate citation Corrected
Nutrition moderate citation Corrected
Nutrition moderate citation Corrected
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Quality of Care moderate citation Corrected
Resident Rights moderate citation Corrected
Resident Rights moderate citation Corrected
May 30, 2024 1 citation
Resident Rights moderate citation Corrected
Jan 05, 2024 1 citation
Quality of Care critical citation Corrected
Dec 21, 2023 4 citations
Infection Control moderate citation Corrected
Nutrition moderate citation Corrected
Pharmacy moderate citation Corrected
Pharmacy moderate citation Corrected
Top deficiency categories
Share of 25 citations
Quality of Life & Care 8 deficiencies (32%)
Pharmacy Services 6 deficiencies (24%)
Resident Rights 3 deficiencies (12%)
Nutrition & Dietary 3 deficiencies (12%)
Abuse, Neglect & Exploitation 3 deficiencies (12%)
Infection Control 2 deficiencies (8%)
How citations are counted

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 25 citations resulted from standard inspections; 5 of 25 resulted from complaint investigations; and 4 of 25 came from combined inspections (standard and complaint).

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Source

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Aug 2026)

Total fines on record $13K Rank #91 / 237Federal fines — State benchmarked This nursing home is ranked 91st out of 237 nursing homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Texas that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
80% lower than Texas average

Texas average: $66K

Number of fines on record 1
54% fewer fines than Texas average

Texas average: 2.2

Payment denials on record Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $13K
Texas average $66K
Penalty History

Penalties imposed by CMS in the past 3 years.

1 penalty in the past 3 years

Dec 21, 2023 · $13K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 21, 2023
$13K

Last updated: Aug 2026

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Texas average.

Data as of Aug 2026 · CMS Care Compare

Long-stay quality rating Info CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best. 4 / 5 Above average ↓ 1% · TX 4.1This facility: 4.0, 1% below the TX average of 4.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay quality rating Info CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best. 4 / 5 Above average ↑ 30% · TX 3.1This facility: 4.0, 30% above the TX average of 3.1 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
High-risk clinical events Info Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better. 8.4 Score · lower is better ↑ 6% · TX 7.9This facility: 8.4, 6% above the TX average of 7.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Functional decline Info Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better. 12.9 Score · lower is better ↓ 11% · TX 14.5This facility: 12.9, 11% below the TX average of 14.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

13 long-stay measures: 5 better, 5 worse, 2 near TX average, 1 without a benchmark

8 short-stay measures: 3 better, 2 worse, 3 compared with US only

Breakdown by payment type

Medicare

42% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

55% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 13 - 14 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)

Total residents 128
Medicare
27
21.1% of residents
Medicaid
80
62.5% of residents
Private pay or other
21
16.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2024.

For-profit
Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$16.0MFiscal year ending 09/2024
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.0MFiscal year ending 09/2024
For-profit Operated by a limited liability company.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$16.0MFiscal year ending 09/2024
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.0MFiscal year ending 09/2024
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$224.3KFiscal year ending 09/2024
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$8.0MFiscal year ending 09/2024 50.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$7.0MFiscal year ending 09/2024
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.0MFiscal year ending 09/2024
How we calculate these figures

This home is administered by John William Himes.

This home is owned by Midland County Hospital District

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 676430

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (55% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
323 total

Coverage residents most often arrive under.

Medicare 42%
Private pay 55%
Medicaid 2%
Discharges
322 total

Coverage residents most often leave under.

Medicare 61%
Private pay 29%
Medicaid 10%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Managed by Broderick Hampton

Administrator

Broderick Hampton serves as the Administrator at Ashton Medical Lodge. He has been a valued part of the community since February 15, 2022, bringing dedicated leadership and care to the facility.

Places of interest near Ashton Medical Lodge

Address 5.1 miles from city center Info Estimated distance in miles from Midland's city center to Ashton Medical Lodge's address, calculated via Google Maps.

