Ashton Medical Lodge
801 SOUTHLOOP 250 WEST, Midland, TX, 79793
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 144 · avg 129 residents/day
- Total nursing staff turnover
- 54% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,397 total
State licensing & capacity
- License number
- 311322
- Service type
- Medicare/medicaid
- Licensed capacity
- 144 beds
- Bed type breakdown
- 14 Medicare-only · 130 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- October 10, 2017
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Midland County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Foursquare Texas 16 Llc
- Administrator
- Broderick Hampton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (27 on record)
- Foursquare Texas 16 Llc
Adp of The Snf · since 2025
- Broderick Hampton
Operational/managerial Control · since 2023
- David w Miller
Operational/managerial Control · since 2023
- David w Miller gs Trust
Operational/managerial Control · since 2023
- Dwm 5x5 Trust
Adp of The Snf · since 2023
- Fairbrook Partners, lp
Adp of The Snf · since 2023
+ 21 additional owners on the federal record.
Recent change of ownership
March 2023 (3 years ago) · acquired from Ashton Medical Lodge
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 25)
- D0610·May 16, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- D0602·May 16, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- D0600·May 16, 2025Complaint
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.
- E0880·Feb 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Feb 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0804·Feb 6, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0761·Feb 6, 2025
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.
- D0755·Feb 6, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20231 fine · $13K
Most recent events
- Dec 21, 2023Fine · $13K
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Ashton Medical Lodge is a 144-bed nursing home in Midland, Texas, licensed to Midland County Hospital District and managed by Foursquare Texas 16 LLC. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier, covering roughly 38% of Texas nursing homes. Health inspection and quality measure ratings each reach 3 stars. One CMS fine of $13,397 is on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. Each resident receives about 205 minutes of nursing care per day — roughly 36 minutes less than at a 4-star-staffing facility in Texas. Of those 205 minutes, only 23 come from a registered nurse. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so the same hours stretch thinner than the raw minutes suggest.
One CMS fine of $13,397 is on record. About 30% of Texas nursing homes have received no fines at all, so a single fine is not unusual, though the amount sits below the state median of $20,699.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN coverage on evening and weekend shifts
Registered nurses account for only 23 minutes of daily care per resident — ask which shifts have an RN physically present and how quickly one can be reached overnight.
Staffing plan for high-need residents
CMS data shows residents here require more hands-on care than at a typical facility; ask how many aides are assigned per resident on a day shift and whether that ratio changes on weekends.
Management company's role day-to-day
The facility is licensed to Midland County Hospital District but operated by Foursquare Texas 16 LLC — ask which entity sets staffing levels, hires aides, and handles complaints.
Details on the 2022–2025 CMS fine
A $13,397 fine appears in CMS records; ask what deficiency triggered it and what specific steps were taken to correct the problem.
Resident and family council availability
CMS records do not show an active resident or family council here; ask whether one exists, when it meets, and how residents and families raise concerns between meetings.
Current bed availability and waitlist
The facility is running at about 128 of 144 licensed beds — ask whether the specific bed type needed (Medicare or Medicaid) is currently available or has a wait.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.