Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
160
160 employees · 0 contractors · 61 on an average day Ashton Medical Lodge
Nursing Home, Memory Care & Skilled Nursing · Midland, TX
CMS overall rating
2/5
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.
2/5
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.
Ashton Medical Lodge
Nursing Home, Memory Care & Skilled Nursing · Midland, TX
CMS overall rating
2/5
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.
2/5
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.
Ashton Medical Lodge accepts Medicare, Medicaid, and private pay.
Overview of Ashton Medical Lodge
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.
Quality ratings
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.
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.
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.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
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 Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 221st out of 233 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.
2h 41m
This nursing home is ranked 221st out of 233 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.
2h 41m6 of 6 metrics below Texas average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 8-hour shifts
16m
↓ 39% · TX 26mThis facility: 16m per resident per day, 39% below the Texas average of 26m (among Texas facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. All 11 are the facility's own employees; no agency contractors work in this role.
11 staff · 8-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 31 are the facility's own employees; no agency contractors work in this role.
31 staff · 9.1-hour shifts
44m
↓ 23% · TX 57mThis facility: 44m per resident per day, 23% below the Texas average of 57m (among Texas facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. All 31 are the facility's own employees; no agency contractors work in this role.
31 staff · 9.1-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 84 are the facility's own employees; no agency contractors work in this role.
84 staff · 9.2-hour shifts
1h 41m
↓ 16% · TX 2h 1mThis facility: 1h 41m per resident per day, 16% below the Texas average of 2h 1m (among Texas facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. All 84 are the facility's own employees; no agency contractors work in this role.
84 staff · 9.2-hour shiftsUS average: 2h 21m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 21m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
↓ 40% · TX 4mThis facility: 2m per resident per day, 40% below the Texas average of 4m (among Texas facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
2h 18m
↓ 23% · TX 2h 59mThis facility: 2h 18m per resident per day, 23% below the Texas average of 2h 59m (among Texas facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
17m
↓ 18% · TX 21mThis facility: 17m per resident per day, 18% below the Texas average of 21m (among Texas facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
160
160 employees · 0 contractors · 61 on an average day
160 total staff / 128 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.25 : 1
↓ 15% · TX 1.47This facility: 1.25 staff per resident, 15% below the Texas average of 1.47 (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
160 staff ÷ 128 residents
See full Texas ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.4 h
↑ 4% · TX 8.1 hThis facility: 8.4 h, 4% above the Texas average of 8.1 h (among Texas facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
46,655 staff hours this quarter
See full Texas ranking →100% of staff hours were worked by the facility's own employees
Texas average: 94.3% · No agency contractors this quarter
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A mid-sized community that may balance personal attention with shared amenities and social activities.
144
Rank #60 / 258Bed count — State benchmarked This nursing home is ranked 60th 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.
A mid-sized community that may balance personal attention with shared amenities and social activities.
144
Rank #60 / 258Bed count — State benchmarked This nursing home is ranked 60th 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
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.
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
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #251 / 276Walk Score — State benchmarked This nursing home is ranked 251st out of 276 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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #251 / 276Walk Score — State benchmarked This nursing home is ranked 251st out of 276 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
Occupancy between 85% and 95% suggests balanced demand.
Rank #19 / 178Occupancy rate — State benchmarked This nursing home is ranked 19th out of 178 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 178. 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.
Occupancy between 85% and 95% suggests balanced demand.
Rank #19 / 178Occupancy rate — State benchmarked This nursing home is ranked 19th out of 178 nursing homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 178. 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.
91.7%
This home usually has limited availability
Based on 132.1 residents and 144 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Higher than the Texas average: 72.9%
Avg. Length of Stay
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.
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
Facility TypeNursing
IssuanceJanuary 3, 2023
CountyMidland
License Number311322
Year Opened10/10/2017
Ashton Medical Lodge is administered by John William Himes.
