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Ashton Medical Lodge
Nursing Home, Memory Care & Skilled Nursing · Midland, TX
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Front entrance of Ashton Medical Lodge Exterior view of Ashton Medical Lodge with covered entrance Front entrance of Ashton Medical Lodge Exterior view of Ashton Medical Lodge with landscaping Outdoor space with greenery around the facility building Exterior view of Ashton Medical Lodge entrance Entrance area with seating in front of the facility Outdoor space with landscaped pathways and seating areas Outdoor putting green surrounded by landscaping Vibrant flower beds enhancing outdoor space Bright interior of a common area with high ceilings Outdoor seating area with gazebo and flower planters A well-furnished resident room with two beds Interior dining area with tables and decorations Interior view of a common area with seating and decor Reception area with stone counter and flowers Bright dining room with tables and chairs Dining area with tables and chairs in a bright space Outdoor seating area with tables and chairs Outdoor putting green in a senior living facility Interior view of a private resident room with a star decoration Food service area with coffee and pastries Outdoor putting green at Ashton Medical Lodge Interior common area with decorative flowers and seating Cozy common area with stone fireplace and seating Beautiful outdoor space with flowers and landscaping Rehabilitation equipment in an activity room Common area with comfortable seating and decorative lighting Cozy common area in a senior living facility Outdoor seating area with rocking chairs and garden Interior view of a salon area with a styling chair Interior view of a common area with high ceilings Cozy common area with comfortable seating and decor Interior view of a therapy gym with exercise equipment Interior view of a reception area with a stone counter Well-equipped exercise room with fitness equipment Bright dining area with tables and chairs for residents Private resident room with two beds and decor Cozy resident room with amenities and furnishings A well-furnished shared bedroom with two adjustable beds Interior of a facility lobby with seating and decorations Cozy seating area in a hallway with artwork Cozy interior of a resident room with comfortable furniture Private resident room with two beds and bedside tables A dining area with fruit and snacks displayed Two wooden rocking chairs on a porch Outdoor gazebo with a flower display in a garden area Relaxing outdoor patio area with seating and landscaping Interior view of a fitness area with exercise equipment Interior view of a comfortable resident room Cozy resident room with a bed and decor Beauty salon area with chairs and decorations Interior view of a hair salon within the facility Cozy resident room with decor and comfortable furnishings Interior view of a common area with seating and computers Cozy seating area with two chairs and a lamp Accessible bathroom with modern fixtures and decor Well-lit bathroom with modern amenities Mini golf setup with clubs and balls in an outdoor area Modern bathroom in a senior living facility Well-equipped bathroom with safety features

Ashton Medical Lodge

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

Overview of Ashton Medical Lodge

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

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

Facility Direct Line (432) 689-2100
Facility Direct Line (432) 689-2100 info@ashtonml.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 28.4% Below TX avg. ▼ 28.4% Below TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 8.6% Above TX avg. ▲ 8.6% Above TX avg.TX average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 52.9% Below TX avg. ▼ 52.9% Below TX avg.TX average: 2.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 6.5% Above TX avg. ▲ 6.5% Above TX avg.TX average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Texas averages

Rank #208 / 234Nurse hours — State benchmarkedThis home is ranked 208th out of 234 homes we track in Texas for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Texas average, with a ranking across 234 Texas facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 208th out of 234 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 48m

23% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
19m
−27% State avg: 26m per day · National avg: 41m per day
LPN / LVN Info 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.
44m
−23% State avg: 57m per day · National avg: 52m per day
Nurse Aide Info 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.
1h 45m
−13% State avg: 2h 1m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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.
2h 28m
−17% State avg: 2h 59m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
3m
−37% State avg: 4m per day · National avg: 4m per day
Weekend RN Info 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.
21m
Avg State avg: 21m per day · National avg: 29m per day

5 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 144 Rank #37 / 255Bed count — State benchmarkedThis home is ranked 37th out of 255 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 cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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

Years of operating Info An established community with some operational experience and growing routines. This is the number of years in operation under current management. Rank #135 / 146Years in operation — State benchmarkedThis home is ranked 135th out of 146 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 cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
8 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #249 / 276Walk Score — State benchmarkedThis home is ranked 249th out of 276 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 cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
14 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #23 / 162Occupancy rate — State benchmarkedThis home is ranked 23rd out of 162 homes we track in Texas for occupancy. Shows this facility's occupancy rate versus the Texas average, with its Statewide rank out of 162. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
88.9% This home usually has limited availability
Higher than the Texas average: 71.2%
Occupied beds
128 / 144
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
147 days

About this community

License Details

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

Ownership & Operating Entity

Ashton Medical Lodge is administered by John William Himes.

