Farmersville Health and Rehabilitation

Name: Farmersville Health and Rehabilitation
Address: 205 BEECH ST, Farmersville, TX, 75442, US
Telephone: 9727846191

205 Beech St, Farmersville, TX 75442 · Collin County · 74 certified beds · avg 65 residents/day · certified since Apr 1, 2017

Part of chain: FOURSQUARE HEALTHCARE (10 facilities, chain avg rating 3.5★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.51

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 17, 2026	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential.
Mar 17, 2026	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 17, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 17, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 17, 2026	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 17, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Mar 17, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 17, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 17, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 17, 2026	C · Minimal risk, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Jan 16, 2026	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Jan 7, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 7, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 7, 2025	C · Minimal risk, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · from a complaint
Oct 19, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 19, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Oct 19, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 19, 2023	C · Minimal risk, facility-wide	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Year	Citations	Worst severity that year
2023	8	E
2025	3	E
2026	11	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.51	3.46	3.95	bottom 3% in Texas; bottom 4% in the U.S.
Registered Nurse hours	0.52	0.44	0.69	top 24% in Texas; bottom 40% in the U.S.
Weekend total nurse staffing	2.22	3.04	3.50	bottom 4% in Texas; bottom 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.47	0.34	0.48	top 16% in Texas; top 37% in the U.S.
Total nursing staff turnover (%)	47.1	55.3	45.8	top 39% in Texas; bottom 44% in the U.S.
RN turnover (%)	16.7	54.6	42.9	top 4% in Texas; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.88, RN 0.59, weekend 2.55. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Nocona Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2017
Barsik, Tamara	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2017
Box, Jacey	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Box, Jacey	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2017
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
Collin NH Realty LTD	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2017
Collin NH Realty LTD	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
DWM 5x5 Trust	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2017
DWM 5x5 Trust	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Fairbrook Partners, LP	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2024
Fairbrook Partners, LP	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Foursquare Texas 16 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2017
Foursquare Texas 16 LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/23/2025
Jec 5x5 Trust	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2017
Jec 5x5 Trust	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
Jem 5x5 Trust	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2017
Jem 5x5 Trust	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017
KJC 5x5 Trust	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	04/01/2017
KJC 5x5 Trust	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Lexington Medical Lodge	1.3 mi	Farmersville, TX	★★★★☆	5/5
Princeton Medical Lodge	9.7 mi	Princeton, TX	★★★★☆	5/5
Royse City Medical Lodge	12.9 mi	Royse City, TX	★★★☆☆	4/5
Wylie Oaks Healthcare and Rehabilitation	13.6 mi	Wylie, TX	★★☆☆☆	2/5
Greenville Health & Rehabilitation Center	13.6 mi	Greenville, TX	★☆☆☆☆	1/5	abuseSFF
Briarcliff Health Center of Greenville	13.9 mi	Greenville, TX	★★★☆☆	2/5
Greenville Gardens	14.1 mi	Greenville, TX	★★★☆☆	3/5
North Park Health and Rehabilitation Center	15.3 mi	McKinney, TX	★★★☆☆	5/5
McKinney Healthcare and Rehabilitation Center	15.6 mi	McKinney, TX	★★★★☆	4/5
Legend Healthcare and Rehabilitation - Greenville	15.8 mi	Greenville, TX	★★★★☆	4/5
Park Manor of McKinney	16.1 mi	McKinney, TX	★★☆☆☆	3/5
Garnet Hill Rehabilitation and Skilled Care	16.2 mi	Wylie, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Farmersville →

Facility data as of CMS processing date 2026-08-01. CCN 676424.

The Care File

Visit checklist — Farmersville Health and Rehabilitation

205 Beech St, Farmersville, TX 75442 · 9727846191

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676424 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)