Texas › Collin County › Farmersville
Lexington Medical Lodge
2000 West Audie Murphy Pkway, Farmersville, TX 75442
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Lexington Medical Lodge, in Farmersville, Texas, is certified for 128 beds under government, hospital district ownership and belongs to the Foursquare Healthcare chain.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 1 and quality measures 4.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (4, 5, 3 by cycle, most recent first), none at the actual-harm level. That is 9.4 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 35.8%.
Compared with county, state and nation
| Measure | This facility | Collin Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 22 | 25 | 28.7 |
| Citations per 100 beds | 9.4 | 17.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 35.8% | 50.0% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (22 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2025, 22 Feb 2024.
Severity mix: D ×10 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Dec 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Complaint investigation | 10 Dec 2025 |
| 9 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 10 Dec 2025 |
| 29 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 May 2025 |
| 29 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 May 2025 |
| 12 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 15 Apr 2025 |
| 12 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Apr 2025 |
| 12 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Apr 2025 |
| 28 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 Apr 2024 |
| 22 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Feb 2024 |
| 22 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 25 Feb 2024 |
| 4 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Nov 2023 |
| 4 Oct 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 3 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 35.8%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Nocona Hospital District. Chain: Foursquare Healthcare (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nocona Hospital District | 5% or greater direct ownership interest | 100% | 06/01/2015 |
| Collin Nh Realty Ltd | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| Fairbrook Partners, LP | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| Montague Nh, LP | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| Uptown Fs LLC | Operational/managerial control | NOT APPLICABLE | 09/21/2015 |
| Collin Nh Realty Ltd | Adp of the snf | NOT APPLICABLE | 09/21/2015 |
| Fairbrook Partners, LP | Adp of the snf | NOT APPLICABLE | 09/21/2015 |
| Montague Nh, LP | Adp of the snf | NOT APPLICABLE | 09/21/2015 |
| Uptown Fs LLC | Adp of the snf | NOT APPLICABLE | 04/23/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Collin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Legacy At Willow Bend | Plano | 60 | 5 | 4 | 5 | 16 | 26.7 | — | 4 Dec 2025 |
| Belterra Health & Rehab | Mckinney | 103 | 4 | 4 | 3 | 20 | 19.4 | — | 23 Apr 2026 |
| Carrara | Plano | 112 | 4 | 4 | 2 | 13 | 11.6 | $10K | 25 Jun 2026 |
| Farmersville Health and Rehabilitation | Farmersville | 74 | 4 | 4 | 2 | 22 | 29.7 | — | 17 Mar 2026 |
| Life Care Center of Plano | Plano | 120 | 4 | 3 | 2 | 21 | 17.5 | $8K | 9 Apr 2026 |
| Mckinney Healthcare and Rehabilitation Center | Mckinney | 125 | 4 | 4 | 2 | 21 | 16.8 | — | 25 Nov 2025 |
| Princeton Medical Lodge | Princeton | 138 | 4 | 5 | 1 | 11 | 8.0 | — | 12 Mar 2026 |
| Settlers Ridge Care Center | Celina | 128 | 4 | 4 | 2 | 22 | 17.2 | — | 2 Apr 2026 |
All 22 facilities in Collin County
Questions and answers
How many deficiencies has Lexington Medical Lodge been cited for?
12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Lexington Medical Lodge been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Lexington Medical Lodge compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Lexington Medical Lodge?
It is part of the Foursquare Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Nocona Hospital District and Uptown Fs LLC. Individual owners and managers are not listed on this site.
When was Lexington Medical Lodge last inspected?
The most recent survey or investigation in the CMS record is dated 9 Dec 2025; the most recent standard health survey was 29 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.