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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
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.
This home is ranked 202nd out of 237 homes in Texas.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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.
| 23m per day | ▼ 12% State avg: 26m per day · National avg: 41m per day |
|
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.
| 55m per day | ▼ 4% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
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.
| 2h 6m per day | ▲ 4% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
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.
| 3h 14m per day | ▲ 9% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
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 per day | ▼ 50% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 20m per day | ▼ 5% State avg: 21m per day · National avg: 29m per day |
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
33% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #164 / 248Payroll — State benchmarkedThis home is ranked 164th out of 248 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Texas average: 63.5%Ashton Medical Lodge is administrated by John William Himes.
Key information about the people who lead and staff this community.
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.
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.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 6 | This facility has 317% more total citations than a typical Texas nursing home (25 vs. TX avg 6). Click this badge to view the full Texas ranking.↑ 317% worse |
|
Citations per year
Average citations per year since 2022.
| 6.3 | 1.5 | This facility has 320% more citations per year than a typical Texas nursing home (6.3 vs. TX avg 1.5). Click this badge to view the full Texas ranking.↑ 320% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsTexas average 7.4
Last Health inspection on May 2025
Texas average 25.9
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.
50% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
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Ashton Medical Lodge is located in Midland, Texas.
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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.
— 1.47 miles to nearest hospital (USPI)
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
28% worse than Texas average
10% better than Texas average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
135State-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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
21% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
16.3%
In line with Texas averageTexas average: 16.2%
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%
Percent of long-stay residents experiencing one or more falls with major injury
5.9%
82% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
4.0%
10% better than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.4%
73% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
3.4%
In line with Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
22.7%
691% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
0.7%
91% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.03
5% better than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.17
5% worse than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.2%
10% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
97.3%
11% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.7%
7% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.0%
58% worse than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
162% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
82.3%
53% better than Texas averageTexas average: 53.7%
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.
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)
83% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 21, 2023 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 21, 2023Last updated: Jan 2026
Historical financial and operational data for Ashton Medical Lodge based on CMS SNF Cost Reports.
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Ashton Medical Lodge is in the Western Hills neighborhood of Midland.
The legal owner and operator of Ashton Medical Lodge is Midland County Hospital District.
Ashton Medical Lodge has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to TX state health department records, Ashton Medical Lodge's license number is 311322.
According to TX state health department records, Ashton Medical Lodge's license expires on January 3, 2026.
Ashton Medical Lodge's occupancy is 89%.
John William Himes is the administrator of Ashton Medical Lodge.
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