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Farmersville Health and RehabilitationCMS ratings, inspections and fines

Address
205 Beech St, Farmersville, TX 75442
CCN
676424
Ownership type
For-profit, corporation
Certified beds
74
Residents per day
65
CMS flags
None in the CMS record
CMS star ratings
Overall rating4 of 5
Health inspection rating4 of 5
Staffing rating2 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Farmersville Health and Rehabilitation an overall rating of 4 of 5 stars. The last standard survey was on 17 Mar 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Texas is 8. CMS lists no fines for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Farmersville Health and Rehabilitation, with medians
Rating (1 to 5 stars)This homeCollin County medianTexas medianUS average (CMS)
Overall rating44.03.03.0
Health inspection rating44.03.02.8
Staffing rating22.02.02.9
Quality measure rating44.04.03.6

A median is the middle value of the homes in the group: 22 homes in the county, 1,177 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Farmersville Health and Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsTexas median
Cycle 1 (latest)17 Mar 2026118
Cycle 27 Jan 202538
Cycle 3No date88

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 22 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harmF0
No actual harm, potential for minimal harmA0B0

Survey cycle 1 (latest): 11 citations

Standard survey of this cycle: .

Health citations of Farmersville Health and Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
17 Mar 2026F0583Keep residents' personal and medical records private and confidential.EStandard survey17 Apr 2026
17 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 Apr 2026
17 Mar 2026F0693Ensure 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.DStandard survey17 Apr 2026
17 Mar 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Apr 2026
17 Mar 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey17 Apr 2026
17 Mar 2026F0761Ensure 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.EStandard survey17 Apr 2026
17 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey17 Apr 2026
17 Mar 2026F0880Provide and implement an infection prevention and control program.DStandard survey17 Apr 2026
17 Mar 2026F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.CStandard survey17 Apr 2026
17 Mar 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey17 Apr 2026
16 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation15 Feb 2026

Survey cycle 2: 3 citations

Standard survey of this cycle: .

Health citations of Farmersville Health and Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
7 Jan 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey8 Jan 2025
7 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey8 Jan 2025
7 Jan 2025F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.CComplaint investigation8 Jan 2025

Survey cycle 3: 8 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Farmersville Health and Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
19 Oct 2023F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation20 Oct 2023
19 Oct 2023F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey18 Nov 2023
19 Oct 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation20 Oct 2023
19 Oct 2023F0610Respond appropriately to all alleged violations.DComplaint investigation20 Oct 2023
19 Oct 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation18 Nov 2023
19 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey20 Oct 2023
19 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation20 Oct 2023
19 Oct 2023F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.CStandard survey20 Oct 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

CMS lists no fine and no payment denial for this home in its penalties file.

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Farmersville Health and Rehabilitation
StaffThis homeTexas medianTexas average (CMS)
All nurse staff2.883.303.39
Registered nurses (RN)0.590.400.43
Licensed practical nurses (LPN)0.600.95
Nurse aides1.692.00
All nurse staff, weekends2.552.902.98
Nurse staff turnover in a year
47.1%
Nurse staff turnover, Texas median
52.1%
RN turnover in a year
16.7%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Farmersville Health and Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.7%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.4%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay6.7%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay14.3%8.3%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, corporation
Legal business name
Nocona Hospital District
Chain
Foursquare Healthcare (10 homes in the CMS chain file)
Organisations in the CMS ownership record of Farmersville Health and Rehabilitation
OrganisationRole in the CMS recordInterestSince
Nocona Hospital District5% or greater direct ownership interest100%1 Apr 2017
Collin NH Realty Ltd5% or greater mortgage interest1 Apr 2017
Fairbrook Partners, LP5% or greater mortgage interest1 Jan 2024
Montague NH, LP5% or greater mortgage interest1 Apr 2017
Rockett, LP5% or greater mortgage interest1 Apr 2017
Foursquare Texas 16 LLCOperational/managerial control1 Apr 2017
Collin NH Realty LtdAdp of the snf1 Apr 2017
Fairbrook Partners, LPAdp of the snf1 Apr 2017
Foursquare Texas 16 LLCAdp of the snf23 Apr 2025
Montague NH, LPAdp of the snf1 Apr 2017
Rockett, LPAdp of the snf1 Apr 2017

The site shows organisations only. It does not show the names of persons.

Other homes in Collin County

The 12 nearest other nursing homes in Collin County, Texas
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Lexington Medical LodgeFarmersville4 of 54$029 Apr 2025
Princeton Medical LodgePrinceton4 of 54$012 Mar 2026
North Park Health and Rehabilitation CenterMcKinney3 of 50$012 Jun 2025
McKinney Healthcare and Rehabilitation CenterMcKinney4 of 54$08 May 2025
Park Manor of McKinneyMcKinney2 of 50$29,42610 Jun 2025
Victoria Gardens of AllenAllen4 of 58$011 Feb 2026
The Belmont at Twin CreeksAllen4 of 512$8,27822 May 2025
Belterra Health & RehabMcKinney4 of 510$023 Apr 2026
Collinwood Nursing and RehabilitationPlano2 of 56$51,9737 Aug 2025
The Park in PlanoPlano3 of 53$09 Apr 2026
Baybrooke Village Care and Rehab CenterMcKinney3 of 523$15,6429 Apr 2026
Stonemere Rehabilitation CenterFrisco4 of 510$011 Jun 2026

All 22 nursing homes in Collin County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Farmersville Health and Rehabilitation (CCN 676424). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/farmersville-health-and-rehabilitation-farmersville-tx-676424/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Farmersville Health and Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 17 Mar 2026. It was a standard survey. It gave 10 citations. The standard survey before the last one was on 7 Jan 2025.
Who operates Farmersville Health and Rehabilitation?
The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Foursquare Healthcare. The CMS ownership file names Foursquare Texas 16 LLC for operational or managerial control. This site does not show the names of persons.
Is Farmersville Health and Rehabilitation a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.