Ashton Medical Lodge
801 South Loop 250 West, Midland, TX 79703 · Midland County · 144 certified beds · avg 132 residents/day · certified since Oct 10, 2017 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 5, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 6, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| May 16, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Feb 6, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 6, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Feb 6, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| May 30, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jan 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 21, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 21, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 21, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 2 | 1 | J ▲ |
| 2025 | 14 | 0 | E |
| 2026 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $13,397.
| Date | Type | Amount / length |
|---|---|---|
| Dec 21, 2023 | Fine | $13,397 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.80 | 3.46 | 3.95 | bottom 11% in Texas; bottom 8% in the U.S. |
| Registered Nurse hours | 0.32 | 0.44 | 0.69 | bottom 33% in Texas; bottom 11% in the U.S. |
| Weekend total nurse staffing | 2.47 | 3.04 | 3.50 | bottom 14% in Texas; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.34 | 0.48 | top 34% in Texas; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 49.6 | 55.3 | 45.8 | top 44% in Texas; bottom 38% in the U.S. |
| RN turnover (%) | 35.7 | 54.6 | 42.9 | top 25% in Texas; top 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.38, weekend 3.00. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Atkins, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Bowerman, Stephen | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2023 |
| Campbell, John | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/06/2026 |
| Campbell, Kenneth | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/06/2026 |
| David W Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| DWM 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Fairbrook Partners, LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Foursquare Texas 16 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Foursquare Texas 16 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/23/2025 |
| Hampton, Broderick | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Hampton, Broderick | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Jec GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Jem 5x5 Trust | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| John E Miller GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Kingsbury Capital LLC Series F | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| KJC GS Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Lewis, Shane | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Lion Plaza LP | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Midland NH Realty LTD | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
| Miller, David | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/06/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Mabee Health Care Center | 1.6 mi | Midland, TX | ★★★★☆ | 3/5 | |
| Focused Care at Midland | 5.0 mi | Midland, TX | ★★☆☆☆ | 2/5 | |
| Midland Medical Lodge | 5.1 mi | Midland, TX | ★★★☆☆ | 4/5 | |
| Focused Care at Hogan Park | 5.9 mi | Midland, TX | ★☆☆☆☆ | 2/5 | |
| Parks Health Center | 9.5 mi | Odessa, TX | ★★★★☆ | 4/5 | |
| Deerings Nursing and Rehabilitation | 12.1 mi | Odessa, TX | ★★★☆☆ | 4/5 | |
| Madison Medical Resort | 12.3 mi | Odessa, TX | ★★☆☆☆ | 3/5 | |
| Buena Vida Nursing & Rehab Odessa | 13.2 mi | Odessa, TX | ★★★☆☆ | 3/5 | |
| Focused Care at Odessa | 17.1 mi | Odessa, TX | ★★☆☆☆ | 3/5 | |
| Sienna Nursing and Rehabilitation | 17.5 mi | Odessa, TX | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676430.