Calculate Travel Distance to Ashton Medical Lodge

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Address

Compare Nursing Homes around Midland

Info below is compiled from CMS reports & the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Vogel Center Assisted Living With Memory Support ★ ★ ★ ★ ☆
NH
AL
CCRC
IL
MC
SNF
Midland (Trinity Towers Manor)
44
Facility 44
TX AVG 107
Rank #233 / 258
92.3%
Facility 92.3%
TX AVG 71.6%
Rank #15 / 174
+29%
3.85
Facility 3.85
TX AVG 3.49
Rank #63 / 234
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -22%+10%
$0
Facility $0
TX AVG $66.1k
Rank #1 / 237
14
Facility 14
TX AVG 27.7
Rank #36 / 235
4.7
Facility 4.7
TX AVG 3.6
Rank #212 / 235
-41-
47
Facility 47
TX AVG 44
Rank #130 / 278
Manor Park, Inc
$2.5MFiscal year ending 05/2025
Facility $2.5MFiscal year ending 05/2025
TX AVG $9.3M
Rank #213 / 218
$13.8MFiscal year ending 05/2025
Facility $13.8MFiscal year ending 05/2025
TX AVG $5.4M
Rank #9 / 218
548.9%Fiscal year ending 05/2025
Facility 548.9%Fiscal year ending 05/2025
TX AVG 71.8%
Rank #1 / 199
676015
Ashton Medical Lodge ★ ★ ☆ ☆ ☆
NH
MC
SNF
Midland (Western Hills)
144
Facility 144
TX AVG 107
Rank #37 / 258
88.9%
Facility 88.9%
TX AVG 71.6%
Rank #24 / 174
+24%
2.80
Facility 2.80
TX AVG 3.49
Rank #208 / 234
 ★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +15%-20%
$13.4k
Facility $13.4k
TX AVG $66.1k
Rank #91 / 237
25
Facility 25
TX AVG 27.7
Rank #128 / 235
4.2
Facility 4.2
TX AVG 3.6
Rank #194 / 235
1128-
14
Facility 14
TX AVG 44
Rank #252 / 278
Midland County Hospital District$16.0MFiscal year ending 09/2024$8.0MFiscal year ending 09/202450.1%Fiscal year ending 09/2024676430

Rank badges are statewide and care-type specific: each nursing home is ranked against every other TX nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities

Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

Ashton Medical Lodge is located in Midland, Texas.
Here are the financial assistance programs available to residents in Texas.

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled
General Texas resident, Medicaid-eligible, care need (not always nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
TX

Large state; rural access challenges.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

Texas Community Care Services

TX CCS

Age 60+
General Texas resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
TX

Limited funding; high demand in urban areas.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+
General TX resident; no income/asset limits.
Income Limits (2025) None; donations encouraged.
Asset Limits Not assessed.
TX

28 AAAs; includes Meals on Wheels in some areas.

Benefits
Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled
General TX resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
TX

Includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed.
TX

High rural demand; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General TX resident, wartime service, ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth
TX

High veteran population; supports rural/urban needs.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+
General TX resident, homeowner (homestead).
Income Limits (2025) None; tax-based eligibility.
Asset Limits Not assessed.
TX

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Benefits
Tax exemption or freeze (~$500-$1,000/year savings)

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+
General TX resident, low-income.
Income Limits (2025) ~$2,322/month 185% FPL
Asset Limits Not assessed.
TX

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

Benefits
Vouchers (~$50/season) for produce at farmers’ markets

Frequently Asked Questions about Ashton Medical Lodge

What neighborhood is Ashton Medical Lodge in?

Ashton Medical Lodge is in the Western Hills neighborhood of Midland.

Who is the owner of Ashton Medical Lodge?

Ashton Medical Lodge is legally operated by Midland County Hospital District, and administered by John William Himes.

Is Ashton Medical Lodge in a walkable area?

Ashton Medical Lodge has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Ashton Medical Lodge?

According to TX state health department records, Ashton Medical Lodge's license number is 311322.

What is the occupancy rate at Ashton Medical Lodge?

Ashton Medical Lodge's occupancy is 88.9%.

How long has Ashton Medical Lodge been in business?

Ashton Medical Lodge has been operating for approximately 9 years, based on available licensing and registration records.

Are pets allowed at Ashton Medical Lodge?

No, Ashton Medical Lodge has a no-pet policy.

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