Nursing homeActive
Lexington Medical Lodge
2000 West Audie Murphy Pkway, Farmersville, TX 754429727847770128 certified beds · 113 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-12-09
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-12-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-04-29 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-03-12 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-03-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-22 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2023-10-04 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2022-12-08 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 676390-20251209-F690
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-10Record 676390-20251209-F880
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 676390-20250429-F558
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-15Record 676390-20250429-F695
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 676390-20250312-F677
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 676390-20250312-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-15Record 676390-20250312-F842
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-01Record 676390-20240328-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-25Record 676390-20240222-F656
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-25Record 676390-20240222-F690
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 676390-20231004-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-03Record 676390-20231004-F690
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.30
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.00
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.64
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover36%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover20%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.1% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.0% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.7% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.7% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.8% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.7% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nocona Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Lewis, Shane Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Uptown Fs LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell Gs-Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Campbell Gs-Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, John Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, Kenneth Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell, William Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chesser, Clayton Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Collin Nh Realty Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Collin Nh Realty Ltd Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Fairbrook Partners, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fairbrook Partners, LP Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Meekins, Greg Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Miller Gs- Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller Gs- Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Miller, David Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Don Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, John Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Richard Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Montague Nh, LP Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Montague Nh, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sdl Gs 5x5 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sdl Gs 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Uptown Fs LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yazdani, Rehan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Foursquare Healthcare — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Collin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Farmersville Health And Rehabilitation Farmersville | 1.3 mi | 2026-03-17 | 3190 |
| Princeton Medical Lodge Princeton | 8.4 mi | 2026-03-12 | 0110 |
| Wylie Oaks Healthcare and Rehabilitation Wylie | 12.7 mi | 2025-12-30 | 0242 |
| Royse City Medical Lodge Royse City | 13.7 mi | 2026-02-12 | 0170 |
| North Park Health and Rehabilitation Center Mckinney | 14.1 mi | 2025-06-12 | 040 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |