Occupancy rate
89%
In line with Texas averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home in Midland
CMS overall rating
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.
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.
Ashton Medical Lodge
Nursing Home in Midland
CMS overall rating
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.
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.
Ashton Medical Lodge
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.
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.
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
144
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
88.9%
Residents per day (avg)
123
Occupancy rate
88.9%
Residents per day (avg)
123
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
64% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
8 years
Finances and operations
Governmental community
Operated by state authorities.
Home revenue
$15.5M
Operating deficit
-$482.0K
Governmental community
Operated by state authorities.
Home revenue
$15.5M
Operating deficit
-$482.0K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$12.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.0M
144-bed community
A larger shared setting that may offer more common spaces and organized community services.
8 years in operation
An established community with some operational experience and growing routines.
Walk Score: 14 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
Services
About this community
Occupancy
In line with Texas averageOccupied beds
128 / 144
Average residents
75 per day
Facility TypeNursing
IssuanceJanuary 3, 2023
ExpirationJanuary 3, 2026
CountyMIDLAND
License Number311322
Year Opened10/10/2017
Ashton Medical Lodge is administrated 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
Staffing
Key information about the people who lead and staff this community.
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
Specific ProgramsShort-Term Rehabilitation, Long Term Care, Wellness at Ashton, Our Facility, Our History, Amenities, Testimonials, Meet The Team, Facility Tour, Photo Gallery, FAQ, Jobs Available, Contact, Payment Portal, Schedule Visit
Operating HoursMo 00:00-00:00, Tu 00:00-00:00, We 00:00-00:00, Th 00:00-00:00, Fr 00:00-00:00, Sa 00:00-00:00, Su 00:00-00:00
Types of Care at Ashton Medical Lodge
Skilled Nursing
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.
7 visits/inspections
Show Inspection Reports
Latest inspection
Date
May 16, 2025
Complaint Investigation25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Texas average: 32 deficiencies
Inspection Report Summary for Ashton Medical Lodge
The most recent inspection on May 16, 2025, identified deficiencies related to failure to protect residents from abuse, misappropriation of controlled medication, and inadequate investigation of alleged abuse. Earlier inspections showed a pattern of issues including resident dignity and care concerns, medication management problems, infection control lapses, and supervision failures, with one prior immediate jeopardy finding related to resident elopement and harm. Inspectors cited main themes of resident abuse and medication security, along with ongoing challenges in investigation and response to complaints. Complaint investigations were mostly unsubstantiated except for the substantiated abuse and elopement cases, with no enforcement actions or fines listed in the available reports. The inspection history indicates persistent challenges with resident protection and medication handling, with no clear trend of sustained improvement.
Health Inspection History
Inspections
Total health inspections
7
Texas average 7.4
Last Health inspection on May 2025
Total health citations
26
Texas average 25.9
Citations per inspection
3.71
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 26 citations resulted from standard inspections; and 6 of 26 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
50% better than Texas averageTexas average: 2
Serious Health citations
0
0
100% better than Texas averageTexas average: 0.4
1 critical citation
0 serious citations
25 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 16, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 16, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 16, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 16, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 16, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 16, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2025
Corrected
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.
Compare Nursing Homes around Midland The information below is reported by the Texas Health and Human Services Commission.
