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Lexington Medical Lodge
2000 West Audie Murphy Pkway, Farmersville, TX 75442 (opens Google Maps) · Collin County · (972) 784-7770· 128 certified beds · avg 113 residents/day · certified since Sep 21, 2015 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: FOURSQUARE HEALTHCARE (10 facilities, chain avg rating 3.5★)
5/5
Health inspection rating (on-site)
inspected Apr 29, 2025
0
Serious findings on record
$0
Fines, last 3 years
2.55
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint F-0690
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 F-0880
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. F-0558
View all 12 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 9, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
| Dec 9, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Apr 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Apr 29, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Mar 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677 |
| Mar 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Mar 12, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 28, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 22, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Oct 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Oct 4, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint · F-0690 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 3 | 0 | D |
| 2025 | 7 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.55
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.25
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.24
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.55 | 3.46 | 3.95 | bottom 4% in Texas; bottom 4% in the U.S. |
| Registered Nurse hours | 0.25 | 0.44 | 0.69 | bottom 17% in Texas; bottom 5% in the U.S. |
| Weekend total nurse staffing | 2.24 | 3.04 | 3.50 | bottom 5% in Texas; bottom 4% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.34 | 0.48 | bottom 42% in Texas; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 35.8 | 55.3 | 45.8 | top 13% in Texas; top 26% in the U.S. |
| RN turnover (%) | 20.0 | 54.6 | 42.9 | top 6% in Texas; top 13% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.00, RN 0.30, weekend 2.64.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.00 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Lexington Medical Lodge. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Government - Hospital district
| Owner / manager | Type | Role | Stake | 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 |
| Campbell Gs-Trust | Organization | ADP of the SNF | 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 |
| Chesser, Clayton | Individual | ADP of the SNF | NOT APPLICABLE | 09/21/2015 |
| Collin NH Realty LTD | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/21/2015 |
| Collin NH Realty LTD | Organization | ADP of the SNF | NOT APPLICABLE | 09/21/2015 |
| Fairbrook Partners, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/21/2015 |
| Fairbrook Partners, LP | Organization | ADP of the SNF | NOT APPLICABLE | 09/21/2015 |
| Lewis, Shane | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/21/2015 |
| Meekins, Greg | Individual | Corporate Officer | NOT APPLICABLE | 09/21/2015 |
| Miller GS- Trust | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/21/2015 |
| Miller GS- Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/21/2015 |
| 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 |
| Montague NH, LP | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 09/21/2015 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Foursquare Healthcare — 10 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Madison Medical Resort — Odessa, TX · overall 2/5
- Midland Medical Lodge — Midland, TX · overall 3/5
- Princeton Medical Lodge — Princeton, TX · overall 4/5
- Senior Care Health & Rehabilitation Center - Wichi — Wichita Falls, TX · overall 4/5
- Sheridan Medical Lodge — Burkburnett, TX · overall 4/5
- Traymore Nursing Center — Dallas, TX · overall 3/5
- Whitney Nursing and Rehabilitation Center — Whitney, TX · overall 2/5
- Cheyenne Medical Lodge — Mesquite, TX · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 9 others, continuing from this facility's own place in that list.
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 care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 36% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 22 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Farmersville Health and Rehabilitation | 1.3 mi | Farmersville, TX | ★★★★☆ | 4/5 | |
| Princeton Medical Lodge | 8.4 mi | Princeton, TX | ★★★★☆ | 5/5 | |
| Wylie Oaks Healthcare and Rehabilitation | 12.7 mi | Wylie, TX | ★★☆☆☆ | 2/5 | |
| Royse City Medical Lodge | 13.7 mi | Royse City, TX | ★★★☆☆ | 4/5 | |
| North Park Health and Rehabilitation Center | 14.1 mi | McKinney, TX | ★★★☆☆ | 5/5 | |
| McKinney Healthcare and Rehabilitation Center | 14.3 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Park Manor of McKinney | 14.8 mi | McKinney, TX | ★★☆☆☆ | 3/5 | |
| Greenville Health & Rehabilitation Center | 15.0 mi | Greenville, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Garnet Hill Rehabilitation and Skilled Care | 15.1 mi | Wylie, TX | ★★★☆☆ | 3/5 | |
| Briarcliff Health Center of Greenville | 15.2 mi | Greenville, TX | ★★★☆☆ | 2/5 | |
| Greenville Gardens | 15.4 mi | Greenville, TX | ★★★☆☆ | 3/5 | |
| Rockwall Nursing Care Center | 16.6 mi | Rockwall, TX | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Collin, TX — 22 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Life Care Center of Plano — Plano, TX · overall 4/5
- Prairie Estates — Frisco, TX · overall 3/5
- Settlers Ridge Care Center — Celina, TX · overall 4/5
- Stonemere Rehabilitation Center — Frisco, TX · overall 4/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 676390.