Management CompanyFOURSQUARE TEXAS 16, LLC
OwnerMidland County Hospital District
Ownership TypeHOSPITAL DISTRICT/AUTHORITY
Medicare
14 units
Medicaid and Medicare
130 units
Total beds
144 units
Resident Council
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
Wound CareCare for wounds such as pressure sores, surgical wounds, or ulcers, including assessment, dressing changes, and monitoring for infection.
IV Therapy
Special Diet Accommodation
Laundry & Linen
TransportationListed as: Transportation to medical appointments · Complimentary transportation
Pets not allowed
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 Types
Private Room
Semi-Private / Shared Room
Suite
In-Room Features
Adjustable Beds (80")
Refrigerator
Full Bathrooms In Rooms
CMS Health Inspection History
Total health inspections
6
↓ 25% · TX 8This facility: 6, 25% below the Texas average of 8 (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 #129 / 234Health citations — State benchmarked This nursing home is ranked 129th out of 234 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 234 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.↓ 11% · TX 28This facility: 25, 11% below the Texas average of 28 (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 #193 / 234Citations per inspection — State benchmarked This nursing home is ranked 193rd out of 234 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 234 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
Critical
J–L
1
↓ 44% · TX 1.8This facility: 1, 44% below the Texas average of 1.8 (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
↓ 6% · TX 25.4This facility: 24, 6% below the Texas average of 25.4 (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, 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 riskLatest 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
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
May 16, 2025
3 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Feb 06, 2025
11 citations
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
May 30, 2024
1 citation
Resident Rights moderate citation
Corrected
Corrected
Jan 05, 2024
1 citation
Quality of Care critical citation
Corrected
Corrected
Dec 21, 2023
4 citations
Nutrition moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
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. 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.
Show Inspection Reports
Enforcement
Penalties and fines
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 Oct 2026
1 penalty in the past 3 years
Latest: Dec 21, 2023 · $13,397 civil money penalty
Dec 21, 2023 · $13,397 civil money penalty
Total fines
$13,397
↓ 79% · TX $63KThis facility: $13,397, 79% below the Texas average of $63,404. Average among the 798 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #96 / 236Federal fines — State benchmarked This nursing home is ranked 96th out of 236 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 236 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.
Number of fines
1
↓ 52% · TX 2.1This facility: 1, 52% below the Texas average of 2.1. Average among the 798 Texas facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
TX avg 0.18Texas average: 0.18. Average among the 798 Texas facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Dec 21, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,397
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,397Fine amount comparison
This facility
$13,397
Texas average
$63,404
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. Texas and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Texas average.
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.
5
/ 5
Significantly above average
↑ 23% · TX 4.1This facility: 5.0, 23% above 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.
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.
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.
7.3
Score · lower is better
↓ 5% · TX 7.6This facility: 7.3, 5% below the TX average of 7.6 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
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.
