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Nursing homeFAID #14740

Lexington Medical Lodge

2000 WEST AUDIE MURPHY PKWAY, FARMERSVILLE, TX, 75442

(972) 784-7770

www.lexingtonmedicallodge.com

128 licensed beds

CMS rates Lexington Medical Lodge 3 out of 5 overall. Federal inspectors issued 27 citations across 11 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Lexington Medical Lodge

Address

2000 West Audie Murphy Pkway

Farmersville, TX 75442

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Public record summary

What we can show you for free.

Bed capacity

128

CMS facility ID

676390

Care type

Nursing home

County

Collin

Facility name

Lexington Medical Lodge

Street address

2000 WEST AUDIE MURPHY PKWAY

City / state / ZIP

Farmersville, TX 75442

Phone

(972) 784-7770

Website

www.lexingtonmedicallodge.com

About this facility — Lexington Medical Lodge

Lexington Medical Lodge is a Medicare/Medicaid-certified skilled nursing facility in Farmersville, Texas. It is licensed for 128 beds — close to 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 Lexington Medical Lodge 27 times across 11 inspections in the last three years, including 1 food-safety citation; 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

Government - Hospital district

Registered owners & officers

Nocona Hospital District

Direct owner — 100% stake — since 2015

Campbell Gs-trust

Mortgage holder · Additional disclosable party — since 2015

Campbell, John

Owner of a disclosable party — since 2025

Campbell, Kenneth

Owner of a disclosable party — since 2025

Campbell, William

Owner of a disclosable party — since 2025

Chesser, Clayton

Additional disclosable party — since 2015

Collin Nh Realty Ltd

Mortgage holder · Additional disclosable party — since 2015

Fairbrook Partners, Lp

Mortgage holder · Additional disclosable party — since 2015

Lewis, Shane

Operational control — since 2015

Meekins, Greg

Officer — since 2015

Miller Gs- Trust

Mortgage holder · Additional disclosable party — since 2015

Miller, David

Owner of a disclosable party — since 2025

Miller, Don

Owner of a disclosable party — since 2025

Miller, John

Owner of a disclosable party — since 2025

Miller, Richard

Owner of a disclosable party — since 2025

Montague Nh, Lp

Mortgage holder · Additional disclosable party — since 2015

Sdl Gs 5x5 Trust

Mortgage holder · Additional disclosable party — since 2015

Uptown Fs Llc

Operational control · Additional disclosable party — since 2015

Yazdani, Rehan

Additional disclosable party — since 2015

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

2015-09-21

CMS overall rating

3 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-06-23

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$621 per day (≈ $18,880/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

64% Medicaid · 15% Medicare · 21% private/other

Occupancy

85% (fiscal year 2024)

Vs. state median

124% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

128

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · 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 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-06-23Health inspection6 citations

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-07-24

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 2026-07-24

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-07-24

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 2026-07-24

F-0761

D · 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 2026-07-24

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 2026-07-24

2025-12-09Health inspectionComplaint-triggered2 citations

F-0690

E · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-12-10

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-12-10

8 earlier / fire-safety inspections (19 citations)

2025-04-29Health inspection2 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-15

F-0695

D · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-15

2025-03-12Health inspectionComplaint-triggered3 citations

F-0677

D · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-15

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-15

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-15

2024-03-28Health inspectionComplaint-triggered1 citation

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-04-01

2024-02-22Health inspection2 citations

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 2024-02-25

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-02-25

2023-10-04Health inspectionComplaint-triggered2 citations

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-11-03

F-0690

D · No harm foundFrom a complaint

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-11-03

2026-06-23Fire-safety inspection4 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2026-07-24

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2026-07-24

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-07-24

K-0911

F · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2026-07-24

2025-04-29Fire-safety inspection3 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 2025-05-15

K-0325

D · No harm found

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2025-05-15

K-0363

E · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2025-05-15

2024-02-22Fire-safety inspection2 citations

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2024-02-23

K-0916

F · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-02-23

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 676390.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 32% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.0

Higher than 18% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

37%

Higher than 16% 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 residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	15.6%	15.8%	13.5%	Near state average
Lose too much weight	3.2%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.0%	0.3%	0.7%	Worse than state
With a urinary tract infection	2.2%	0.8%	1.5%	Worse than state
Have depressive symptoms	38.8%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.4%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	9.3%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	24.9%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	7.3%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	10.9%	12.5%	18.3%	Better than state
Received an antipsychotic medication	8.0%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.26	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.14	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.8%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.4%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	29.0%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	1.2%	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-0690 3 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0677 2 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
K-0363 2 inspections. Install corridor and hallway doors that block smoke.

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

Medical Center of Mckinney, about 15 miles. CMS rating 3 of 5.
Hunt Regional Medical Center, about 15 miles. CMS rating 2 of 5.
Glen Oaks Hospital, about 17 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Farmersville Health and Rehabilitation, Farmersville, about 1.3 miles. CMS rating 4 of 5.
Princeton Medical Lodge, Princeton, about 8.4 miles. CMS rating 2 of 5.
Wylie Oaks Healthcare and Rehabilitation, Wylie, about 13 miles. CMS rating 2 of 5.
Royse City Medical Lodge, Royse City, about 14 miles. CMS rating 3 of 5.
North Park Health and Rehabilitation Center, Mckinney, about 14 miles. CMS rating 4 of 5.

Visitor reviews

What people say on Google.

4.1114 ratings on Google

★★★★★Chris Perin · 2026-05-27 · via Google
“We love having mom at the Lexington!!! This place has taken the best care of her and we’ve tried several nursing homes!! Fantastic nurses, super clean, and the very best food for her. Couldn’t be more happy for her to be there!!”

★Cherie Brown · 2026-05-13 · via Google
“If we had left our mom there she'd have died! They missed her fluid retention causing her to go to hospital in ICU, and on the vent. She almost died! Though I think the staff may do their best, there isn't enough help for the patients. And the Dr(s) are obviously a joke. If you have loved ones there CHECK ON THEM!! Better yet, send them somewhere else.”

★★★★★Kolene League · 2026-02-12 · via Google
“Wonderful facility, great staff top to bottom, nurses and aides caring and supportive. Really thought the Physical Therapy staff top of the line. I was never treated better at any other medical facility. I would recommend it to anyone who is in need of help.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

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 27 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

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Citations, owner history, lawsuits — decoded into one PDF.

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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

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

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