Nursing Care Index

Farmersville Health And Rehabilitation

Farmersville, Collin County, Texas · CCN 676424 · For-profit (Corporation) · part of Foursquare Healthcare (10 facilities, chain average 3.5 stars)

CMS rates Farmersville Health And Rehabilitation 4 of 5 overall as of August 2026. 74 certified beds, 65 residents a day on average. 22 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★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing2.87753 hours per resident per day
Registered nurses0.59106 hours per resident per day
Weekend total2.54991 hours per resident per day
Nursing staff turnover47.1% (registered nurses 16.7%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-03-17 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2026-03-17 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 · tag F0761
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2026-03-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-04-17
2026-03-17 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
2026-04-17
2026-03-17 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 · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-17 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
2026-04-17
2026-03-17 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
2026-04-17
2026-03-17 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-17 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-17
2026-03-17 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2026-04-17
2026-01-16
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-15
2025-01-07 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-01-08
2025-01-07 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-01-08
2025-01-07
complaint survey
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-01-08
2023-10-19 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-18
2023-10-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-10-20
2023-10-19
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-20
2023-10-19
complaint survey
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-20
2023-10-19
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-20
2023-10-19
complaint survey
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-18
2023-10-19
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-20
2023-10-19 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental Deficiencies · tag F0912
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-10-20

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.

NameRoleShareSince
Nocona Hospital District
Organization
5% or greater direct ownership interest100%2017-04-01
Collin Nh Realty Ltd
Organization
5% or greater mortgage interest2017-04-01
Dwm 5x5 Trust
Organization
5% or greater mortgage interest2017-04-01
Fairbrook Partners, Lp
Organization
5% or greater mortgage interest2024-01-01
Jec 5x5 Trust
Organization
5% or greater mortgage interest2017-04-01
Jem 5x5 Trust
Organization
5% or greater mortgage interest2017-04-01
Kjc 5x5 Trust
Organization
5% or greater mortgage interest2017-04-01
Montague Nh, Lp
Organization
5% or greater mortgage interest2017-04-01
Rmm 5x5 Trust
Organization
5% or greater mortgage interest2017-04-01
Rockett, Lp
Organization
5% or greater mortgage interest2017-04-01
Sdl Gs 5x5 Trust
Organization
5% or greater mortgage interest2017-04-01
Collin Nh Realty Ltd
Organization
adp of the snf2017-04-01
Dwm 5x5 Trust
Organization
adp of the snf2017-04-01
Fairbrook Partners, Lp
Organization
adp of the snf2017-04-01
Foursquare Texas 16 LLC
Organization
adp of the snf2025-04-23
Jec 5x5 Trust
Organization
adp of the snf2017-04-01
Jem 5x5 Trust
Organization
adp of the snf2017-04-01
Kjc 5x5 Trust
Organization
adp of the snf2017-04-01
Montague Nh, Lp
Organization
adp of the snf2017-04-01
Rmm 5x5 Trust
Organization
adp of the snf2017-04-01
Rockett, Lp
Organization
adp of the snf2017-04-01
Sdl Gs 5x5 Trust
Organization
adp of the snf2017-04-01
Foursquare Texas 16 LLC
Organization
operational/managerial control2017-04-01
Miller, Don
Individual
5% or greater mortgage interest2017-04-01
Barsik, Tamara
Individual
adp of the snf2017-04-01
Box, Jacey
Individual
adp of the snf2017-04-01
Meekins, Greg
Individual
corporate director2017-04-01
Campbell, John
Individual
individual is an owner, partner or trustee of any adp of the snf2025-04-23
Campbell, Kenneth
Individual
individual is an owner, partner or trustee of any adp of the snf2025-04-23
Box, Jacey
Individual
operational/managerial control2017-04-01
Lewis, Shane
Individual
operational/managerial control2017-04-01
Miller, David
Individual
operational/managerial control2017-04-01
Miller, John
Individual
operational/managerial control2017-04-01
Miller, Richard
Individual
operational/managerial control2017-04-01

What changed

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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.