Lexington Medical Lodge
Nursing home in Farmersville, Texas, CMS certification number 676390
2000 West Audie Murphy Pkway, Farmersville, TX 75442 · Collin County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 128
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 23, 2026
- Deficiencies at that inspection
- 8
- Fines in 3 years
- No fines
Does Lexington Medical Lodge take Medicare and Medicaid?
Yes to both. Lexington Medical Lodge is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours Lexington Medical Lodge reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.00
- Registered nurse hours
- 0.28
- Licensed practical nurse hours
- 1.03
- Nurse aide hours
- 1.69
- Weekend total hours
- 2.57
- Nursing staff turnover
- 37.2%
- Registered nurse turnover
- 37.5%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on June 23, 2026 and cited 8 deficiencies, plus 2 from complaint visits.
The visit before, on April 29, 2025, found 2.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Lexington Medical Lodge in the past 3 years.
Beds and residents
On an average day 115.7 residents live here, about 90% of its 128 certified beds.
- Certified beds
- 128
- Average residents per day
- 115.7
- Certified since
- September 21, 2015
- Resident or family council
- Resident
Who owns Lexington Medical Lodge
- Legal business name
- Nocona Hospital District
- Ownership type
- Government - Hospital district
- Chain
- 10 homes nationally under Foursquare Healthcare, 3-star chain average
Other nursing homes near Lexington Medical Lodge
- Farmersville Health and Rehabilitation205 Beech St, Farmersville 75442
- Princeton Medical Lodge1401 W Princeton Dr, Princeton 75407
- Wylie Oaks Healthcare and Rehabilitation721 S Hwy 78, Wylie 75098
- Royse City Medical Lodge901 W Interstate 30, Royse City 75189
- North Park Health and Rehabilitation Center1720 North McDonald Street, McKinney 75069
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Lexington Medical Lodge, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Lexington Medical Lodge
What is the CMS star rating of Lexington Medical Lodge?
3 out of 5 stars overall.
Does Lexington Medical Lodge accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Lexington Medical Lodge?
8 cited at the last standard visit.
Who owns Lexington Medical Lodge?
Nocona Hospital District, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.