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Nursing HomeMedicaid Investigative

Ashton Medical Lodge

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

801 Southloop 250 West, Western Hills · Midland, TX 79703144 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 103 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High staff turnover (54%)

Below average in Texas · Below recommended RN staffing · Above average staffing · $13,397 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for patients requiring intensive physical or speech therapy, as the rehab team is frequently cited as a major strength. However, families should be prepared to be proactive in their communication, as multiple reviewers have noted difficulties reaching the facility by phone or getting timely responses from administration.

Google Reviews

Google Reviews

103 reviews analyzed
Ashton Medical Lodge is highly regarded for its exceptional physical and speech therapy programs and its clean, modern, and beautiful facility. While many families praise the compassionate nursing and dietary staff, some reviewers have reported significant issues with communication, specifically regarding unanswered phone calls and difficulty reaching administration.

Quality Themes

Tap a score for details
Food8.0Staff8.0Clean7.0Activities5.0Meds2.0MemoryN/AComms3.0Value6.0

Strengths

  • Exceptional rehabilitation and therapy services
  • Clean and well-maintained modern facility
  • Compassionate and attentive nursing staff
  • High-quality dietary services and meals

Concerns

  • Difficulty reaching staff via telephone (mentioned by 4 reviewers)
  • Inconsistent communication from administration (mentioned by 3 reviewers)
  • Delays in therapy commencement upon admission (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(22)'21(4)'23(11)'25(28)'26(6)

Distribution

5
65
4
15
3
3
2
2
1
16

How They Respond to Reviews

100%response rate
Excellent

The owner provides highly personalized, empathetic responses that frequently name specific staff members and acknowledge specific details from the reviewer's text. They demonstrate a strong commitment to community and family, often using warm, person-centered language.

Questions for Your Tour

  • 1We've heard great things about the meals here; could you tell us a bit about how the dietary services are managed for residents with specific nutritional needs?
  • 2With the high level of care provided in your rehab department, how soon can a new resident typically begin their therapy sessions after admission?
  • 3We noticed the administration is very responsive to feedback; what is the best way for our family to stay in regular, consistent contact with the nursing team?
  • 4Could you walk us through the specific protocols in place for medication management to ensure everything is handled accurately?
  • 5What is the process for notifying family members in the event of a medical emergency or a change in a resident's condition during the night?
  • 6What kind of daily activities or social outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

He received physical and speech therapy. I would like to say thank you to the administration, nurses, therapists and cna's for taking of him with the level of attention that was given.

Rehab patient's family · 2025★★★★★

She has gotten so much better here than a previous rehab facility. The staff are all amazing and I highly recommend to anyone who is looking for a great place to stay long or short term and get amazing physical therapy!

Long-term resident's family · 2025★★★★★

The care from the staff was excellent and the physical therapy team worked patiently with us while teaching exercise and techniques. I literally couldnt stand on my well and in a few short weeks they had me standing as well as walking.

Rehab patient · 2024★★★★★
Source: 103 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
42%
Registered nurses for medical care
Total Nursing
3.29hrs
80%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 34 measures

Medicare Rating
4/ 5
Better Than Avg

22

measures

Worse Than Avg

6

measures

Mixed Results

6

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.3%
Worse than Avg
Here
23.3%
US
12.1%
TX
2.5%
Midland
8.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.3%
Worse than Avg
Here
23.3%
US
12.1%
TX
2.5%
Midland
8.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
15.4%
TX
9.4%
Midland
15.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
15.4%
TX
9.4%
Midland
15.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Midland
99.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Midland
99.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
81.8%
TX
89.2%
Midland
91.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
81.8%
TX
89.2%
Midland
91.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
79.7%
TX
88.0%
Midland
84.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
79.7%
TX
88.0%
Midland
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
TX
1.5%
Midland
3.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
1.6%
TX
1.5%
Midland
3.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
1penalties
Well above state avg (9.1)
5 complaint-triggered
$13,397 in fines

Families have filed complaints leading to deficiencies in resident protection from abuse and neglect, with the most recent incident in May 2025 involving failure to protect residents and respond appropriately to violations. The facility shows recurring problems across resident rights, medication management, and daily care assistance, with many issues persisting across multiple surveys despite reported corrections, suggesting ongoing challenges with quality oversight.

May 16, 2025Complaint
3
0600MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0602MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0610MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Feb 6, 2025Routine
11
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0693MinorCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0804MinorCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

May 30, 2024Complaint
1
0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jan 5, 2024Complaint
1
0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 21, 2023Routine
4
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 28, 2022Routine
5
0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0640MinorCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Dec 21, 2023

$13,397

Ownership & Operations

Who Operates This Facility

Owner / Operator

Midland County Hospital District

Organization Type

for profit

Management Company

FOURSQUARE TEXAS 16 LLC

Administrator

JOHN WILLIAM HIMES

Ownership & Management

Key personnel

Bowerman, StephenOfficer / DirectorDavid W Miller Gs TrustManagerFoursquare Texas 16 LLCManagerJec Gs TrustManagerJohn E Miller Gs TrustManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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