Lexington Medical Lodge
Farmersville, Collin County, Texas · CCN 676390 · Government (Hospital district) · part of Foursquare Healthcare (10 facilities, chain average 3.5 stars)
CMS rates Lexington Medical Lodge 4 of 5 overall as of August 2026. 128 certified beds, 113 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 2.99791 hours per resident per day |
|---|---|
| Registered nurses | 0.29593 hours per resident per day |
| Weekend total | 2.64001 hours per resident per day |
| Nursing staff turnover | 35.8% (registered nurses 20%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-09 complaint survey |
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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-10 |
| 2025-12-09 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-12-10 |
| 2025-04-29 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-15 |
| 2025-04-29 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-15 |
| 2025-03-12 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-15 |
| 2025-03-12 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-15 |
| 2025-03-12 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-15 |
| 2024-03-28 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-01 |
| 2024-02-22 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-25 |
| 2024-02-22 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-25 |
| 2023-10-04 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
| 2023-10-04 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-03 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Nocona Hospital District Organization | 5% or greater direct ownership interest | 100% | 2015-06-01 |
| Campbell Gs-Trust Organization | 5% or greater mortgage interest | — | 2015-09-21 |
| Collin Nh Realty Ltd Organization | 5% or greater mortgage interest | — | 2015-09-21 |
| Fairbrook Partners, Lp Organization | 5% or greater mortgage interest | — | 2015-09-21 |
| Miller Gs- Trust Organization | 5% or greater mortgage interest | — | 2015-09-21 |
| Montague Nh, Lp Organization | 5% or greater mortgage interest | — | 2015-09-21 |
| Sdl Gs 5x5 Trust Organization | 5% or greater mortgage interest | — | 2015-09-21 |
| Campbell Gs-Trust Organization | adp of the snf | — | 2015-09-21 |
| Collin Nh Realty Ltd Organization | adp of the snf | — | 2015-09-21 |
| Fairbrook Partners, Lp Organization | adp of the snf | — | 2015-09-21 |
| Miller Gs- Trust Organization | adp of the snf | — | 2015-09-21 |
| Montague Nh, Lp Organization | adp of the snf | — | 2015-09-21 |
| Sdl Gs 5x5 Trust Organization | adp of the snf | — | 2015-09-21 |
| Uptown Fs LLC Organization | adp of the snf | — | 2025-04-23 |
| Uptown Fs LLC Organization | operational/managerial control | — | 2015-09-21 |
| Chesser, Clayton Individual | adp of the snf | — | 2015-09-21 |
| Yazdani, Rehan Individual | adp of the snf | — | 2015-09-21 |
| Meekins, Greg Individual | corporate officer | — | 2015-09-21 |
| Campbell, John Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Campbell, Kenneth Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Campbell, William Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Miller, David Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Miller, Don Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Miller, John Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Miller, Richard Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-04-23 |
| Lewis, Shane Individual | operational/managerial control | — | 2015-09-21 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Lexington Medical Lodge.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Collin County.