Filter by care type
Ashton Medical Lodge
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Midland (Western Hills)
144
89.9%
+42%
2.99
-18%
1
26
3.7
1
123
-
14
Bowerman, Stephen
$16.6M
$4.0M
24%
676430
Places of interest near Ashton Medical Lodge
5.1 miles from city center — 1.47 miles to nearest hospital (USPI)
Calculate Travel Distance to Ashton Medical Lodge
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
147
Employees
147
Contractors
0
Staff to resident ratio
1.09:1
28% worse than Texas averageTexas average ratio: 1.51:1
Avg staff/day
59
Average shift
8.9 hours
10% better than Texas averageTexas average: 8.1 hours
Total staff hours (quarter)
47,685
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
26
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
70
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 70 | 0 | 70 | 22,671 | 91 | 100% | 9.4 |
| Licensed Practical Nurse | 26 | 0 | 26 | 7,937 | 91 | 100% | 9.4 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,080 | 91 | 100% | 8.9 |
| Registered Nurse | 13 | 0 | 13 | 2,980 | 91 | 100% | 9.2 |
| Speech Language Pathologist | 6 | 0 | 6 | 2,327 | 74 | 81% | 7.8 |
| RN Director of Nursing | 4 | 0 | 4 | 2,162 | 80 | 88% | 8.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,308 | 91 | 100% | 7.3 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,170 | 68 | 75% | 7.4 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 525 | 68 | 75% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 523 | 91 | 100% | 5.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 503 | 63 | 69% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 486 | 63 | 69% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 56 | 62% | 8.3 |
| Dietitian | 1 | 0 | 1 | 454 | 59 | 65% | 7.7 |
| Physical Therapy Assistant | 1 | 0 | 1 | 296 | 56 | 62% | 5.3 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 287 | 42 | 46% | 6.8 |
70 Certified Nursing Assistant
% of Days
100%
26 Licensed Practical Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
13 Registered Nurse
% of Days
100%
6 Speech Language Pathologist
% of Days
81%
4 RN Director of Nursing
% of Days
88%
3 Clinical Nurse Specialist
% of Days
100%
4 Physical Therapy Aide
% of Days
75%
2 Respiratory Therapy Technician
% of Days
75%
1 Nurse Practitioner
% of Days
100%
1 Administrator
% of Days
70%
1 Other Dietary Services Staff
% of Days
69%
1 Qualified Social Worker
% of Days
69%
1 Mental Health Service Worker
% of Days
62%
1 Dietitian
% of Days
65%
1 Physical Therapy Assistant
% of Days
62%
1 Therapeutic Recreation Specialist
% of Days
46%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
135 residents
Residents by payment source
Medicare
33 residents (24.4%)
Medicaid
74 residents (54.8%)
Private pay or other
28 residents (20.7%)
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.4
In line with Texas averageTexas average: 8.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.6
16% worse than Texas averageTexas average: 16.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
21% better than Texas averageTexas average: 16.2%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.3%
Percent of long-stay residents whose ability to move independently worsened
16.3%
In line with Texas averageTexas average: 16.2%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.9%
72% worse than Texas averageTexas average: 15.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
82% worse than Texas averageTexas average: 3.2%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.0%
Percent of long-stay high risk residents with pressure ulcers
4.0%
10% better than Texas averageTexas average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.4%
Percent of long-stay residents with a urinary tract infection
1.4%
73% worse than Texas averageTexas average: 0.8%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas averageTexas average: 3.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
22.7%
Percent of long-stay residents who have depressive symptoms
22.7%
691% worse than Texas averageTexas average: 2.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.7%
Percent of long-stay residents who received an antipsychotic medication
0.7%
91% better than Texas averageTexas average: 7.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.03
Number of hospitalizations per 1,000 long-stay resident days.
2.03
5% better than Texas averageTexas average: 2.13
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.17
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.17
5% worse than Texas averageTexas average: 2.07
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
10% better than Texas averageTexas average: 90.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
11% better than Texas averageTexas average: 88.0%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
7% worse than Texas averageTexas average: 25.9%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
58% worse than Texas averageTexas average: 12.0%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
162% worse than Texas averageTexas average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
82.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
82.3%
53% better than Texas averageTexas average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
43.5%
Rate of successful return to home or community from a skilled nursing facility.
43.5%
14% worse than Texas averageTexas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 Jan 2026)
Total fines amount
$13K
83% lower than Texas averageTexas average: $80K
Number of fines
1
60% fewer fines than Texas averageTexas average: 2.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
Fines amount comparison
Fines amount comparison
This facility
$13K
Texas average
$80K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 21, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Ashton Medical Lodge based on CMS SNF Cost Reports.
Occupancy Rate
89.9%
↑ 12.0pp vs 2022
Net Income
-$482.0K
↓ ~$2.3M vs 2022
Total Payroll
$4.4M
↓ ~$2.9M vs 2022
Profit Margin
-2.9%
↓ 9.7pp vs 2022
Loading trend charts...
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