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)

Other nearby hospitals and nursing homes

RHEMA HOME HEALTH SERVICES (0.23 miles)
BAYLOR MEDICAL CENTER AT IRVING (0.71 miles)
DEVINE HOME HEALTH AGENCY (0.58 miles)
GOOD SHEPHERD HEALTH CARE SERVICES (0.44 miles)
IRVING HEALTHCARE SYSTEM (0.71 miles)
MAYKUS COMMUNITY HOME (0.53 miles)
UT SOUTHWESTERN - DALLAS DIALYSIS (0.27 miles)

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