Deficiency Index

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
The record, 2016–2026
’16’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/19

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

MeasureThis facilityPeer median
Nurse hours per resident day3.003.23
Registered-nurse hours per resident day0.30—
Annual nurse turnover35.8%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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1583.3%E316.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 18 of the 45 citations on record.

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.

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