Lexington Medical Lodge — nursing home in Farmersville, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 128 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 115.7 CMS, MDS-derived
CMS Certification Number: 676390
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 21, 2015
Ownership type: Government - Hospital district
Operator (legal business name): Nocona Hospital District
CMS chain: Foursquare Healthcare 10 facilities
Phone: (972) 784-7770
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

11

latest Jun 23, 2026

Citations

27

18 health · 9 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E7	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676390
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 128
First approved: Sep 21, 2015
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 23, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 23, 2026	Health	Health Standard	6	Potential harm	—	Open →
Dec 9, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Apr 29, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Apr 29, 2025	Health	Health Standard	2	Potential harm	—	Open →
Mar 12, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Mar 28, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 22, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 22, 2024	Health	Health Standard	2	Potential harm	—	Open →
Dec 28, 2023	Health	Infection Control	0	No citations	—	Open →
Oct 4, 2023	Health	Health Complaint	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D17	E7	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 23, 2026	K-0222	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 · Environment & life safety	E · Potential harm Pattern	Corrected Jul 24, 2026
Jun 23, 2026	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 24, 2026
Jun 23, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 24, 2026
Jun 23, 2026	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 24, 2026
Jun 23, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 24, 2026
Jun 23, 2026	F-0693	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 · Clinical care	D · Potential harm Isolated	Corrected Jul 24, 2026
Jun 23, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 24, 2026
Jun 23, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 24, 2026
Jun 23, 2026	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Jul 24, 2026
Jun 23, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 24, 2026
Dec 9, 2025	F-0690	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 · Clinical care	E · Potential harm Pattern	Corrected Dec 10, 2025	Complaint
Dec 9, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Dec 10, 2025	Complaint
Apr 29, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 15, 2025
Apr 29, 2025	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 15, 2025
Apr 29, 2025	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected May 15, 2025
Apr 29, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 15, 2025
Apr 29, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 15, 2025
Mar 12, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 12, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 12, 2025	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Apr 15, 2025	Complaint
Mar 28, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 1, 2024	Complaint
Feb 22, 2024	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 23, 2024
Feb 22, 2024	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 23, 2024
Feb 22, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 25, 2024
Feb 22, 2024	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 25, 2024
Oct 4, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023	Complaint
Oct 4, 2023	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Nov 3, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.00

State avg 3.42US avg 3.90

Registered nurse (RN)0.28

State avg 0.44US avg 0.69

Licensed practical nurse1.03

State avg 0.94US avg 0.86

Nurse aide1.69

State avg 2.03US avg 2.35

Weekend total nurse2.57

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.49 (case-mix index 1.68).

Staff turnover

Total nursing staff turnover37.2%

State avg 50.8%US avg 45.3%

Registered nurse turnover37.5%

State avg 49.8%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 23, 2026
Cycle 1 health score: 44
Total weighted score: 41
Infection-control citations: 0

Operating entity

Nocona Hospital District

CMS legal business name of the certified provider. Operates 22 facilities.

VerifiedLinked by exact legal name

CMS chain

Foursquare Healthcare

10 facilities in 1 states. CMS chain ID 226.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

26

Organizations

8

Individuals

11

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nocona Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Nocona Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jun 1, 2015
John Campbell	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
Kenneth Campbell	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
William Campbell	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
David Miller	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
Don Miller	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
John Miller	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
Richard Miller	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 23, 2025
Uptown Fs LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 21, 2015
Shane Lewis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 21, 2015
Greg Meekins	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 21, 2015
Campbell Gs-Trust	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 21, 2015
Collin Nh Realty Ltd	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 21, 2015
Fairbrook Partners, LP	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 21, 2015
Miller Gs- Trust	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 21, 2015
Montague Nh, LP	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 21, 2015
Sdl Gs 5x5 Trust	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Sep 21, 2015
Campbell Gs-Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Collin Nh Realty Ltd	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Fairbrook Partners, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Miller Gs- Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Montague Nh, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Sdl Gs 5x5 Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Uptown Fs LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 23, 2025
Clayton Chesser	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015
Rehan Yazdani	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 21, 2015

