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Nursing home report

LEXINGTON MEDICAL LODGE

FARMERSVILLE, TX · Medicare-certified · 128 beds

In good standing
Government-runChain member
Data as of September 1, 2026
3 of 5 overall

LEXINGTON MEDICAL LODGE (Farmersville, TX) has a 3 out of 5 overall star rating. It has a low staffing rating of 1 out of 5, with reported nurse staffing at 3.00 hours per resident per day versus the federal benchmark of 4.1, while health inspection and quality measures are both 4 out of 5 and there were $0 fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.9979 hrs/resident/day

Quality measures

Last inspection: June 23, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9979.

Staffing detail

Registered nurses
0.30
Licensed practical nurses
0.98
Nurse aides
1.72
Weekend nursing
2.64

Hours per resident per day.

Total staff turnover: 36%
Registered nurse turnover: 20%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

13.3%7.6%Improving

Residents with a fall causing major injury

3.1%7%Worsening

Residents with pressure ulcers (bedsores)

4.7%7.5%Worsening

Residents with a urinary tract infection

3.2%1.1%Improving

Residents who lost too much weight

2.5%5.1%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10.1%24.1%Worsening

Residents whose ability to walk got worse

12.1%13.3%Worsening

Long-stay residents on antianxiety or sleep medication

25%23%Improving

Short-stay residents newly given an antipsychotic

0%0%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

11.8%11.2%Improving

Residents with depressive symptoms

32.6%39.8%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—97.9%—

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: D

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited June 2026 — isolated incident, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of FOURSQUARE HEALTHCARE · 10 homes · 3.2 stars avg
Occupancy
113 residents on an average day (88% of 128 beds)
Resident voice
Resident council
Medicare history
Certified for 11 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.