nursing home in Farmersville, TX
Lexington Medical Lodge
2000 West Audie Murphy Pkway, Farmersville, TX 75442 · (972) 784-7770
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Lexington Medical Lodge at a glance
Lexington Medical Lodge is a 128-bed government nursing home in Farmersville, Texas (Collin County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 23, 2026) found 8 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 35.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 128
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Foursquare Healthcare
- Medicare-certified since
- September 21, 2015
- Resident/family council
- Resident
- County
- Collin County
- CMS Certification Number
- 676390
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.00 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.72 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.64 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 35.8% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 20% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 41 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 128 | 113 | 107 | |
| Average residents per day | 113 | 76 | 86 | |
| Occupancy | 88.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 10% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 2.7% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 16.7% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 10.6% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 35.3% | 2.4% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.7% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 12.7% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 97.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 23, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected July 24, 2026 |
| June 23, 2026 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected July 24, 2026 |
| June 23, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 24, 2026 |
| June 23, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 24, 2026 |
| June 23, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 24, 2026 |
| June 23, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 23, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 23, 2026 Standard | Ensure 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 23, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 24, 2026 |
| June 23, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected July 24, 2026 |
| December 9, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected December 10, 2025 |
| December 9, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 10, 2025 |
| April 29, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected May 15, 2025 |
| April 29, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 15, 2025 |
| April 29, 2025 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected May 15, 2025 |
| April 29, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected May 15, 2025 |
| April 29, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 15, 2025 |
| March 12, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 15, 2025 |
| March 12, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected April 15, 2025 |
| March 12, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 15, 2025 |
| March 28, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 1, 2024 |
| February 22, 2024 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected February 23, 2024 |
| February 22, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 23, 2024 |
| February 22, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected February 25, 2024 |
| February 22, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected February 25, 2024 |
| October 4, 2023 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 3, 2023 |
| October 4, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 3, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NOCONA HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 06/01/2015 |
| CAMPBELL GS-TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| COLLIN NH REALTY LTD Organization | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| FAIRBROOK PARTNERS, LP Organization | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| MILLER GS- TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| MONTAGUE NH, LP Organization | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| SDL GS 5X5 TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 09/21/2015 |
| CAMPBELL GS-TRUST Organization | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| CHESSER, CLAYTON Individual | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| COLLIN NH REALTY LTD Organization | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| FAIRBROOK PARTNERS, LP Organization | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| MILLER GS- TRUST Organization | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| MONTAGUE NH, LP Organization | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| SDL GS 5X5 TRUST Organization | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| UPTOWN FS LLC Organization | adp of the snf | NOT APPLICABLE | 04/23/2025 |
| YAZDANI, REHAN Individual | adp of the snf | NOT APPLICABLE | 09/21/2015 |
| MEEKINS, GREG Individual | corporate officer | NOT APPLICABLE | 09/21/2015 |
| CAMPBELL, JOHN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| CAMPBELL, KENNETH Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| CAMPBELL, WILLIAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| MILLER, DAVID Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| MILLER, DON Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| MILLER, JOHN Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| MILLER, RICHARD Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| LEWIS, SHANE Individual | operational/managerial control | NOT APPLICABLE | 09/21/2015 |
| UPTOWN FS LLC Organization | operational/managerial control | NOT APPLICABLE | 09/21/2015 |
Other nursing homes near Lexington Medical Lodge
Farmersville Health and Rehabilitation
205 Beech St, Farmersville, TX 75442 · 1.3 mi
For-profit · 74 beds · Part of Foursquare Healthcare
★★★★★4Above averagePrinceton Medical Lodge
1401 W Princeton Dr, Princeton, TX 75407 · 8.4 mi
Government · 138 beds · Part of Foursquare Healthcare
★★★★★3AverageWylie Oaks Healthcare and Rehabilitation
721 S Hwy 78, Wylie, TX 75098 · 12.7 mi
For-profit · 106 beds · Part of The Ensign Group
★★★★★2Below averageRoyse City Medical Lodge
901 W Interstate 30, Royse City, TX 75189 · 13.7 mi
Government · 124 beds · Part of Priority Management
★★★★★3AverageNorth Park Health and Rehabilitation Center
1720 North McDonald Street, McKinney, TX 75069 · 14.1 mi
For-profit · 140 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageMcKinney Healthcare and Rehabilitation Center
253 Enterprise Drive, McKinney, TX 75069 · 14.3 mi
Government · 125 beds · Part of The Ensign Group
★★★★★4Above average
All nursing homes in Farmersville, TX · Compare side by side
Frequently asked questions
What is Lexington Medical Lodge's rating?
Lexington Medical Lodge has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Lexington Medical Lodge receive?
Its most recent standard health inspection found 8 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Lexington Medical Lodge accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Lexington Medical Lodge?
It is government - hospital district and part of Foursquare Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Lexington Medical Lodge and how do I contact it?
Lexington Medical Lodge is at 2000 West Audie Murphy Pkway, Farmersville, TX 75442. Phone: (972) 784-7770.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.