Nursing homeActive
Farmersville Health And Rehabilitation
205 Beech St, Farmersville, TX 75442972784619174 certified beds · 65 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
22
● 3● 19● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-03-17
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
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 |
|---|---|---|---|---|
| 2026-03-17 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2026-01-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-07 | Standard | 120 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 170 | 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.
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 676424-20260317-F583
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 2026-04-17Record 676424-20260317-F656
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 676424-20260317-F693
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 2026-04-17Record 676424-20260317-F695
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 2026-04-17Record 676424-20260317-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 676424-20260317-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 676424-20260317-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 676424-20260317-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 676424-20260317-F921
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2026-04-17Record 676424-20260317-F912
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-15Record 676424-20260116-F600
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 676424-20250107-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 676424-20250107-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2025-01-08Record 676424-20250107-F912
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 676424-20231019-F580
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 676424-20231019-F584
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 676424-20231019-F607
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 676424-20231019-F610
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-18Record 676424-20231019-F644
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 676424-20231019-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 676424-20231019-F880
F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2023-10-20Record 676424-20231019-F912
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.88
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.55
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover47%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover17%
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 | 1.7% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 14.3% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.3% | 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 | 8.0% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.4% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 42.1% | 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% | — | — |
| Box, Jacey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Foursquare Texas 16 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lewis, Shane Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barsik, Tamara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Box, Jacey Individual | 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 | — | — |
| Collin Nh Realty Ltd Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Collin Nh Realty Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dwm 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Dwm 5x5 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fairbrook Partners, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fairbrook Partners, LP Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Foursquare Texas 16 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jec 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Jec 5x5 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jem 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Jem 5x5 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kjc 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Kjc 5x5 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meekins, Greg Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miller, Don Individual | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Montague Nh, LP Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Montague Nh, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rmm 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Rmm 5x5 Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rockett, LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rockett, LP Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Sdl Gs 5x5 Trust Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Sdl Gs 5x5 Trust Organization | 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 |
|---|---|---|---|
| Lexington Medical Lodge Farmersville | 1.3 mi | 2025-12-09 | 0120 |
| Princeton Medical Lodge Princeton | 9.7 mi | 2026-03-12 | 0110 |
| Royse City Medical Lodge Royse City | 12.9 mi | 2026-02-12 | 0170 |
| Wylie Oaks Healthcare and Rehabilitation Wylie | 13.6 mi | 2025-12-30 | 0242 |
| Greenville Health & Rehabilitation Center Greenville | 13.6 mi | 2026-06-05 | 0615 |
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 |