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

Type Of Units

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

Staffing

Key information about the people who lead and staff this community.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Short-Term Rehab

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Specific ProgramsShort-Term Rehabilitation, Wellness at Ashton

Contact Ashton Medical Lodge

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

Inspection History

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

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

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

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

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

This FacilityTX Averagevs. TX Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 258 This facility has 213% more total citations than a typical Texas nursing home (25 vs. TX avg 8).↑ 213% worse

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

This FacilityTX Averagevs. TX Avg
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 71 This facility has 600% more inspections with citations than a typical Texas nursing home (7 vs. TX avg 1).↑ 600% worse
Show Inspection Reports

CMS Health Inspection History

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

Inspections Since 2022 · 4 years of data

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

Total health inspections 7

Texas average 7.9

Last Health inspection on Apr 2026

Total health citations
29 Rank #155 / 234Health citations — State benchmarkedThis home is ranked 155th out of 234 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 cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 27.4

Citations per inspection
4.14 Rank #157 / 234Citations per inspection — State benchmarkedThis home is ranked 157th out of 234 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 cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Texas average 3.64

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

20 of 29 citations resulted from standard inspections; and 9 of 29 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
1
50% better than Texas average

Texas average: 2

Serious health citations
0
100% better than Texas average

Texas average: 0.4

1 critical citation Texas average: 2
0 serious citations Texas average: 0.4
28 moderate citations Texas average: 24.6
0 minor citations Texas average: 0.4
Citations history (last 4 years)
Pharmacy moderate citation Apr 10, 2026
Corrected
Quality of Care moderate citation Apr 10, 2026
Corrected
Quality of Care moderate citation Apr 10, 2026
Corrected
Quality of Care moderate citation Apr 10, 2026
Corrected

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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 148
Employees 148
Contractors 0
Staff to resident ratio 1.10 : 1
26% fewer staff per resident than Texas average
Texas average ratio: 1.48 : 1 Texas average ratio: 1.48 : 1See full Texas ranking
Avg staff/day 58
Average shift 8.9 hours
10% better than Texas average
Texas average: 8.1 hours Texas average shift: 8.1 hoursSee full Texas ranking
Total staff hours (quarter) 47,474

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 31 LPN Staff are full-time employees. No contractors work on this role. 31
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 74 CNA Staff are full-time employees. No contractors work on this role. 74
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

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

Penalties and fines

Includes penalties issued in 2023

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 Rank #86 / 237Federal fines — State benchmarkedThis home is ranked 86th out of 237 homes we track in Texas for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Texas average among facilities with fines, and where it ranks among 237 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
83% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

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

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $13K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Dec 21, 2023 · $13K

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

Last updated: Jan 2026

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 Info 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 average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 18.6
16% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Above average Texas avg: 4.1 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 12.7%
21% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.3%
In line with Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.9%
72% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.9%
82% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.0%
10% better than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
73% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.4%
In line with Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 22.7%
691% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 0.7%
91% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.03
5% better than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.17
5% worse than Texas average

Texas average: 2.07

Short-stay resident measures
Above average Texas avg: 3.1 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
10% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.3%
11% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 27.7%
7% worse than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 19.0%
58% worse than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 2.0%
162% worse than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 82.3%
53% better than Texas average

Texas average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 43.5%
14% worse than Texas average

Texas average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 135
Medicare
33
24.4% of residents
Medicaid
74
54.8% of residents
Private pay or other
28
20.7% of residents
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.

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 09/2022. This is an older period than most facilities report, so compare with that in mind.