10.9
Score · lower is better
↓ 21% · TX 13.8This facility: 10.9, 21% below the TX average of 13.8 (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
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
↓ 45% · TX 15.8This facility: 8.8, 45% below the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
8.8%
↓ 45% · TX 15.8This facility: 8.8, 45% below the TX average of 15.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
13.6%
↑ 6% · TX 12.9This facility: 13.6, 6% above the TX average of 12.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
13.6%
↑ 6% · TX 12.9This facility: 13.6, 6% above the TX average of 12.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.1%
↓ 19% · TX 12.5This facility: 10.1, 19% below the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
10.1%
↓ 19% · TX 12.5This facility: 10.1, 19% below the TX average of 12.5 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
2.0%
↑ 142% · TX 0.8This facility: 2.0, 142% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
2.0%
↑ 142% · TX 0.8This facility: 2.0, 142% above the TX average of 0.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
7.4%
↑ 129% · TX 3.2This facility: 7.4, 129% above the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
7.4%
↑ 129% · TX 3.2This facility: 7.4, 129% above the TX average of 3.2 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
4.7%
↑ 27% · TX 3.7This facility: 4.7, 27% above the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
4.7%
↑ 27% · TX 3.7This facility: 4.7, 27% above the TX average of 3.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
1.8%
↓ 38% · TX 2.9This facility: 1.8, 38% below the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.8%
↓ 38% · TX 2.9This facility: 1.8, 38% below the TX average of 2.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
18.4%
Percent of long-stay residents who have depressive symptoms
18.4%
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
2.8%
↓ 71% · TX 9.8This facility: 2.8, 71% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
2.8%
↓ 71% · TX 9.8This facility: 2.8, 71% below the TX average of 9.8 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 4% · TX 96.3This facility: 100.0, 4% above the TX average of 96.3 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · TX 97.0This facility: 100.0, 3% above the TX average of 97.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 3% · TX 97.0This facility: 100.0, 3% above the TX average of 97.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.03
↓ 5% · TX 2.13This facility: 2.03, 5% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.03
↓ 5% · TX 2.13This facility: 2.03, 5% below the TX average of 2.13 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.17
↑ 5% · TX 2.07This facility: 2.17, 5% above the TX average of 2.07 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.17
↑ 5% · TX 2.07This facility: 2.17, 5% above the TX average of 2.07 (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 residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
82.3%
↑ 53% · US 53.7This facility: 82.3, 53% above the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
82.3%
↑ 53% · US 53.7This facility: 82.3, 53% above the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
43.5%
↓ 14% · US 50.6This facility: 43.5, 14% below the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
43.5%
↓ 14% · US 50.6This facility: 43.5, 14% below the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
↑ 162% · US 0.8This facility: 2.0, 162% above the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
↑ 162% · US 0.8This facility: 2.0, 162% above the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 13% · TX 1.4This facility: 1.3, 13% below the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
↓ 13% · TX 1.4This facility: 1.3, 13% below the TX average of 1.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 12% · TX 88.7This facility: 99.7, 12% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.7%
↑ 12% · TX 88.7This facility: 99.7, 12% above the TX average of 88.7 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 14% · TX 85.4This facility: 97.2, 14% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.2%
↑ 14% · TX 85.4This facility: 97.2, 14% above the TX average of 85.4 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
↑ 7% · TX 25.9This facility: 27.7, 7% above the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
↑ 7% · TX 25.9This facility: 27.7, 7% above the TX average of 25.9 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
↑ 58% · TX 12.0This facility: 19.0, 58% above the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
↑ 58% · TX 12.0This facility: 19.0, 58% above the TX average of 12.0 (among TX facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Ashton Medical Lodge’s finances from its CMS cost report for the fiscal year ending September 2024, compared with 225 Texas nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Sep 2024
Is it financially stable?
Profitable on care
6.3% operating margin
−4.5 pts vs prior year
Positive margin in 5 of the last 6 reported years. Net income $1.2M after other income.
Does it invest in staff?
Spends less on payroll than most Texas homes
50.1% payroll share of revenue
TX average 68.8%Rank #141 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 141st out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. 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.
Payroll rose $0.7M while revenue rose $1.3M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Texas homes.
Revenue & profit
Profitable on care
| Metric | FY 2024 | vs prior year | Trend 2018 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $16.0M | +$1.3M | Trend 20182024 | TX median $9.3M | Rank in TX Rank #24 / 225Net patient revenue — State benchmarked This nursing home is ranked 24th out of 225 nursing homes we track in Texas for net patient revenue. Shows this facility's net patient revenue compared to the Texas average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. 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. Higher than 90% of homes | Top 10% in TX Higher net patient revenue than 90% of TX homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $15.0M | +$1.9M | Trend 20182024 | TX median $9.8M | Rank in TX Rank #44 / 225Operating expenses — State benchmarked This nursing home is ranked 44th out of 225 nursing homes we track in Texas for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Texas homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. 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. Higher than 81% of homes | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $1.0M | −$0.6M | Trend 20182024 | TX median −$0.4M | Rank in TX Rank #35 / 225Net patient income — State benchmarked This nursing home is ranked 35th out of 225 nursing homes we track in Texas for net patient income. Shows net patient revenue minus operating expenses, compared with other Texas homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 85% of homes | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 6.3% | −4.5 pts | Trend 20182024 | TX median −5.0% | Rank in TX Rank #50 / 225Operating margin — State benchmarked This nursing home is ranked 50th out of 225 nursing homes we track in Texas for operating margin. Shows net patient income as a share of net patient revenue, compared with other Texas homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. 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. Higher than 78% of homes | Healthy margin More than 5% of revenue is left after operating expenses. |
| Other income Money not from resident care: investments, grants, services. | $0.2M | — | Trend — | TX median $0.4M | Rank in TX Rank #129 / 214Other income — State benchmarked This nursing home is ranked 129th out of 214 nursing homes we track in Texas for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Texas homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. 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. Higher than 40% of homes | Adds to profit Income from outside resident care, on top of the profit from care. |
| Net income The bottom line after other income. | $1.2M | −$0.6M | Trend — | TX median $0.3M | Rank in TX Rank #45 / 207Net income — State benchmarked This nursing home is ranked 45th out of 207 nursing homes we track in Texas for net income. Shows the bottom line after other income, compared with other Texas homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. 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. Higher than 79% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most Texas homes
| Metric | FY 2024 | vs prior year | Trend 2018 → 2024Trend | TX median | Compared with TX homesRank in TX | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $8.0M | +$0.7M | Trend 20182024 | TX median $4.9M | Rank in TX Rank #38 / 225Payroll costs — State benchmarked This nursing home is ranked 38th out of 225 nursing homes we track in Texas for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Texas average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. 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. Higher than 83% of homes | Above TX median Higher payroll than 83% of TX homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 50.1% | +0.1 pts | Trend 20182024 | TX median 57.6% | Rank in TX Rank #141 / 202Payroll % of net patient revenue — State benchmarked This nursing home is ranked 141st out of 202 nursing homes we track in Texas for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Texas average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. 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. Higher than 30% of homes | 18.7 pts under TX average The TX average is 68.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2018–2024 2 charts · TX benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Texas payroll average.
% of net patient revenue
Payroll share Operating margin TX payroll average No report
Year-by-year data, 2018–2024 every reported year · latest first, scroll sideways
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 |
|---|---|---|---|---|---|---|---|
| Net patient revenue | $11.2M | $12.1M | $12.1M | $15.1M | $14.6M | $16.0M | |
| Operating expenses | $10.9M | $12.5M | $11.3M | $12.9M | $13.1M | $15.0M | |
| Net patient income | $0.3M | −$0.5M | $0.8M | $2.2M | $1.6M | $1.0M | |
| Operating margin | 3.0% | −3.9% | 6.6% | 14.6% | 10.8% | 6.3% | |
| Net income | $0.3M | −$0.5M | $1.8M | $2.3M | $1.8M | $1.2M | |
| Payroll costs | $5.2M | $6.4M | $6.3M | $7.0M | $7.3M | $8.0M | |
| Payroll share of revenue | 46.1% | 52.8% | 51.9% | 46.2% | 50.0% | 50.1% | |
| Beds | 144 | 144 | 144 | 144 | 144 | 144 | |
| Gross revenue | $24.7M | $28.3M | $24.6M | $26.2M | $26.6M | $29.6M | |
| Salaries | $4.6M | $5.7M | $5.7M | $6.3M | $6.6M | $7.2M | |
| Wage-related costs | $0.5M | $0.6M | $0.6M | $0.7M | $0.7M | $0.8M | |
| Contract labor | $1.6M | $1.1M | — | — | $0.0M | — | |
| Other operating costs | $5.7M | $6.2M | $5.0M | $5.9M | $5.7M | $7.0M | |
| Net patient revenue per day | $297 | $269 | $304 | $342 | $357 | $336 | |
| Cost per day | $288 | $280 | $284 | $292 | $319 | $315 | |
| Average length of stay | 100.7 days | 120.5 days | 87.7 days | 95.0 days | 82.4 days | 147.3 days |
Showing 2024–2022 · scroll sideways for 4 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
323 admissions · FY2024
Residents admitted during the year.
