Lexington Medical Lodge
Farmersville, Texas · CCN 676390
19 surveys since 2016, 1 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 45
- Surveys
- 19
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 128
- Ownership
- Government - Hospital district
- Chain
- FOURSQUARE HEALTHCARE
- County
- Collin
- Medicare-certified since
- 2015
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 70 government-run facilities with 128 or more beds in Texas.
Last survey on record
Jun 23, 2026
139 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.00 | 3.23 |
| Registered-nurse hours per resident day | 0.30 | — |
| Annual nurse turnover | 35.8% | 50.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1583.3% | E316.7% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6903×
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F6952×
Provide safe and appropriate respiratory care for a resident when needed.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at Lexington Medical Lodge, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Sep 16, 2021
Based on observation, interview and record review the facility failed to store, prepare and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure sanitary practices were maintained in the kitchen as follows: dishwasher was not properly sanitizing kitchen ware, leftovers in the refrigerator past discard date, and dented cans in dry storage area. These failures could place residents who eat from the kitchen at risk for cross-contamination and food-borne illness. Findings include: 1. Observation and interview on 09/14/21 at 9:37 am, revealed Dietary Aide M checked the PH level of the dishwasher and the PH strip measured approximately 10 ppm chlorine. […]
- No harm, potential for more than minimal, patternF812Jun 23, 2026
Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food and nutrition services .1. The facility failed to seal lids securely on containers in the refrigerator area2. The facility failed to seal bags securely in the walk-in freezer.3. The facility failed to ensure that [NAME] A washed their hands after removing gloves, between tasks and before returning to food preparation tasks putting on new gloves. […]
- No harm, potential for more than minimal, patternF690Dec 9, 2025
Based on observation, interview, and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for three of four residents (Resident #1, Resident #2, and Resident #5) reviewed for catheter and incontinence care. 1. The facility failed to ensure CNA B provided appropriate perineal care for Resident #1 when he failed to clean the resident's penis, scrotum, and pubic area on 10/07/25. […]
- No harm, potential for more than minimal, patternF880Dec 9, 2025
Based on observations, interviews, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 5 of 6 Residents (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #5) observed for infection control. 1.The facility failed to ensure CNA B performed hand hygiene during incontinence care to Resident #1 and failed to perform hand hygiene prior to leaving the resident's room on 10/07/25. 2. […]
- No harm, potential for more than minimal, patternF880Oct 12, 2022
Based on observation, interview, and record review, the facility failed to maintain an Infection Prevention and Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (Resident #1 and Resident #2) of four residents observed for infection control in that: 1. CNA A and CNA B failed to perform hand hygiene after entering Resident #1's room, during incontinence care and before leaving Resident #1's room. 2. CNA C and CNA D failed to perform hand hygiene during incontinence care for Resident #2 and CNA D failed to remove her gloves and perform hand hygiene before leaving and re-entering Resident #2's room. […]
Read 21 findings in full →The most serious and the most recent: 21 of 45 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 23, 2026Standard6 findings
- Dec 9, 2025Complaint2 findings
- Apr 29, 2025Standard2 findings
- Mar 12, 2025Complaint3 findings
- Mar 28, 2024Complaint1 finding
- Feb 22, 2024Standard2 findings
- Oct 4, 2023Complaint2 findings
- Oct 19, 2022Complaint1 finding
Show the 11 earlier surveys
- Oct 12, 2022Complaint1 finding
- Sep 16, 2021Standard7 findings
- Apr 30, 2020Complaint1 finding
- Mar 6, 2019Complaint1 finding
- Nov 1, 2018Standard5 findings · 1 harm
- Aug 2, 2018Complaint1 finding
- Oct 19, 2017Standard2 findings
- Oct 11, 2017Complaint1 finding
- Apr 25, 2017Complaint5 findings
- Oct 12, 2016Standard1 finding
- Jul 6, 2016Complaint1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
- Park Highlands Nursing & Rehabilitation CenterAthensno harm findings
- Advanced Rehabilitation and Healthcare of BowieBowie1 harm finding
- Ridgeview Rehabilitation and Skilled NursingCleburneno harm findings
- Texhoma Christian Care Center IncWichita Falls1 harm finding
- Georgetown Nursing and Transitional CareGeorgetown1 harm finding
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