Lexington Medical Lodge
2000 West Audie Murphy Pkway · Farmersville, TX · 75442 · 9727847770
128 certified beds Government - Hospital district Chain: Foursquare Healthcare Hospital-based
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (12 in the current record)
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Potential for harm · E December 9, 2025 · found via 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 December 10, 2025 · Quality of Life and Care
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Potential for harm · E December 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 10, 2025 · Infection Control
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Potential for harm · D April 29, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · D April 29, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 12, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D March 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 1, 2024 · Resident Rights
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Potential for harm · D February 22, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 22, 2024
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 February 25, 2024 · Quality of Life and Care
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Potential for harm · D October 4, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 3, 2023 · Quality of Life and Care
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Potential for harm · D October 4, 2023 · found via 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 November 3, 2023 · Quality of Life and Care
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676390 · certified since September 21, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.