Lexington Medical Lodge

Name: Lexington Medical Lodge
Address: 2000 WEST AUDIE MURPHY PKWAY, Farmersville, TX, 75442, US
Telephone: 9727847770

2000 West Audie Murphy Pkway, Farmersville, TX 75442 · Collin County · 128 certified beds · avg 113 residents/day · certified since Sep 21, 2015

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

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.55

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★★5/5 · 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 (12)

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
Dec 9, 2025	E · Potential for harm, repeated	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
Dec 9, 2025	E · Potential for harm, repeated	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
Apr 29, 2025	D · Potential for harm, one-off	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.
Apr 29, 2025	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 12, 2025	D · Potential for harm, one-off	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
Mar 12, 2025	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. · from a complaint
Mar 12, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 28, 2024	D · Potential for harm, one-off	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
Feb 22, 2024	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.
Feb 22, 2024	D · Potential for harm, one-off	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.
Oct 4, 2023	D · Potential for harm, one-off	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
Oct 4, 2023	D · Potential for harm, one-off	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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2023	2	D
2024	3	D
2025	7	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)	2.55	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, 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. Staffing rating: 1/5.

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: 4/5 · short-stay residents: 4/5

Who owns this facility

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

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?"
"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
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 →

All facilities in Farmersville →

Facility data as of CMS processing date 2026-08-01. CCN 676390.

The Care File

Visit checklist — Lexington Medical Lodge

2000 West Audie Murphy Pkway, Farmersville, TX 75442 · 9727847770

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

Questions for the administrator:

☐ "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?"
☐ "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 676390 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)