Medicare
136 · 42%
Medicaid
8 · 2%
Private pay & other
179 · 55%
Resident snapshot
128 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
27 · 21%
Medicaid
80 · 63%
Private pay & other
21 · 16%
Leaving
322 discharges · FY2024
Residents discharged during the year.
Medicare
198 · 61%
Medicaid
32 · 10%
Private pay & other
92 · 29%
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.
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
5.1 miles from city center
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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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 68.8% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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Facility
$2.5MFiscal year ending 05/2025
TX AVG
$10.2M
Rank
#224 / 225 | $13.8MFiscal year ending 05/2025
Facility
$13.8MFiscal year ending 05/2025
TX AVG
$5.8M
Rank
#12 / 225 | 548.9%Fiscal year ending 05/2025
Facility
548.9%Fiscal year ending 05/2025
TX AVG
68.8%
Rank
#1 / 202 | 676015 | ||||
| Ashton Medical Lodge | NH MC SNF | Midland (Western Hills) | 144
Facility
144
TX AVG
121
Rank
#60 / 258 |
91.7%
Facility
91.7%
TX AVG
72.9%
Rank
#19 / 178 | +26% | 2.69
Facility
2.69
TX AVG
3.47
Rank
#221 / 233 | -13% | -23% | $13.4k
Facility
$13.4k
TX AVG
$63.8k
Rank
#96 / 236 | 25
Facility
25
TX AVG
28.0
Rank
#129 / 234 | 4.2
Facility
4.2
TX AVG
3.6
Rank
#193 / 234 | 1 | 132 | - |
14
Facility
14
TX AVG
44
Rank
#251 / 276 | Midland County Hospital District | $16.0MFiscal year ending 09/2024
Facility
$16.0MFiscal year ending 09/2024
TX AVG
$10.2M
Rank
#24 / 225 | $8.0MFiscal year ending 09/2024
Facility
$8.0MFiscal year ending 09/2024
TX AVG
$5.8M
Rank
#38 / 225 | 50.1%Fiscal year ending 09/2024
Facility
50.1%Fiscal year ending 09/2024
TX AVG
68.8%
Rank
#141 / 202 | 676430 |
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
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Texas
Ashton Medical Lodge is in Midland, Texas. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
Texas VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- TX specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
STAR+PLUS and STAR+PLUS HCBS
Texas STAR+PLUS and STAR+PLUS HCBS
- Who it is for
- Texas Medicaid members, mainly adults 65+ or with disabilities, who need long-term services and supports
Eligibility
- General
- Texas Medicaid applicants or members who meet a STAR+PLUS eligibility pathway; the program principally serves adults with disabilities and adults age 65 or older. STAR+PLUS HCBS requires a separate assessment for nursing-facility-level needs.
- TX specifics
- Health plans and participating providers depend on the service area. Assisted living and adult foster care are additional HCBS services for approved enrollees; members remain responsible for room and board and any assessed copayment.
What it provides
- STAR+PLUS provides Medicaid health coverage and authorized long-term services and supports.
- Approved STAR+PLUS HCBS plans may include personal assistance or assisted living services.
- Other assessed HCBS benefits include respite and nursing services and home modifications.
Texas Community Care Services (CCAD)
Texas Community Care for the Aged and Disabled / Community Care Services
- Who it is for
- Texans who need community-care services assessed under the HHS Community Care handbook
Eligibility
- General
- Texas Community Care for the Aged and Disabled is an umbrella for community-care services with service-specific eligibility.