Other facilities operated by Nocona Hospital District

All 21 →

Facility	Beds	Last inspection	Citations (window)	Fines
Oakmont Guest Care Center 2712 Hurstview Dr, Hurst, TX 76054 CCN 455626	161	Jun 10, 2026	492 harm	$29k
Skyline Nursing Center 3326 Burgoyne St, Dallas, TX 75233 CCN 455653Abuse icon	204	Apr 14, 2026	511 open	—
Advanced Rehabilitation and Healthcare of Bowie 700 W Highway 287 S, Bowie, TX 76230 CCN 455849	180	Feb 27, 2026	14	—
Landmark of Plano Rehabilitation and Nursing Cente 1621 Coit Road, Plano, TX 75075 CCN 455861	160	Jan 20, 2026	611 harm	$9,240
Grace Care Center of Henrietta 807 W Bois D Arc, Henrietta, TX 76365 CCN 455893	60	Mar 5, 2026	683 IJ1 harm	$207k
Avir at Burkburnett 406 E Seventh St, Burkburnett, TX 76354 CCN 675035	60	Feb 19, 2026	421 IJ2 harm	$65k
Greenville Gardens 3500 Park St, Greenville, TX 75401 CCN 675367	103	Aug 13, 2025	491 IJ	$16k
The Highlands Guest Care Center 9009 Forest Ln, Dallas, TX 75243 CCN 675447	116	Jul 23, 2026	474 IJ	$48k

Same chain in Texas

All 9 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Traymore Nursing Center 4315 Hopkins Ave, Dallas, TX 75209 CCN 675754	150	Sep 17, 2026	381 IJ2 harm21 open	$25k
Whitney Nursing and Rehabilitation Center 101 N San Marcos Street, Whitney, TX 76692 CCN 676074	88	Jan 30, 2026	164 IJ	$45k
Senior Care Health & Rehabilitation Center - Wichi 910 Midwestern Pkwy, Wichita Falls, TX 76302 CCN 676144	144	Apr 22, 2026	14	—
Midland Medical Lodge 3000 Mockingbird Ln, Midland, TX 79705 CCN 676179	125	Aug 21, 2025	22	—
Madison Medical Resort 5001 Office Park Drive, Odessa, TX 79762 CCN 676348	124	Jul 23, 2026	112 IJ	$32k
Sheridan Medical Lodge 1119 S Red River Expressway, Burkburnett, TX 76354 CCN 676415	130	Mar 11, 2026	15	—
Farmersville Health and Rehabilitation 205 Beech St, Farmersville, TX 75442 CCN 676424	74	Mar 17, 2026	30	—
Cheyenne Medical Lodge 750 Highway 352, Mesquite, TX 75149 CCN 676466	139	Jul 12, 2026	28	$13k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2000 West Audie Murphy Pkway, Farmersville, TX 75442
ZIP: 75442
County: Collin County FIPS 48085
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Farmersville Health and Rehabilitation 205 Beech St, Farmersville, TX 75442 CCN 676424	2.1 km	74	Mar 17, 2026	30	—
Princeton Medical Lodge 1401 W Princeton Dr, Princeton, TX 75407 CCN 676485	13.5 km	138	Aug 31, 2026	181 harm	$13k
Wylie Oaks Healthcare and Rehabilitation 721 S Hwy 78, Wylie, TX 75098 CCN 676248	20.4 km	106	Aug 13, 2026	392 IJ11 open	$58k
Garnet Hill Rehabilitation and Skilled Care 1420 Mccreary Rd, Wylie, TX 75098 CCN 676192	24.3 km	128	Jun 11, 2026	441 IJ1 harm	$32k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676390	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676390	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676390

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction