Senior Home Review
Home›Browse›Texas›Farmersville›Farmersville Health and Rehabilitation
Nursing homeFAID #14770

Farmersville Health and Rehabilitation

205 BEECH ST, FARMERSVILLE, TX, 75442
(972) 784-6191
74 licensed beds

CMS rates Farmersville Health and Rehabilitation 4 out of 5 overall. Federal inspectors issued 30 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79Advanced Report$99
Delivered within 24–48 hours

Public record summary

What we can show you for free.
Bed capacity
74
CMS facility ID
676424
Care type
Nursing home
County
Collin
Facility name
Farmersville Health and Rehabilitation
Street address
205 BEECH ST
City / state / ZIP
Farmersville, TX 75442
Phone
(972) 784-6191

About this facility — Farmersville Health and Rehabilitation

Farmersville Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Farmersville, Texas. It is licensed for 74 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Farmersville and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Foursquare Healthcare, a group of 10 facilities on this site.

Federal inspectors have cited Farmersville Health and Rehabilitation 30 times across 9 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Foursquare Healthcare
Ownership type
For profit - Corporation

Registered owners & officers

Nocona Hospital District
Direct owner — 100% stake — since 2017
Barsik, Tamara
Additional disclosable party — since 2017
Box, Jacey
Operational control · Additional disclosable party — since 2017
Campbell, John
Owner of a disclosable party — since 2025
Campbell, Kenneth
Owner of a disclosable party — since 2025
Collin Nh Realty Ltd
Mortgage holder · Additional disclosable party — since 2017
Dwm 5x5 Trust
Mortgage holder · Additional disclosable party — since 2017
Fairbrook Partners, Lp
Mortgage holder · Additional disclosable party — since 2017
Foursquare Texas 16 Llc
Operational control · Additional disclosable party — since 2017
Jec 5x5 Trust
Mortgage holder · Additional disclosable party — since 2017
Jem 5x5 Trust
Mortgage holder · Additional disclosable party — since 2017
Kjc 5x5 Trust
Mortgage holder · Additional disclosable party — since 2017
Lewis, Shane
Operational control — since 2017
Meekins, Greg
Director — since 2017
Miller, David
Operational control — since 2017
Miller, Don
Mortgage holder — since 2017
Miller, John
Operational control — since 2017
Miller, Richard
Operational control — since 2017
Montague Nh, Lp
Mortgage holder · Additional disclosable party — since 2017
Rmm 5x5 Trust
Mortgage holder · Additional disclosable party — since 2017
Rockett, Lp
Mortgage holder · Additional disclosable party — since 2017
Sdl Gs 5x5 Trust
Mortgage holder · Additional disclosable party — since 2017

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2017-04-01
CMS overall rating
4 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-03-17
Nurse staffing
2.8 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$595 per day (≈ $18,090/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
79% Medicaid · 10% Medicare · 11% private/other
Occupancy
91% (fiscal year 2024)
Vs. state median
115% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
74
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-17Health inspection10 citations
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-04-17
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-04-17
F-0693
D · No harm found
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.
Corrected 2026-04-17
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-04-17
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-17
F-0761
E · No harm found
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.
Corrected 2026-04-17
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-17
F-0912
C · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2026-04-17
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-04-17
2026-01-16Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-02-15
5 earlier / fire-safety inspections (19 citations)
2025-01-07Health inspectionComplaint-triggered3 citations
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-08
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-08
F-0912
C · No harm foundFrom a complaint
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2025-01-08
2023-10-19Health inspectionComplaint-triggered8 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-20
F-0584
E · No harm found
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.
Corrected 2023-11-18
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-20
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-10-20
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-11-18
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-20
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-10-20
F-0912
C · No harm found
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2023-10-20
2026-03-17Fire-safety inspection4 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2026-04-01
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-05-03
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-04-18
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-04-18
2025-01-07Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-01-08
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-08
2023-10-19Fire-safety inspection2 citations
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-27
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-27
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676424.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
30
More than 40% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
2.8
Higher than 7% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
40%
Higher than 20% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 9 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased7.1%15.8%13.5%Better than state
Lose too much weight5.6%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder2.2%0.3%0.7%Worse than state
With a urinary tract infection1.7%0.8%1.5%Worse than state
Have depressive symptoms12.3%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury1.6%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened6.1%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication40.5%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers1.3%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence26.7%12.5%18.3%Worse than state
Received an antipsychotic medication12.2%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.662.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.761.971.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication1.8%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine93.9%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission22.9%25.5%23.4%Near state average
Had an outpatient emergency department visit8.0%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0912 3 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
  • K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  • F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

  • Nocona Hospital District has an ownership stake on file at 22 nursing homes, averaging 2.7 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Hunt Regional Medical Center, about 14 miles. CMS rating 2 of 5.
  • Medical Center of Mckinney, about 16 miles. CMS rating 3 of 5.
  • Glen Oaks Hospital, about 16 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
$79$99 Advanced

Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered