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ASHFORD HALL - IRVING, TX

 



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Address
2021 SHOAF DR
IRVING, TX, 75061
Phone (make sure to verify first before calling): (972) 579-1919

Number of Certified Beds: 330
Total Number of Residents: 110
Percent of Occupied Beds: 33%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Individual
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 1 Star

Employment Full-Time Equivalent

Administrative Staff - Full Time: 8.00
Certified Nurse Aides - Full Time: 70.40
Dietitians - Under Contract: 0.36
Food Service Personnel - Full Time: 15.54
Housekeeping Personnel - Full Time: 19.43
Licensed Practical/ Vocational Nurses - Full Time: 35.20
Medical Directors - Under Contract: 0.46
Mental Health Services Personnel - Under Contract: 1.26
Nurses With Administrative Duties - Full Time: 7.10
Persons Not Included In Any Other Categories - Full Time: 11.43
Registered Nurses - Full Time: 3.43
Rn Director Of Nursing - Full Time: 1.36
Social Workers - Full Time: 2.29
Activities Professionals - Full Time: 1.14
Dentists - Under Contract: 0.11
Pharmacists - Under Contract: 0.36
Podiatrists - Under Contract: 0.14
Other Physicians - Under Contract: 0.43
Physician Extenders - Under Contract: 0.69
Sppech Pathologists - Full Time: 1.14
Occupational Therapists - Full Time: 1.57
Physical Therapists - Full Time: 1.43
Occupational Therapy Assistants - Full Time: 1.14
Physical Therapy Aide - Full Time: 1.14
Medication Aides/ Technicians - Full Time: 32.57

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Dental Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Onsite To Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.290
State:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.750
State:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.030
Texas:

1.350
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
Here:

0.050
Texas:

0.067
Number Therapy Hours Per Resident Per Day
Here:

0.050
State:

0.074

Quality Measures

Percent of long-stay residents who self-report moderate to severe pain
Here:

10.5%
Texas:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

4.0%
Texas:

7.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

10.2%
State:

6.7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
Here:

46.9%
State:

46.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

3.4%
State:

3.9%
Percent of long-stay residents with a urinary tract infection
Here:

1.1%
State:

8.3%
Percent of long-stay residents who have depressive symptoms
Here:

26.8%
Texas:

9.3%
Percent of long-stay residents who were physically restrained
This Nursing Home:

6.9%
State:

1.6%
Percent of long-stay residents experiencing one or more falls with major injury
This Nursing Home:

1.0%
State:

3.5%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

18.6%
Texas:

91.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
This Nursing Home:

99.0%
State:

91.1%
Percent of short-stay residents with Pressure ulcers that are new or worsened
This Nursing Home:

4.1%
State:

1.4%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

26.9%
Texas:

76.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

92.3%
State:

74.3%
Percent of long-stay residents who received an antipsychotic medication
Here:

57.9%
Texas:

28.5%

Complaint Deficiency

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Proper backup exit lighting: Some (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Immediate jeopardy to resident health or safety)

A two-hour-resistant firewall in common walls: Few (Immediate jeopardy to resident health or safety)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Some (Minimal harm or potential for actual harm)

A fire alarm system that can be heard throughout the facility: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Some (Minimal harm or potential for actual harm)

A properly installed and maintained dumbwaiter or escalator: Some (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Few (Minimal harm or potential for actual harm)

Follow policies and procedures to convey the resident's personal funds to the appropriate party responsible after the resident's death: Few (Immediate jeopardy to resident health or safety)

Other fire safety features required by fire safety codes: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Some (Minimal harm or potential for actual harm)

Make sure that each resident gets a nutritional and well balanced diet, unless it is not possible to do so: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Some (Potential for minimal harm)

Properly sized and located linen or trash receptacles: Some (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Some (Minimal harm or potential for actual harm)

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%: Some (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Some (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Some (Potential for minimal harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Some (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Potential for minimal harm)

Exits that are accessible at all times: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Properly installed electrical wiring and equipment: Many (Potential for minimal harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Potential for minimal harm)

Provide activities to meet the interests and needs of each resident: Some (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Some (Potential for minimal harm)

Provide care by qualified persons according to each resident's written plan of care: Many (Minimal harm or potential for actual harm)

Have enough nurses to care for every resident in a way that maximizes the resident's well being: Some (Minimal harm or potential for actual harm)

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature: Many (Minimal harm or potential for actual harm)

Provide food in a way that meets a resident's needs: Few (Minimal harm or potential for actual harm)

1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Provide bedrooms that don't allow residents to see each other when privacy is needed: Many (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (Minimal harm or potential for actual harm)

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