- TX specifics
- Individual services are administered under the Community Care Services Eligibility Handbook.
What it provides
- Community care services depend on the specific program and assessed need.
Area Agency on Aging (AAA) Services
Texas AAA Services
- Who it is for
- People 60+ in Texas and their family members and caregivers
- Income limit
- Services prioritize greatest economic and social need.
Eligibility
- General
- Texas Area Agencies on Aging help people age 60 or older and their family members and caregivers.
- TX specifics
- Texas has 28 Area Agencies on Aging; assistance and services are obtained through the local agency.
What it provides
- Information and referrals; benefits counseling and legal assistance; care coordination; caregiver support; in-home support; nutrition and ombudsman services.
Family Caregiver Support Program (FCSP)
Texas Family Caregiver Support Program
- Who it is for
- Family or informal caregivers of an adult 60+ or of someone of any age with dementia
- Income limit
- Federal program prioritizes greatest economic and social need.
Eligibility
- General
- Texas AAA caregiver support serves eligible caregivers of older adults; particular service eligibility follows the relevant program and assessment.
- TX specifics
- Available through the 28 Area Agencies on Aging with priority to greatest economic and social need.
What it provides
- Caregiver information assistance and support; respite and other services depend on local availability and assessment.
Medicare Savings Program (MSP)
Texas Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- effective March 1 2026 · Individual QMB maximum $1,330 per month; SLMB range $1,330.01 to less than $1,596; QI-1 range $1,596 to less than $1,796; These published bases exclude the $20 general income disregard; couple and spousal-deeming rules differ.
- Asset limit
- 2026 · Countable resources up to $9,950 individual or $14,910 couple for QMB SLMB and QI-1; exclusions apply.
Eligibility
- General
- Texas applicant entitled to Medicare Part A or enrolled in qualifying Part B-ID coverage and meeting applicable MSP criteria.
- TX specifics
- QI-1 is unavailable with other Medicaid-funded coverage; Part B-ID applicants have special limited-benefit rules.
What it provides
- QMB pays qualifying Medicare premiums deductibles and coinsurance; SLMB and QI-1 pay Part B or B-ID premiums only.
Comprehensive Energy Assistance Program (CEAP)
Texas Comprehensive Energy Assistance Program (CEAP)
- Who it is for
- Low-income Texas households that need help with utility bills
Eligibility
- General
- Qualifying low-income Texas households apply through local Comprehensive Energy Assistance Program providers.
- TX specifics
- Texas LIHEAP utility assistance operates through CEAP.
What it provides
- Utility assistance through CEAP.
Property Tax Exemption for Seniors
Texas Senior Property Tax Exemption
- Who it is for
- Texas homeowners 65+, or qualifying disabled homeowners, living in their homestead
Eligibility
- General
- Residence-homestead owner age 65 or older who uses the property as a principal residence; qualifying disabled homeowners and certain surviving spouses have related provisions.
- TX specifics
- School districts must provide an additional $60,000 age-65-or-disabled residence-homestead exemption; Local-option exemptions and tax-ceiling rules are separate.
What it provides
- Reduction in taxable residence-homestead value (additional $60,000 school-district exemption for age 65 or qualifying disability); actual tax savings vary.
Know before you visit
Frequently Asked Questions about Ashton Medical Lodge
Quick answers from public records and the community's own listing.01 What neighborhood is Ashton Medical Lodge in?
Ashton Medical Lodge is in the Western Hills neighborhood of Midland.
02 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.
03 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.
04 What is the license number of Ashton Medical Lodge?
According to TX state health department records, Ashton Medical Lodge's license number is 311322.
05 What is the occupancy rate at Ashton Medical Lodge?
Ashton Medical Lodge's occupancy is 91.7%.
06 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.
07 Are pets allowed at Ashton Medical Lodge?
No, Ashton Medical Lodge has a no-pet policy.
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