Government
Operated by a hospital district.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.6M
Government Operated by a hospital district.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$14.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.6M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$7.3M 50% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.7M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.1M
How we calculate these figures

This home is administered by John William Himes.

This home is owned by Midland County Hospital District

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

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (64% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
194 total

Coverage residents most often arrive under.

Medicare 33%
Private pay 64%
Medicaid 3%
Discharges
189 total

Coverage residents most often leave under.

Medicare 59%
Private pay 29%
Medicaid 12%

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

How we assess these insights

Managed by Broderick Hampton

Administrator

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

Places of interest near Ashton Medical Lodge

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

Calculate Travel Distance to Ashton Medical Lodge

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Address

Compare Nursing Homes around Midland

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

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

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. CCRC( (Continuing Care Retirement Communities (CCRC)):
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Texas average is: 71.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Vogel Center Assisted Living With Memory Support ★ ★ ★ ★ ☆
NH
AL
CCRC(
IL
MC
SNF
Midland (Trinity Towers Manor)
44
Facility 44
TX AVG 108
Rank #231 / 255
92.3%
Facility 92.3%
TX AVG 71.2%
Rank #15 / 162
+30%
3.85
Facility 3.85
TX AVG 3.63
Rank #63 / 234
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ -22%+6%
$0
Facility $0
TX AVG $81.8k
Rank #1 / 237
14
Facility 14
TX AVG 25.9
Rank #21 / 234
4.7
Facility 4.7
TX AVG 3.7
Rank #124 / 234
-41-
47
Facility 47
TX AVG 43
Rank #125 / 276
Manor Park, Inc
$2.8MFiscal year ending 05/2024
Facility $2.8MFiscal year ending 05/2024
TX AVG $9.4M
Rank #213 / 218
$14.3MFiscal year ending 05/2024
Facility $14.3MFiscal year ending 05/2024
TX AVG $5.4M
Rank #9 / 218
513.4%Fiscal year ending 05/2024
Facility 513.4%Fiscal year ending 05/2024
TX AVG 71.6%
Rank #1 / 199
676015
Ashton Medical Lodge ★ ★ ☆ ☆ ☆
NH
MC
SNF
Midland (Western Hills)
144
Facility 144
TX AVG 108
Rank #37 / 255
88.9%
Facility 88.9%
TX AVG 71.2%
Rank #23 / 162
+25%
2.80
Facility 2.80
TX AVG 3.63
Rank #208 / 234
 ★ ★ ★ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ +15%-23%
$13.4k
Facility $13.4k
TX AVG $81.8k
Rank #86 / 237
29
Facility 29
TX AVG 25.9
Rank #155 / 234
4.1
Facility 4.1
TX AVG 3.7
Rank #157 / 234
1128-
14
Facility 14
TX AVG 43
Rank #249 / 276
Midland County Hospital District$14.6M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$7.3M*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.50%*Fiscal year ending 09/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.676430

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

Nursing Home Explorer

Financial Assistance for
Nursing Home in Texas

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

Get Financial aid guidance

Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

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

Large state; rural access challenges.

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

Texas Community Care Services

TX CCS

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

Limited funding; high demand in urban areas.

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

Area Agency on Aging (AAA) Services

Texas AAA Services

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

28 AAAs; includes Meals on Wheels in some areas.

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

Medicare Savings Program (MSP)

Texas Medicare Savings Program

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

Includes Extra Help for Part D; no waitlist.

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

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

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

High rural demand; includes grandparent caregivers.

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

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

Texas VA Aid and Attendance/Housebound

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

High veteran population; supports rural/urban needs.

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

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

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

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

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

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

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

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

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

Frequently Asked Questions about Ashton Medical Lodge

What neighborhood is Ashton Medical Lodge in?

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

Who is the owner of Ashton Medical Lodge?

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

Is Ashton Medical Lodge in a walkable area?

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

What is the license number of Ashton Medical Lodge?

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

What is the occupancy rate at Ashton Medical Lodge?

Ashton Medical Lodge's occupancy is 88.9%.

How long has Ashton Medical Lodge been in business?

Ashton Medical Lodge has been operating for approximately 8 years, based on available licensing and registration records.

Are pets allowed at Ashton Medical Lodge?

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

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